Comparison · updated October 16, 2026

HealthRX vs SkinnyRx: HealthRX for compounded medication only, SkinnyRx for brand-name or compounded options

HealthRX and SkinnyRx differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.

These two prices are different kinds of bill, so read the line under each price before you compare them.

Compare plans and terms

HealthRX and SkinnyRx pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money

Which should you choose, HealthRX or SkinnyRx?

Short answer: Choose SkinnyRx if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.

HealthRX is best for

Cash-pay readers comparing prepaid compounded GLP-1 plans with a separate monthly Subscribe and Save offer, after confirming the pharmacy and cancellation terms.

Choose SkinnyRx if

  • you want brand-name medicine as an option
  • you want a pill or another option without needles

The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

HealthRX vs SkinnyRx side by side

HealthRX and SkinnyRx compared fact by fact
HealthRXSkinnyRx
Price$99/mo equivalent$1,188 upfront for 12 months; applicable taxes may add to the bill$99First month, ask the renewal price
MedicineCompounded onlyBrand-name and compounded
Needle-free optionNot listedYes, a pill or other oral form
InsuranceBothNo insurance listed
ConsultationBothIncluded
ShippingIncluded (free overnight shipping)Free (overnight on all orders)
Where it shipsAll 50 states47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states
TrustpilotNot tracked4.8 / 5 across 4,100 reviews
Our score7.3/10 Fair5/10 Mixed
Assessment limitsChecked Jul 18, 2026; few independent reviews yet.Checked Oct 16, 2026; a rating claim didn't match Trustpilot.

What HealthRX and SkinnyRx plans cost

HealthRX

Published prepaid schedules and separate monthly Subscribe and Save offers, with clinician review and shipping advertised as included. Compare the first charge, renewal bill and refund conditions.

  • Compounded Semaglutide, Monthly Plan$190$190 billed for the first month on its pricing page, renewing at $165. The same page also lists a Subscribe and Save monthly option at $149 for the first month, then $165 per month.
  • Compounded Semaglutide, 3-Month Plan$133$399 billed for 3 months, $133/mo, renewing at $374 on its pricing page. Flat across doses with clinician review, dose adjustments and overnight shipping included.
  • Compounded Semaglutide, 6-Month Plan$119$714 billed for 6 months, $119/mo, renewing at $689 on its pricing page. Cheaper per month than the 3-month plan for half the commitment of the annual one.
All 8 HealthRX plans
How HealthRX bills

12-month semaglutide rate, $1,188 paid up front. A separate Subscribe and Save offer is $149 for the first month, then $165; the pricing table also lists a $190 first-month option

We checked HealthRX's prices on September 3, 2026.

SkinnyRx

A four-product compounded menu with separate injection and dissolving-tablet pages for semaglutide and tirzepatide. Compare the exact formulation, introductory bill and renewal terms; the different routes are not established as clinically equivalent.

All 4 SkinnyRx plans
  • Compounded Tirzepatide (tablets)$199Oral dissolving tablet, quoted at $199 for the first month. Confirm the exact dispensing directions and later bill; this is not an FDA-approved oral tirzepatide product.
How SkinnyRx bills

$99 is a first month rate quoted on the compounded semaglutide and tirzepatide injection product pages. SkinnyRx does not publish a month two price; its terms say the renewal rate is described during checkout.

We checked SkinnyRx's prices on September 26, 2026.

What to watch for with HealthRX and SkinnyRx

HealthRX

  • The dispensing 503A pharmacy is described by type while its name and license remain absent from the public site
  • Legal entity, headquarters, executive team, and medical director remain undisclosed
HealthRX's strengths, cautions and terms

Strengths

  • $99/mo compounded semaglutide on the 12-month plan, with a $133/mo 3-month option
  • Flat pricing across doses, clinician review, dose adjustments, and overnight shipping included
  • Independent US-licensed clinicians in all 50 states, with the homepage saying a board-certified physician reviews your file within 24 hours
  • Full refund if a provider does not approve you, stated on the homepage, the pricing page and the terms
  • Displays certificate 50087439 with a LegitScript checker link; current issuer confirmation was not resolved in the October 8 check
  • Publishes an email cancellation route and refund eligibility for unshipped doses, subject to the processing and dispensing conditions
  • Published HIPAA notice, telehealth consent, safety information, and emergency instructions

More to watch for

  • The $99/mo semaglutide headline requires $1,188 up front. The separate Subscribe and Save offer is $149 first month, then $165; the $190 table option is not the only monthly offer
  • The historical 4.8/5 from 12,000+ members display used illustrative composite stories, not independent review evidence; that block was not reproduced in the October 8 check
  • Cash-pay only, with no insurance billing or prior-authorization support
  • Compounded medications sit outside FDA premarket approval as finished products
Medicines listed
  • Semaglutide (compounded weekly injection)
  • Tirzepatide (compounded weekly injection)
Insurance
No insurance support listed
Consultation
Included
Shipping
Included (free overnight shipping)
Prescribers
Independent US-licensed clinicians licensed in the patient's state, described on the homepage as board-certified physicians. A clinician network is not named on the site's about, how it works, FAQ or terms pages (rendered check 2026-09-03)
Lab work
Not disclosed
States
All 50 states
Cancellation
The refund policy and FAQ direct cancellation by email. They describe refunds for unshipped doses, subject to processing and dispensing conditions; prescription products are nonreturnable once dispensed and sales are final after shipment. If a provider declines to prescribe after payment, the terms promise a full refund of the related charge, processed manually by support after the clinical decline is recorded. Sources checked October 8, 2026.

SkinnyRx

  • Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
  • SkinnyRx names its medical director, Sajad Zalzala, M.D., and names AyaRx as the telemedicine partner behind its medical services, but it does not name the compounding pharmacy that fills prescriptions and it publishes no founders or executive team.
SkinnyRx's strengths, cautions and terms

Strengths

  • Four product-specific options to discuss with a clinician: semaglutide or tirzepatide, each as an injection or a dissolving tablet
  • $99 for the first month on both the compounded semaglutide and the compounded tirzepatide injection, quoted on each product page, among the lowest entry rates in the compounded segment
  • Fast onboarding: a short online intake, a prescription within 24 hours where no video visit is required, and free overnight shipping on all orders with tracking within 2 business days
  • A public Trustpilot profile provides service feedback to read alongside the FDA record and the written billing terms; those reviews do not establish tablet effectiveness

More to watch for

  • Cash-pay only, does not bill commercial insurance, Medicare, or Medicaid. HSA/FSA payments are accepted, which is the main way to soften the cost.
  • Independent reviews flag inconsistent customer-service responsiveness, a real consideration since titration support and dose adjustments run through chat
  • FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded GLP-1s. It is a labeling/marketing record, not an unsafe-medication finding
Medicines listed
  • Semaglutide (compounded, injectable)
  • Wegovy Pill (brand-name oral semaglutide, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
  • Foundayo Pill (brand-name orforglipron, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
  • Semaglutide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
  • Tirzepatide (compounded, injectable)
  • Tirzepatide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
Insurance
No insurance support listed
Consultation
Included
Shipping
Free (overnight on all orders)
States
47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states
Cancellation
The September 22 terms allow renewal processing up to five days before the next period and require cancellation at least five days before the applicable renewal-processing date. They include non-refundable fees, return-before-refund conditions and possible reversal of promotional discounts. Product FAQs use simpler cancellation/refund wording. Ask support for the exact deadline, refund eligibility and any return requirement in writing before paying; canceling is not a guaranteed refund.

Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.

HealthRX vs SkinnyRx: common questions

Is HealthRX or SkinnyRx cheaper?

At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.

  • HealthRX$99/mo equivalent$1,188 upfront for 12 months; applicable taxes may add to the bill
  • SkinnyRx$99first month, ask the renewal price

Which is better, HealthRX or SkinnyRx?

Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.

HealthRX lists compounded medication only, and SkinnyRx lists brand-name and compounded medication.

Do HealthRX and SkinnyRx offer brand-name medication?

HealthRX lists compounded medication only, and SkinnyRx lists brand-name and compounded medication.

Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.

Do HealthRX and SkinnyRx take insurance?

Neither HealthRX nor SkinnyRx lists insurance support.

Where these facts come from

HealthRX:prices checked September 3, 2026.Read our HealthRX review

SkinnyRx:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our SkinnyRx review

We score on a published methodology, and partnership never changes a score or a fact here.

What should you compare next?

Before you sign up, read our trust check: is SkinnyRx legit.

HealthRX reviewSkinnyRx reviewAll comparisonsFind your match

Related comparisons

Not comparing, just asking? Quick answers to the most-asked GLP-1 questions →

Visit HealthRX $99/mo equivalentVisit SkinnyRx $99