Lemonaid Health vs SkinnyRx: Which GLP-1 Provider Is Better?
Short answer: Lemonaid Health scores higher on our rubric, 7.2/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.
Lemonaid Health beats SkinnyRx overall, scoring 7.2/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: Lemonaid Health is published $129/mo; total not verified; SkinnyRx is $99 first month, rises after. Choose Lemonaid Health for users who want a flexible membership with broad medication options, a $49/mo membership plus compounded semaglutide or tirzepatide at $229-299/mo, a $199 compounded microdose, or brand-name zepbound via lillydirect at $299-449. Choose SkinnyRx for users who want a choice of compounded glp-1 format, a weekly injection or a daily tablet taken under the tongue, at a low first month price.
A side-by-side look at Lemonaid Health and SkinnyRx to help you decide. We compare them on:
- •Starting price per month
- •Our overall score, out of 10
- •Medication type, brand-name or compounded
- •Whether they accept insurance
- •Who each one is best for
Lemonaid Health
#32 of 54Telehealth platform operating since 2013, restructured in 2026 to a $49/mo Weight Loss Membership with medication billed separately. The menu runs compounded semaglutide and tirzepatide, compounded microdoses at $199/mo, brand-name Zepbound through LillyDirect at $299-449, plus cash-price Wegovy and Ozempic. Weight loss is not offered in every state and Lemonaid does not publish the list.
Visit Lemonaid HealthSkinnyRx
#46 of 54Direct-to-consumer telehealth platform operated by Lean Rx, Inc. (Sacramento, CA). Its Treatments menu carries four compounded GLP-1 formats, semaglutide and tirzepatide each as a once-weekly injection or a once-daily tablet taken under the tongue, plus two brand-name oral pills, the Wegovy Pill and the Foundayo Pill, both badged FDA-approved and both shown as Unavailable and offered through a SkinnyRx Membership. Every advertised price is a first month rate. Compounded medications are not sold in Alabama, Louisiana or Mississippi. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.
Visit SkinnyRx| Feature | Lemonaid Health | SkinnyRx |
|---|---|---|
| Why each one | One of the oldest and most established telehealth brands in the GLP-1 space, over a decade of operation and physician-only prescribing standards that exceed most competitors. | Both GLP-1 molecules in both administration routes: semaglutide and tirzepatide, each as a once-weekly injection or a once-daily tablet taken under the tongue. The tirzepatide tablet in particular is a format almost no other DTC platform offers, and the two brand-name oral pills it lists alongside them are currently shown as Unavailable. |
| Our Score | 7.2/10 | 5.3/10 |
| Headline Price | published $129/mo; total not verified | $99 first month, rises after |
| Medication Type | Both | Both |
| Insurance Accepted | No | No |
| Best For | Users who want a flexible membership with broad medication options, a $49/mo membership plus compounded semaglutide or tirzepatide at $229-299/mo, a $199 compounded microdose, or brand-name Zepbound via LillyDirect at $299-449 | Users who want a choice of compounded GLP-1 format, a weekly injection or a daily tablet taken under the tongue, at a low first month price |
| Watch out for | Membership and medication billed separately, the $49/mo number is just the membership, not all-in | 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. |
| Ranking | #32 | #46 |
| Get started | Visit Lemonaid Health | Visit SkinnyRx |
Pros & Cons Compared
Lemonaid Health
Pros
- +2026 restructure, $49/mo Weight Loss Membership (replaces the old $25/visit model)
- +6-month plan discount, compounded tirzepatide drops to $229/mo on a 6-month commitment
- +Wide medication menu: compounded sema, compounded tirz, compounded microdoses ($199), brand-name Zepbound via LillyDirect ($299-449), and metformin
- +Operating since 2013, one of the longer running telehealth brands prescribing GLP-1s
Cons
- −Membership and medication billed separately, the $49/mo number is just the membership, not all-in
- −Brand-name Wegovy ($1,599) and Ozempic ($1,199) cash prices are high, read as access, not value
- −Best compounded pricing requires a 6-month commitment and only tirzepatide has one, semaglutide has no 6-month tier
- −Fees paid are non-refundable, cancelling needs 48 hours notice before a renewal, and a started 3 or 6 month plan is billed to the end of its term
SkinnyRx
Pros
- +Four compounded formats, both molecules as both a weekly injection and a daily tablet taken under the tongue, including the tirzepatide tablet that almost no competitor offers
- +$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
- +4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category
Cons
- −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.
- −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
Our Verdict
Lemonaid Health edges out SkinnyRx with a score of 7.2/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: Lemonaid Health is published $129/mo; total not verified; SkinnyRx is $99 first month, rises after.
Read Full Reviews
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Our pick of these two: Lemonaid Health · 7.2/10