MEDGm vs SkinnyRx: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated September 1, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

53 providers verified independently·Independent research·How we rank →

Short answer: SkinnyRx scores higher on our rubric, 5.3/10 against 2.7/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit SkinnyRx - our pick of these two →or find your match

SkinnyRx beats MEDGm overall, scoring 5.3/10 vs 2.7/10. Published pricing is not a like-for-like monthly comparison: MEDGm is from $179/mo; SkinnyRx is from $199/mo. Choose MEDGm for shoppers who want a compounded glp-1 with the price visible before intake and are comfortable that no clinician or pharmacy is named. Choose SkinnyRx for users who want flexibility in compounded glp-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point.

A side-by-side look at MEDGm 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

MEDGm

#53 of 53

2.7/10

MEDGm is a telehealth company selling compounded GLP-1 injections from $179/mo and dissolvable tablets from $249/mo, with brand-name Zepbound, Wegovy and Ozempic offered as a membership plus an unpublished medication cost. The compounded prices are readable before intake and the not-FDA-approved disclosure is prominent, which is more than several better-known programs manage. The gap is verification: no clinician, no pharmacy and no accreditation is named anywhere on the site or in its terms.

Visit MEDGm

Higher Rated

SkinnyRx

#47 of 53

5.3/10

Direct-to-consumer telehealth platform offering compounded GLP-1 medications across five formats, injectable and sublingual semaglutide, semaglutide tablets, and tirzepatide as either injectable or tablets. Operated by Lean Rx, Inc. (Sacramento, CA). Compounded only, does not prescribe brand-name Wegovy/Zepbound/Ozempic/Mounjaro. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.

Visit SkinnyRx

Feature	MEDGm	SkinnyRx
Why each one	Publishes its compounded prices before intake and does not claim an accreditation it cannot support. Both are low bars that a surprising number of programs fail.	The broadest compounded-GLP-1 menu in DTC telehealth, five medication formats including the uncommon sublingual semaglutide and even rarer oral tirzepatide tablets. Most competitors offer one or two formats; SkinnyRx covers every administration route a compounded patient might prefer.
Our Score	2.7/10	5.3/10
Headline Price	from $179/mo	from $199/mo
Medication Type	Both	Compounded
Insurance Accepted	No	No
Best For	Shoppers who want a compounded GLP-1 with the price visible before intake and are comfortable that no clinician or pharmacy is named.	Users who want flexibility in compounded GLP-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point
Watch out for	No medical director, prescribing clinician or medical group is named anywhere	No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
Ranking	#53	#47
Get started	Visit MEDGm	Visit SkinnyRx

Pros & Cons Compared

MEDGm

Pros

+Compounded prices visible on the landing page without starting an intake
+Prominent, correctly-worded disclosure that compounded GLP-1s are not FDA-approved
+Cancel any time, with a published refund policy rather than a buried one
+Claims no accreditation it cannot support, which is rarer than it should be
+HSA/FSA accepted; free shipping stated

Cons

−No medical director, prescribing clinician or medical group is named anywhere
−No compounding pharmacy is named; the terms promise a partner list that the terms do not contain
−Brand-name Zepbound, Wegovy and Ozempic are priced as a membership plus an unpublished medication cost, so no brand total can be compared
−No lab panel is offered or required at any tier
−The homepage claims 120,000+ patients on a domain registered 2026-04-08; we could not reconcile the two
−A prepaid contracted term is non-refundable, and dispensed medication is never refundable
−No third-party rating exists that we could locate and verify

SkinnyRx

Pros

+Five medication formats, the broadest compounded-GLP-1 menu in DTC telehealth, including the rare oral tirzepatide tablet that almost no competitor offers
+$199/mo entry price for both injectable and sublingual semaglutide is competitive in the mid-tier compounded segment
+Fast onboarding: 5-10 minute online questionnaire, physician review in 24-48 hours, medication delivered in 3-7 business days with temperature-controlled shipping
+4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category

Cons

−No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
−Light public disclosure: founders, executive team, medical director, and specific compounding-pharmacy partners are not named on the public site, ask support before enrolling if provenance matters to you
−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

SkinnyRx edges out MEDGm with a score of 5.3/10 vs 2.7/10. Published pricing is not a like-for-like monthly comparison: MEDGm is from $179/mo; SkinnyRx is from $199/mo. MEDGm offers both brand-name and compounded medications, giving you more flexibility.

Cheapest complete recurring price in our index

Eden Health GLP-1

$99/mo month-to-month, from $34 on a plan · 6.9/10 · Both

Both MEDGm and SkinnyRx start above the cheapest complete recurring program we track. Across all 53 providers in our index, the lowest price with affirmative medication, consultation, and shipping inclusion is Eden Health GLP-1 at $99/mo, price checked August 28, 2026. It scores 6.9/10 and is not the highest-scored provider in our full rankings, so this is a cost floor rather than a recommendation. Worth knowing before you decide.