Comparison · updated October 16, 2026

MEDGm vs SkinnyRx: Costs, care and treatment fit

MEDGm and SkinnyRx differ in what you pay, which medicines they list and their insurance terms. 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

MEDGm 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

Our MEDGm referral excludes Louisiana; Nebraska patients must be 19 or older. The provider must confirm your eligibility and medication availability. A prescription is required and is issued only if a licensed clinician finds treatment appropriate.

Which should you choose, MEDGm or SkinnyRx?

Short answer: MEDGm and SkinnyRx differ in what you pay, which medicines they list and their insurance terms, so the plans below decide it.

MEDGm is best for

Shoppers comparing compounded starting prices who want named pharmacy partners and are willing to confirm their exact medication and renewal cost before paying.

SkinnyRx is best for

Cash-pay readers comparing compounded injections and dissolving tablets with a clinician, after confirming the refill bill and evidence for the exact formulation.

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

MEDGm vs SkinnyRx side by side

MEDGm and SkinnyRx compared fact by fact
MEDGmSkinnyRx
Price$169/mo equivalent$2,028 upfront for 12 months; applicable taxes may add to the bill$99First month, ask the renewal price
MedicineBothBrand-name and compounded
Needle-free optionBothYes, a pill or other oral form
InsuranceCash-pay programNo insurance listed
ConsultationAdvertised as included in the compounded plansIncluded
ShippingIncludedFree (overnight on all orders)
Where it shipsOur MEDGm referral excludes Louisiana and patients under 19 in Nebraska47 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 score7/10 Good5/10 Mixed
Assessment limitsChecked Sep 11, 2026.Checked Oct 16, 2026; a rating claim didn't match Trustpilot.

What MEDGm and SkinnyRx plans cost

MEDGm

Publishes compounded starting prices, names its clinical group and pharmacy partners, and advertises included labs.

All 15 MEDGm plans
How MEDGm bills

Compounded semaglutide injection is $169/mo equivalent with $2,028 prepaid for 12 months. Its monthly plan is $179 for the first month with WELCOME120OFF, then $299. Tirzepatide injection and tablets have separate prices: compounded semaglutide tablets are $239/mo equivalent with $2,868 prepaid for 12 months. Brand-name membership and medication charges are separate; applicable taxes may add to the total.

We checked MEDGm's prices on October 9, 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 MEDGm and SkinnyRx

MEDGm

  • Brand-name cards show membership fees only: $99 for Zepbound or Wegovy and $171 for Ozempic, with medication charged separately
  • The $169 injection headline requires $2,028 prepaid for a year of semaglutide; monthly plans cost more and welcome discounts end after month one
MEDGm's strengths, cautions and terms

Strengths

  • Publishes compounded plan prices before intake, with consultation, labs, medication, support and delivery advertised as included
  • Names OpenLoop Health and four pharmacy partners: RedRock Pharmacy, Health Warehouse, Precision Medicine and Triad Rx
  • Advertises included labs; the specific tests and requirements need confirmation with the provider
  • Displays a linked LegitScript seal and supplied certification documentation
  • Publishes a full current-term refund if the clinician disqualifies you before the first medication shipment

More to watch for

  • The tablet's $239 monthly equivalent requires $2,868 prepaid for 12 months; the monthly welcome discount does not continue at renewal
  • No individual medical director or prescribing clinician is named on the pages checked
  • Cancel at least 72 hours before renewal. Voluntary cancellation does not refund the paid term; dispensed medication is non-refundable
Medicines listed
  • Semaglutide (compounded weekly injection; not FDA-approved)
  • Tirzepatide (compounded weekly injection; not FDA-approved)
  • Semaglutide (compounded dissolvable tablet; not FDA-approved)
  • Zepbound injection (advertised; availability subject to change)
  • Wegovy pill or pen (advertised; availability subject to change)
  • Ozempic injection (advertised; FDA-approved for type 2 diabetes)
Insurance
Cash-pay program. HSA/FSA payments are advertised, but reimbursement depends on your benefit plan.
Consultation
Advertised as included in the compounded plans
Shipping
Included
States
Our MEDGm referral excludes Louisiana and patients under 19 in Nebraska. The provider's broader US service statement remains subject to medication availability and state-specific consultation requirements. Confirm your eligibility before paying; referral restrictions checked October 8, 2026
Cancellation
Give at least 72 hours' notice before renewal. No refund for voluntary cancellation of a paid term. Medical disqualification can qualify for a full or partial refund; dispensed medication is non-refundable.

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.

MEDGm vs SkinnyRx: common questions

Is MEDGm or SkinnyRx cheaper?

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

  • MEDGm$169/mo equivalent$2,028 upfront for 12 months; applicable taxes may add to the bill
  • SkinnyRx$99first month, ask the renewal price

Which is better, MEDGm or SkinnyRx?

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

Do MEDGm and SkinnyRx offer brand-name medication?

MEDGm and SkinnyRx both list brand-name and compounded medication.

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

Do MEDGm and SkinnyRx take insurance?

Coverage depends on your plan and prescription, so read each provider's insurance terms.

Confirm coverage for your exact plan and prescription before you pay.

Where these facts come from

MEDGm:prices checked October 9, 2026.Read our MEDGm 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?