PeterMD vs SkinnyRx: Which GLP-1 Provider Is Better?
By Iacob Pastina, Independent Researcher
PeterMD and SkinnyRx are tied at 7.3/10. PeterMD is more affordable at $165/mo vs $199/mo. Choose PeterMD for budget-conscious users looking for the lowest monthly glp-1 . Choose SkinnyRx for users who want flexibility in compounded glp-1 medication fo.
A side-by-side comparison of PeterMD and SkinnyRx covering pricing, scores, medication types, insurance, and more to help you decide.
PeterMD
#33 of 47One of the most affordable compounded GLP-1 options on the market, ideal for budget-conscious patients.
Visit PeterMDSkinnyRx
#36 of 47Direct-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 | PeterMD | SkinnyRx |
|---|---|---|
| Our Score | 7.3/10 | 7.3/10 |
| Starting Price | $165/mo | $199/mo |
| Medication Type | Compounded | Compounded |
| Insurance Accepted | No | No |
| Best For | Budget-conscious users looking for the lowest monthly GLP-1 cost | Users who want flexibility in compounded GLP-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point |
| Ranking | #33 | #36 |
Pros & Cons Compared
PeterMD
Pros
- +Flat $165/mo at all dose levels — price doesn't increase as you titrate up to maintenance doses
- +Semaglutide + B12 formulation helps reduce nausea — the most common GLP-1 side effect
- +100,000+ patient base with 4.9/5 Trustpilot rating from 14,000+ reviews — strong social proof
- +Video consultations with physicians included — real face-to-face medical oversight
Cons
- −Only available in 42 states — excluded from 8 states, limiting nationwide access
- −Not BBB accredited, with some documented complaints about delayed medication fulfillment
- −Originally a testosterone replacement therapy platform — GLP-1 is an expansion, not the core focus
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) — compounded-only model limits patients who want or need an FDA-approved finished product
- −Limited public transparency: founders, executive team, medical director, and specific compounding-pharmacy partners are not named on the public site
- −Cash-pay only — does not bill commercial insurance, Medicare, or Medicaid (HSA/FSA payments accepted)
- −Independent reviews flag inconsistent customer-service responsiveness, which is a real concern for a medication that requires titration support and dose-adjustment dialogue
Our Verdict
PeterMD and SkinnyRx are closely matched with identical scores of 7.3/10. If budget is your priority, PeterMD starts at $165/mo compared to SkinnyRx's $199/mo. Choose PeterMD if you want: budget-conscious users looking for the lowest monthly glp-1 cost. Choose SkinnyRx if you want: users who want flexibility in compounded glp-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point.