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

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

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

Short answer: PeterMD scores higher on our rubric, 7.3/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.

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

PeterMD beats SkinnyRx overall, scoring 7.3/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: PeterMD is from $165/mo; SkinnyRx is from $199/mo. Choose PeterMD for budget-conscious users looking for the lowest monthly glp-1 cost. 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 PeterMD 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

Higher Rated

PeterMD

#28 of 54

7.3/10

One of the most affordable compounded GLP-1 options on the market, ideal for budget-conscious patients.

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SkinnyRx

#48 of 54

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	PeterMD	SkinnyRx
Why each one	Flat $165/mo pricing at all doses with semaglutide + B12 formulation (B12 helps reduce nausea), backed by 100,000+ patients and 14,000+ Trustpilot reviews.	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	7.3/10	5.3/10
Headline Price	from $165/mo	from $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
Watch out for	Available in 42 states, not all 50 (8 states are excluded). Check your state during signup before planning around PeterMD.	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	#28	#48
Get started	Visit PeterMD	Visit SkinnyRx

Pros & Cons Compared

PeterMD

Pros

+Flat $165/mo at all dose levels, price doesn't increase as you titrate up to maintenance doses
+100,000+ patient base with 4.9/5 Trustpilot rating from 14,000+ reviews, strong social proof
+Semaglutide + B12 formulation helps reduce nausea, the most common GLP-1 side effect
+Video consultations with physicians included, real face-to-face medical oversight

Cons

−Available in 42 states, not all 50 (8 states are excluded). Check your state during signup before planning around PeterMD.
−Not BBB accredited, and some documented complaints cite delayed medication fulfillment. Order refills ahead of your last dose rather than at the last minute.
−PeterMD began as a testosterone replacement therapy platform; GLP-1 is an expansion, not the original core. The included video consultations give you a direct read on the clinical team.

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

PeterMD edges out SkinnyRx with a score of 7.3/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: PeterMD is from $165/mo; SkinnyRx is from $199/mo.