PeterMD vs SkinnyRx: Which GLP-1 Provider Is Better?
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.
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 $149/mo; SkinnyRx is $99 first month, rises after. Choose PeterMD for budget-conscious users looking for the lowest monthly glp-1 cost. 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 PeterMD and SkinnyRx to help you decide. We compare them on:
- •Starting price and billing period
- •Our overall score, out of 10
- •Medication type, brand-name or compounded
- •Whether they accept insurance
- •Who each one is best for
PeterMD
#14 of 36One of the most affordable compounded GLP-1 options on the market, ideal for budget-conscious patients.
Visit PeterMDSkinnyRx
#28 of 36Direct-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 | PeterMD | SkinnyRx |
|---|---|---|
| Why each one | Two compounded programs at two prices: GLP1 plus B12 from $149/mo, and tirzepatide plus B12 at $209/mo for any dose, with the page stating the price does not rise as your dose increases. | 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 | 7.3/10 | 5.3/10 |
| Headline Price | from $149/mo | $99 first month, rises after |
| Medication Type | Compounded | Both |
| Insurance Accepted | No | No |
| Best For | Budget-conscious users looking for the lowest monthly GLP-1 cost | 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 | The excluded states differ by page: the GLP1 plus B12 program lists AL, ID, AK and HI, the tirzepatide page lists only AL and ID, and the intake form asks about Alabama, Arkansas, Idaho and Hawaii. Confirm your own state during signup before planning around PeterMD. | 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 | #14 | #28 |
| Get started | Visit PeterMD | Visit SkinnyRx |
Pros & Cons Compared
PeterMD
Pros
- +The tirzepatide plus B12 program is one price for any dose, $209/mo, and the page says it does not go up as you titrate
- +PeterMD advertises more than 400,000 patients served and a 4.9 out of 5 rating from over 20,000 reviews
- +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
- −The excluded states differ by page: the GLP1 plus B12 program lists AL, ID, AK and HI, the tirzepatide page lists only AL and ID, and the intake form asks about Alabama, Arkansas, Idaho and Hawaii. Confirm your own 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
- +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
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 $149/mo; SkinnyRx is $99 first month, rises after. SkinnyRx offers both brand-name and compounded medications, giving you more flexibility.
Reviews and pricing sources
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Our pick of these two: PeterMD · 7.3/10