Comparison · updated October 16, 2026

PeterMD vs SkinnyRx: PeterMD for compounded medication only, SkinnyRx for brand-name or compounded options

PeterMD and SkinnyRx differ in what you pay and which medicines they list. 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

PeterMD 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

Which should you choose, PeterMD or SkinnyRx?

Short answer: Choose SkinnyRx if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.

PeterMD is best for

Budget-conscious users looking for the lowest monthly GLP-1 cost.

Choose SkinnyRx if

  • you want brand-name medicine as an option
  • you want a pill or another option without needles

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

PeterMD vs SkinnyRx side by side

PeterMD and SkinnyRx compared fact by fact
PeterMDSkinnyRx
Pricefrom $149/mo$99First month, ask the renewal price
MedicineCompounded onlyBrand-name and compounded
Needle-free optionNot listedYes, a pill or other oral form
InsuranceBothNo insurance listed
ConsultationBothIncluded
ShippingIncludedFree (overnight on all orders)
Where it shipsAll states except AL, ID, AK and HI on the GLP1 plus B12 program and AL and ID on the tirzepatide page, while the intake form asks instead about Alabama, Arkansas, Idaho and Hawaii, so verify your state at signup47 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
BBB ratingA+ (accredited since August 10, 2026)Not tracked
Our score6.5/10 Fair5/10 Mixed
Assessment limitsChecked Oct 16, 2026; few independent reviews yet.Checked Oct 16, 2026; a rating claim didn't match Trustpilot.

What PeterMD and SkinnyRx plans cost

PeterMD

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.

  • GLP1 + B12, Level 1$149Advertised at $149/Month and $447 total for an estimated 10 to 12 week supply, described on the product page as designed for first-time users
  • GLP1 + B12, Level 2$139Advertised at $139/Month and $834 total for an estimated 8 to 12 week supply, described on the product page as for current or returning users
  • Tirzepatide + B12, month one$109The tirzepatide plus B12 program page advertises $209/mo with $100 off your first month, so month one works out at $109
All 5 PeterMD plans
How PeterMD bills

The GLP1 plus B12 product page prices Level 1 at "$149/Month" and "$447 Total" for an estimated 10 to 12 week supply, and Level 2 at "$139/Month" and "$834 Total" for current or returning users. The separate tirzepatide plus B12 program advertises $209/mo for any dose with $100 off month one, and the tirzepatide page quotes $149 to start and $249 per month after that, billed quarterly at 60mg (verified 2026-09-03)

We checked PeterMD's prices on September 3, 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 PeterMD and SkinnyRx

PeterMD

  • 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.
  • BBB opened PeterMD's file on July 28, 2026 and lists 22 complaints in the last three years, 12 of them in the last 12 months (checked October 16, 2026). Read them before you pay; a BBB grade measures complaint handling, not the quality of medical care.
PeterMD's strengths, cautions and terms

Strengths

  • 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
  • B12 is listed as an added ingredient in the GLP1 + B12 program
  • Video consultations with physicians included, real face-to-face medical oversight

More to watch for

  • 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.
Medicines listed
  • Semaglutide + B12 (compounded, sold as the GLP1 + B12 program)
  • Tirzepatide + B12 (compounded)
Insurance
No insurance support listed
Consultation
Included
Shipping
Included
States
All states except AL, ID, AK and HI on the GLP1 plus B12 program and AL and ID on the tirzepatide page, while the intake form asks instead about Alabama, Arkansas, Idaho and Hawaii, so verify your state at signup (checked 2026-09-03)
Cancellation
All sales are final once medication is received, with replacements only for damaged items reported within 24 hours, and auto-renewals must be cancelled by email at least 48 hours before the renewal date

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.

PeterMD vs SkinnyRx: common questions

Is PeterMD or SkinnyRx cheaper?

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

  • PeterMDfrom $149/mostarting price
  • SkinnyRx$99first month, ask the renewal price

Which is better, PeterMD or SkinnyRx?

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

PeterMD lists compounded medication only, and SkinnyRx lists brand-name and compounded medication.

Do PeterMD and SkinnyRx offer brand-name medication?

PeterMD lists compounded medication only, and SkinnyRx lists brand-name and compounded medication.

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

Do PeterMD and SkinnyRx take insurance?

Neither PeterMD nor SkinnyRx lists insurance support.

Where these facts come from

PeterMD:prices checked September 3, 2026, score evidence assessed October 16, 2026.Read our PeterMD 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.

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