Membership only · medication extra · checked Oct 9
Check price for RoOn Ro's site · partner link
Comparison · updated October 16, 2026
Ro vs SkinnyRx: Ro for brand-name medication only, SkinnyRx for brand-name or compounded options
Ro and SkinnyRx differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.
First month, ask the renewal price · checked Sep 26
Check price for SkinnyRxOn SkinnyRx's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
Ro 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, Ro or SkinnyRx?
Short answer: Choose Ro if you want to use insurance. Choose SkinnyRx if you want a compounded option as well as brand-name medicine.
Choose Ro if
- you want to use insurance
Choose SkinnyRx if
- you want a compounded option as well as brand-name medicine
- you put weight on customer ratings (4.8 on Trustpilot against 3.9)
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
Ro vs SkinnyRx side by side
| Ro | SkinnyRx | |
|---|---|---|
| Price | $149/moMembership plus medication | $99First month, ask the renewal price |
| Medicine | Brand-name only | Brand-name and compounded |
| Needle-free option | BothYes, a pill or other oral form | |
| Insurance | Accepts insurance | No insurance listed |
| Consultation | Included with Ro Body membership | Included |
| Shipping | Ro describes delivery for cash-pay orders and pharmacy pickup when using insurance | Free (overnight on all orders) |
| Where it ships | All 50 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 |
| Trustpilot | 3.9 / 5 across 7,032 reviews | 4.8 / 5 across 4,100 reviews |
| BBB rating | A+ (accredited) | Not tracked |
| Our score | 5.9/10 Mixed | 5/10 Mixed |
| Assessment limits | Checked Oct 16, 2026; some details not published. | Checked Oct 16, 2026; a rating claim didn't match Trustpilot. |
What Ro and SkinnyRx plans cost
Ro
Brand-name pill and injection options with a separate care membership and insurance-concierge support for selected injections.
- Ro Body Membership (first month)$39First-month intro rate for Ro Body membership, includes provider access and support
- Ro Body Membership (ongoing)$149Monthly membership after the first month, medication billed separately
- Ro Body Membership (annual prepay)$74$74/mo when you prepay 12 months, which its pricing page frames as a $900/year saving against the monthly plan
All 10 Ro plans
- Ro Body Membership (6-month prepay)$89$89/mo prepaid every 6 months on its pricing page, medication billed separately
- Ro Body Membership (3-month prepay)$99$99/mo prepaid every 3 months on its pricing page, medication billed separately
- Wegovy Injection (intro)$199$199 for the first two months at the 0.25 mg and 0.5 mg starter doses, and its pricing page says sign up by December 31, 2026 to qualify; medication only, membership billed separately
- Wegovy Injection (ongoing)$349$349 a month for the 1 mg to 2.4 mg doses and $399 for 7.2 mg Wegovy HD on its pricing page, medication only, membership billed separately
- Wegovy Oral Pill$149$149/mo at 1.5 mg, $199 at 4 mg and $299 at 9 mg or 25 mg. Medication only; membership is separate
- Zepbound$299Zepbound KwikPen: $299 at 2.5 mg, $399 at 5 mg and $449 at 7.5–15 mg with the manufacturer offer. Offer eligibility and refill conditions apply; medication only, membership is separate
- Foundayo (orforglipron oral)$149$149 at 0.8 mg. With the offer requiring sign-up by December 31, 2026, 2.5 mg is $149 and 5.5 mg is $199; 9 mg is $299, and 14.5/17.2 mg is $299 with the manufacturer offer. Medication only; membership is separate
We checked Ro'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.
- Compounded Semaglutide (injectable)$99Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
- Compounded Semaglutide (tablets)$149Oral dissolving tablet, quoted at $149 for the first month. Confirm the exact dispensing directions and later bill; merchant guidance differs on placement.
- Compounded Tirzepatide (injectable)$99Once-weekly tirzepatide injection, a GLP-1 and GIP dual agonist, quoted at $99 for the first month on its product page.
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 Ro and SkinnyRx
Ro
- Membership and medication are billed separately, readers need to add them together for the all-in monthly cost
- The current weight-loss menu lists brand-name medications; a compounded GLP-1 option is not established by those pages
Ro's strengths, cautions and terms
Strengths
- Carries Foundayo (orforglipron), Eli Lilly's FDA-approved oral GLP-1 launched April 6, 2026, at $149 to $299 a month depending on dose on its pricing page
- Insurance support for the Wegovy pen, Zepbound autoinjector pen and Ozempic; coverage and copays are plan-dependent, with membership charged separately
- Ro Body membership: $39 first month, $149/mo ongoing, or $74/mo prepaid annually, which its pricing page frames as a $900/year saving
- Membership includes provider messaging, regular check-ins, coaching and lab testing when clinically needed; medication costs extra
More to watch for
- Wegovy pen medication excludes membership: $199/month is an eligible first-two-month offer for 0.25 or 0.5 mg, while 1–2.4 mg is $349/month and 7.2 mg is $399/month. Add $39 first-month or $149 ongoing monthly membership; the starter offer requires signup by December 31, 2026
- Medicines listed
- Wegovy (semaglutide injection)
- Wegovy (oral semaglutide pill)
- Zepbound (tirzepatide)
- Ozempic (off-label)
- Saxenda (liraglutide injection)
- Foundayo (orforglipron oral, FDA-approved April 2026)
- Insurance
- Lists insurance support. Confirm coverage for your plan.
- Consultation
- Included with Ro Body membership
- Shipping
- Ro describes delivery for cash-pay orders and pharmacy pickup when using insurance. Confirm any dispensing-pharmacy delivery charge for your prescription
- States
- All
- Cancellation
- Cancel through your account or by email at least 48 hours before renewal to avoid another membership charge. Paid membership fees are generally non-refundable; onboarding has an exception if medication is never prescribed. Ro's returns page says prescription sales are final; its LillyDirect terms defer product refunds and disputes to the dispensing pharmacy's applicable policies
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.
Ro vs SkinnyRx: common questions
Is Ro or SkinnyRx cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- Ro$149/momembership plus medication
- SkinnyRx$99first month, ask the renewal price
Which is better, Ro or SkinnyRx?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
Ro lists brand-name medication only, and SkinnyRx lists brand-name and compounded medication. Ro lists insurance support, and SkinnyRx does not.
Do Ro and SkinnyRx offer brand-name medication?
Ro lists brand-name medication only, and SkinnyRx lists brand-name and compounded medication.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do Ro and SkinnyRx take insurance?
Ro lists insurance support, and SkinnyRx does not.
Confirm coverage for your exact plan and prescription before you pay.
Where these facts come from
Ro:prices checked October 9, 2026, score evidence assessed October 16, 2026.Read our Ro 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?
- Compare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.
- Check your GLP-1 insurance pathLook up plan-specific coverage questions before treating a cash price or an insurance route as your final out-of-pocket cost.
- Compare complete recurring program costsSee which prices include medication, clinical care and shipping, and which headline amounts require another fee or commitment.
Before you sign up, read our trust checks: is Ro legit and is SkinnyRx legit.