First month, ask the renewal price · checked Sep 26
Check price for SkinnyRxOn SkinnyRx's site · partner link
Comparison · updated October 23, 2026
SkinnyRx vs Sprout Health: SkinnyRx for brand-name or compounded options, Sprout Health for compounded medication only
SkinnyRx and Sprout Health differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.
Compounded semaglutide · 12-month plan · $1,188 up front · checked Oct 5
Check price for Sprout HealthOn Sprout Health's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
SkinnyRx and Sprout Health 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, SkinnyRx or Sprout Health?
Short answer: Choose SkinnyRx if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.
Choose SkinnyRx if
- you want brand-name medicine as an option
- you want a pill or another option without needles
Sprout Health is best for
Users who want a low compounded rate with the price locked as the dose rises, and who will judge service quality in month one.
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
SkinnyRx vs Sprout Health side by side
| SkinnyRx | Sprout Health | |
|---|---|---|
| Price | $99First month, ask the renewal price | from $99/mo |
| Medicine | Brand-name and compounded | Compounded only |
| Needle-free option | Yes, a pill or other oral form | Not listed |
| Insurance | BothNo insurance listed | |
| Consultation | BothIncluded | |
| Shipping | Free (overnight on all orders) | Free |
| Where it ships | 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 | 44 states (excludes AL, AR, CA, LA, MS, ND) |
| Trustpilot | 4.8 / 5 across 4,100 reviews | Not tracked |
| BBB rating | Not tracked | F (not accredited) |
| Our score | 5/10 Mixed | 7.8/10 Good |
| Assessment limits | BothChecked Oct 16, 2026; a rating claim didn't match Trustpilot. | |
What SkinnyRx and Sprout Health plans cost
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.
Sprout Health
Assigned-clinician messaging and advertised dose-flat compounded pricing, with annual prepayment or shorter plans whose billing intervals vary.
- Compounded Semaglutide (12-month plan)$99/mo$99 monthly equivalent; $1,188 billed every 12 months. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate. Checked October 5, 2026.
- Compounded Semaglutide (6-month plan)$110/mo$110 advertised monthly equivalent; $660 billed upfront, renewing every 26 weeks. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate. Checked October 23, 2026.
- Compounded Semaglutide (3-month plan)$125/4 weeks$125 per 4-week equivalent; $375 billed every 12 weeks. Provider review, medication and shipping included. Checked October 5, 2026.
All 8 Sprout Health plans
- Compounded Tirzepatide (12-month plan)$149/mo$149 monthly equivalent; $1,788 billed every 12 months. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate. Checked October 5, 2026.
- Compounded Semaglutide (monthly)$149/4 weeks$149 billed every 4 weeks, not per calendar month. Provider review, medication and shipping included. Checked October 5, 2026.
- Compounded Tirzepatide (6-month plan)$160/4 weeks$160 per 4-week equivalent; $960 billed every 24 weeks. Provider review, medication and shipping included. Checked October 5, 2026.
- Compounded Tirzepatide (3-month plan)$180/4 weeks$180 per 4-week equivalent; $540 billed every 12 weeks. Provider review, medication and shipping included. Checked October 5, 2026.
- Compounded Tirzepatide (monthly)$199/4 weeks$199 billed every 4 weeks, not per calendar month. Provider review, medication and shipping included. Checked October 5, 2026.
How Sprout Health bills
12-month compounded semaglutide plan: $1,188 billed every 12 months. The shortest plan is $149 every 4 weeks; plans renew until cancelled
We checked Sprout Health's prices on October 5, 2026.
What to watch for with SkinnyRx and Sprout Health
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.
Sprout Health
- The $99/mo semaglutide rate requires $1,188 upfront for 12 months; the shorter $149 plan bills every 4 weeks, not once per calendar month
- No insurance accepted or billed, and no HSA, FSA or superbill information is shown on the site's product, FAQ, terms or refund pages (rendered check 2026-09-03)
Sprout Health's strengths, cautions and terms
Strengths
- Publishes the upfront amount and renewal interval for annual and shorter compounded plans
- Each patient gets an assigned licensed clinician, with clinical messaging inside the account and a short check in before every refill
- The advertised compounded-plan price does not rise as the prescribed dose does, and provider review, medication, shipping and telehealth support are included
- Medicines listed
- Semaglutide (compounded)
- Tirzepatide (compounded)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free
- States
- 44 states (excludes AL, AR, CA, LA, MS, ND)
- Cancellation
- Give 48 hours' notice before renewal. The website policy offers a full refund before the prescription is sent to the pharmacy, even after clinical review; the official help article instead deducts $50 at that stage (both read October 21, 2026). Processed prescriptions are non-refundable, while Section 7 separately provides proportional refunds for unshipped prepaid months. Confirm which rule and remaining shipments qualify before paying.
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.
SkinnyRx vs Sprout Health: common questions
Is SkinnyRx or Sprout Health cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- SkinnyRx$99first month, ask the renewal price
- Sprout Healthfrom $99/mostarting price
Which is better, SkinnyRx or Sprout Health?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
SkinnyRx lists brand-name and compounded medication, and Sprout Health lists compounded medication only.
Do SkinnyRx and Sprout Health offer brand-name medication?
SkinnyRx lists brand-name and compounded medication, and Sprout Health lists compounded medication only.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do SkinnyRx and Sprout Health take insurance?
Neither SkinnyRx nor Sprout Health lists insurance support.
Where these facts come from
SkinnyRx:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our SkinnyRx review
Sprout Health:prices checked October 5, 2026, score evidence assessed October 16, 2026.Read our Sprout Health 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.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
- Compare tirzepatide providers and pricesReview provider options, price units and treatment context across the wider tirzepatide market.
Before you sign up, read our trust check: is SkinnyRx legit.
SkinnyRx reviewSprout Health reviewAll comparisonsFind your match