SkinnyRx vs Sprout Health: Which GLP-1 Provider Is Better?
Short answer: Sprout Health scores higher on our rubric, 5.8/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.
Sprout Health beats SkinnyRx overall, scoring 5.8/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is $99 first month, rises after; Sprout Health is from $110/mo. 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. Choose Sprout Health 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.
A side-by-side look at SkinnyRx and Sprout Health 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
SkinnyRx
#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 SkinnyRxSprout Health
#24 of 36Telehealth provider offering compounded semaglutide and tirzepatide alongside brand name Wegovy and Zepbound, with clinician review before each refill.
Visit Sprout Health| Feature | SkinnyRx | Sprout Health |
|---|---|---|
| Why each one | 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. | Assigned-clinician messaging and advertised dose-flat compounded pricing, with separate monthly and six-month semaglutide options. |
| Our Score | 5.3/10 | 5.8/10 |
| Headline Price | $99 first month, rises after | from $110/mo |
| Medication Type | Both | Both |
| Insurance Accepted | No | No |
| Best 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 | Users who want a low compounded rate with the price locked as the dose rises, and who will judge service quality in month one |
| Watch out for | 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. | The $110/mo headline requires a 6 month plan, month to month is $149/mo, and once a prescription reaches the pharmacy nothing is refundable, so the cheapest rate is also the one with the least room to change your mind |
| Ranking | #28 | #24 |
| Get started | Visit SkinnyRx | Visit Sprout Health |
Pros & Cons Compared
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
Sprout Health
Pros
- +Publishes an outcomes figure: some members self reported losing an average of 6.4% of body weight in their first 12 weeks (verified 2026-09-03)
- +Each patient gets an assigned licensed clinician, with clinical messaging inside the account and a short check in before every refill
- +The monthly price does not rise as the dose does, and provider review, free shipping and telehealth support are included at every tier
- +Lists brand name Wegovy and Zepbound next to the compounded options, so switching brand does not mean switching platform
Cons
- −The $110/mo headline requires a 6 month plan, month to month is $149/mo, and once a prescription reaches the pharmacy nothing is refundable, so the cheapest rate is also the one with the least room to change your mind
- −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)
Our Verdict
Sprout Health edges out SkinnyRx with a score of 5.8/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is $99 first month, rises after; Sprout Health is from $110/mo.
Reviews and pricing sources
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Our pick of these two: Sprout Health · 5.8/10