SkinnyRx vs Telos RX: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: SkinnyRx scores higher on our rubric, 5.3/10 against 4.9/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit SkinnyRx - our pick of these two →or find your match

SkinnyRx beats Telos RX overall, scoring 5.3/10 vs 4.9/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is from $199/mo; Telos RX is published $99/mo; total not verified. Choose SkinnyRx for users who want flexibility in compounded glp-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point. Choose Telos RX for people who want one care team across weight loss, longevity and recovery and will verify plan, consultation, lab and early-cancellation charges before paying.

A side-by-side look at SkinnyRx and Telos RX to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

Higher Rated

SkinnyRx

#48 of 54

5.3/10

Direct-to-consumer telehealth platform offering compounded GLP-1 medications across five formats, injectable and sublingual semaglutide, semaglutide tablets, and tirzepatide as either injectable or tablets. Operated by Lean Rx, Inc. (Sacramento, CA). Compounded only, does not prescribe brand-name Wegovy/Zepbound/Ozempic/Mounjaro. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.

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Telos RX

#51 of 54

4.9/10

Telos RX rebuilt itself between our July and August 2026 checks, from a four-SKU compounded GLP-1 storefront into a multi-category telehealth platform covering weight loss, longevity, recovery and sexual health. On the GLP-1 side it prescribes compounded tirzepatide, semaglutide, oral (under-the-tongue) tirzepatide formulated with ondansetron, and a microdosed tirzepatide tier. It says medication pricing does not rise with clinician-directed titration, a physician typically reviews intake within four hours, and clinical messaging is unlimited and 24/7. But the August 1 terms say consultations and ordered labs may be charged separately, including after a prescription-ineligible decision, so the $99 floor is not a verified all-in total. Prescriptions run through Arora Health Group and named pharmacies; the operating entity is Superior Health Solutions LLC.

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Feature	SkinnyRx	Telos RX
Our Score	5.3/10	4.9/10
Headline Price	from $199/mo	published $99/mo; total not verified
Medication Type	Compounded	Compounded
Insurance Accepted	No	No
Best For	Users who want flexibility in compounded GLP-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point	People who want one care team across weight loss, longevity and recovery and will verify plan, consultation, lab and early-cancellation charges before paying
Watch out for	No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere	'Cancel anytime, no penalties' on the product pages is contradicted by the terms. Cancel a multi-month plan early and the months you already used are re-rated to the shortest plan that covers them, and you are billed the difference as a one-time charge. Their own worked example: leave a 12-month plan after three months and you are re-rated to the 3-month price
Ranking	#48	#51
Get started	Visit SkinnyRx	Visit Telos RX

Pros & Cons Compared

SkinnyRx

Pros

+Five medication formats, the broadest compounded-GLP-1 menu in DTC telehealth, including the rare oral tirzepatide tablet that almost no competitor offers
+$199/mo entry price for both injectable and sublingual semaglutide is competitive in the mid-tier compounded segment
+Fast onboarding: 5-10 minute online questionnaire, physician review in 24-48 hours, medication delivered in 3-7 business days with temperature-controlled shipping
+4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category

Cons

−No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
−Light public disclosure: founders, executive team, medical director, and specific compounding-pharmacy partners are not named on the public site, ask support before enrolling if provenance matters to you
−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

Telos RX

Pros

+Flat pricing that does not increase as your dose is titrated, which is the opposite of how most compounded programs bill
+A physician typically reviews the intake within four hours, and labs can be ordered when clinically appropriate
+24/7 unlimited messaging with the clinical team, published as a standing commitment rather than a business-hours window
+Both pharmacies are named with full addresses: VialsRX at 6220 Westpark Dr, Houston TX 77057, and F&F Pharmacies Inc dba Jungle Jim's Pharmacy. Most competitors name none
+Oral tirzepatide comes formulated with ondansetron, an anti-nausea medication, built into the same dose rather than sold as a separate add-on
+Four GLP-1 formats including a needle-free daily option and a microdose tier, plus free 48-hour shipping and FSA/HSA eligibility on every plan
+One care team across metabolic, longevity, recovery and sexual health, so a patient who starts on a GLP-1 does not need a second provider later

Cons

−'Cancel anytime, no penalties' on the product pages is contradicted by the terms. Cancel a multi-month plan early and the months you already used are re-rated to the shortest plan that covers them, and you are billed the difference as a one-time charge. Their own worked example: leave a 12-month plan after three months and you are re-rated to the 3-month price
−The plan pricing that used to be fully public is now behind intake. The page shows 'as low as $99' against a struck-through $299, says your price depends on plan length, and exposes no plan selector. The month-to-month rate is not published anywhere
−The August 1 terms say consultations and ordered labs may be separately payable. Those charges may remain due even when a clinician decides you are not eligible for a prescription, so the medication floor is not an all-in quote
−LegitScript certification is claimed 22 times across the site, including in the footer trust bar, but a search of LegitScript's own registry for telosrx returned no matching record on August 12, 2026
−The homepage advertises 'Trustpilot Rated 4.9'. The actual Trustpilot profile is 4.4 from 11 reviews. The direction of the gap is small but it is the second time we have caught this same overstatement on this site
−Fees already paid are non-refundable and dispensed medication cannot be returned, exchanged or credited, including an unopened subscription cycle that has already shipped
−Availability is still unresolved. Marketing implies broad access; the terms say only that 'certain of our Services are currently only available to individuals located in certain states', with no list
−No individual clinician is named anywhere. 'Board-certified medical team' is as specific as it gets, and prescriptions route through Arora Health Group with no named medical director
−Shares the Arora Health Group medical group with Trimi Health, a white-label backend relationship neither brand discloses on its own site

Our Verdict

SkinnyRx edges out Telos RX with a score of 5.3/10 vs 4.9/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is from $199/mo; Telos RX is published $99/mo; total not verified.