SkinnyRx vs TrimRx: Which GLP-1 Provider Is Better?
Short answer: SkinnyRx and TrimRx tie at 5.3/10 on our rubric, so the decision comes down to price and format rather than overall quality. Full reasoning, pricing and the cases where the other one wins are below.
SkinnyRx and TrimRx are tied at 5.3/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is $99 first month, rises after; TrimRx is published $149/mo; total not verified. 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 TrimRx for cash-pay shoppers willing to verify the exact drug, first-order charge and follow-up price at checkout before authorizing payment.
A side-by-side look at SkinnyRx and TrimRx 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 SkinnyRxTrimRx
#27 of 36Cash-pay telehealth weight-loss seller. Its catalogue runs from compounded GLP-1 and GLP-1 + GIP injections at $149 and $249 on an offer page checked September 3, through compounded oral versions at $179 and $330, to brand Wegovy, Ozempic, Zepbound and Mounjaro listed in stock at $1,149 and $1,249. Its own terms price the compounded plans higher, at $199 then $299 and $349 then $399, and that conflict plus a corroborated billing and fulfillment complaint pattern is central to our 5.3/10 score.
Visit TrimRx| Feature | SkinnyRx | TrimRx |
|---|---|---|
| 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. | Four compounded products through one intake, injectable and oral, plus a shipping policy that grants a refund if nothing ships within 14 days. Neither resolves the price conflict between its offer page and its terms, nor the fulfillment complaint record. |
| Our Score | 5.3/10 | 5.3/10 |
| Headline Price | $99 first month, rises after | published $149/mo; total not verified |
| 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 | Cash-pay shoppers willing to verify the exact drug, first-order charge and follow-up price at checkout before authorizing payment |
| 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 $149 floor on an offer page checked September 3 is not what TrimRx's own terms charge: GLP-1 is listed there at $199 for the first month then $299, and GLP-1 + GIP at $349 then $399. Its homepage advertises a third pair of figures, $179 and $259, so confirm the exact charge at checkout |
| Ranking | #28 | #27 |
| Get started | Visit SkinnyRx | Visit TrimRx |
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
TrimRx
Pros
- +One intake covers compounded GLP-1 and GLP-1 + GIP injections plus compounded oral versions of both
- +The offer page checked September 3 advertised a $149 entry floor for GLP-1 and $249 for GLP-1 + GIP, although neither figure matches the medication schedule in the official terms
- +The intake is a short online assessment with no video call, and the terms say compounded medication generally ships within 48 business hours of the prescription reaching the pharmacy
- +A published shipping policy that gives you the right to request a refund if your medication has not shipped within 14 days of the order, whatever the status of the medical review
Cons
- −The $149 floor on an offer page checked September 3 is not what TrimRx's own terms charge: GLP-1 is listed there at $199 for the first month then $299, and GLP-1 + GIP at $349 then $399. Its homepage advertises a third pair of figures, $179 and $259, so confirm the exact charge at checkout
- −Trustpilot is 3.6/5 across 5,632 reviews with 32% one star, checked 2026-09-03; BBB rated TrimRx F and not accredited with 728 unanswered and 221 unresolved complaints when we last read the profile on August 14, 2026
- −The same paid-but-no-medication, billing, refund and fulfillment themes recur across BBB and Trustpilot, meeting our rubric's cross-platform -3.0 fulfillment-failure threshold
- −TrimRx lists brand Wegovy and Ozempic at $1,149 and brand Zepbound and Mounjaro at $1,249 as in stock, while the footer on those same pages says it does not sell, dispense or ship any branded medication and that you are responsible for filling the prescription at your own pharmacy and cost. Its compounded products are not FDA-approved finished products.
- −No insurance billing, so treat the monthly price as a pure cash-pay number. TrimRx does accept HSA and FSA cards among its payment methods
- −A TrimRx offer page checked September 3 promised "we guarantee you'll lose weight or your money back", but a disclaimer lower on the same page says weight loss is not guaranteed, and the terms allow refunds only for medical disqualification, a billing error, or unused prepaid months requested within 28 days (verified 2026-09-03)
Our Verdict
SkinnyRx and TrimRx are closely matched with identical scores of 5.3/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is $99 first month, rises after; TrimRx is published $149/mo; total not verified.
Reviews and pricing sources
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