Is SkinnyRx legit?

Who actually operates it

Sacramento, CA (Lean Rx, Inc., 2108 N St, Suite N, 95816)

What third-party reviewers say

SkinnyRx carries 4.8 stars across 4,100+ verified Trustpilot reviews (skinnyrx.com), among the strongest aggregate social-proof signals in GLP-1 telehealth. BBB/ConsumerAffairs feedback is more mixed (billing and customer-service responsiveness), so factor both.

Trustpilot verified June 19, 2026, 4.8★ across 4,100+ Trustpilot reviews. BBB/ConsumerAffairs sentiment is more mixed (see cons)..

What people complain about with SkinnyRx

• •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

Our verdict

SkinnyRx wins on medication-format breadth: five compounded GLP-1 options across injectable, sublingual, and tablet formats, including the unusually rare oral tirzepatide tablet. The $199/mo entry tier matches the mid-tier compounded average, the 24-48h physician review and 3-7 day temperature-controlled shipping are competitive, and 4,100+ Trustpilot reviews at 4.8 stars suggest most users have a smooth experience. Go in knowing it's a transactional storefront: compounded-only, light corporate disclosure, no published cancel/refund/lab policies, and chat-based support that reviewers say can be inconsistent. If disclosed clinical leadership or scheduled check-ins matter most, [Sprout Health](/reviews/sprout-health) closes that gap. For needle-free format options or compounded tirzepatide tablets, both rare elsewhere, SkinnyRx is the pick: choose your format and start the intake.