SkinnyRx review: tablets, injections and the real cost questions
Paid links
SkinnyRx names its medical director and is LegitScript certified.
First month, ask the renewal price · checked Sep 26
On SkinnyRx's site · partner link
SkinnyRxskinnyrx.comCheck price Independent provider reviewSkinnyRx is a telehealth platform operated by Lean Rx, Inc. It lists compounded semaglutide and tirzepatide as injections and oral dissolving tablets.
Public compounded-product pages advertise introductory prices, not the later bill.
About SkinnyRx
A tablet, an injection and an approved branded medicine are different products, not interchangeable versions of the same treatment. Its compounded products are not FDA-approved and its terms exclude Alabama, Louisiana and Mississippi. Wegovy and Foundayo pills were marked Unavailable in the September 3 check. A separate Mounjaro injection page showed In stock at $1,400/mo* on October 8; its complete bill, asterisk conditions and individual availability remain unconfirmed.
How much does SkinnyRx cost?
Price checked September 26, 2026Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
View this planSkinnyRx's compounded medicines are not FDA-approved. A pharmacy prepares them for each patient, and a clinician decides whether one suits you.
$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.
The other 3 plans
What's included with SkinnyRx, and what costs extra?
- Availability
- 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
- Insurance
- Not accepted, cash pay only
- Consultation
- included
- Shipping
- free (overnight on all orders)
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.
SkinnyRx offers compounded semaglutide and tirzepatide as injections or dissolving tablets. The choice of formats is useful to explore with a clinician, but these are not FDA-approved finished drugs, and tablet results should not be assumed to match injection results. Its advertised prices cover the first month; the public product pages do not establish the refill bill. Start with the four formulation choices, then confirm the ongoing charge and cancellation deadline before paying. Our review separates what SkinnyRx advertises from what remains unverified, including its conflicting tablet instructions and the FDA marketing record.
What does SkinnyRx do well?
5.0/10Mixed
Checked Oct 16, 2026; a rating claim didn't match Trustpilot.
What it does well
- Named medical director
- LegitScript certified
How do customers rate SkinnyRx?
At our June 19, 2026 check, SkinnyRx had 4.8 stars across 4,100+ Trustpilot reviews. This is a dated service-feedback snapshot, not evidence of tablet effectiveness. FDA warning letter #717989 concerns misleading labeling and marketing; it is not an unsafe-batch finding or assurance of safety.
How does SkinnyRx work?
1Online questionnaire
Complete a 5-10 minute medical questionnaire covering health history, current medications, weight goals, and preferred medication format.
2Clinician review (within 24 hours)
A licensed clinician reviews your intake. SkinnyRx says that depending on your health needs and state requirements you may have a quick video visit or receive a prescription directly within 24 hours. If a video appointment finds you ineligible there is no charge for it.
3Compounding pharmacy fills the prescription
Approved prescriptions are routed to a state-licensed 503A compounding pharmacy. SkinnyRx does not publicly name its specific pharmacy partner.
4Free overnight shipping
Product pages advertise free overnight shipping on all orders, and the FAQ says shipping and tracking information arrives within 2 business days of the prescription being written. Temperature-controlled packaging, syringes and alcohol wipes are not shown on the site's product, contact, terms or FAQ pages (rendered check 2026-09-03).
5Ongoing support through the portal and app
Support, dose questions and monthly refills run through the patient portal, and SkinnyRx says you can schedule an appointment there if you need to address side effects. It also offers an iOS and Android app for medication reminders, weight logging and meal ideas.
What does SkinnyRx offer, and which product link fits?
SkinnyRx's four advertised compounded options pair two medicines with two formats. Choose the product page you want to learn about, not a prescription for yourself. A licensed clinician decides whether treatment and a particular formulation are appropriate. All four advertised amounts below are introductory prices, so ask what each one renews at.
Injection
Compounded Semaglutide (injectable)
An injectable compounded option to discuss with your clinician.
Official product source$99first monthRefill price not publicly verified
Explore this option
Injection
Compounded Tirzepatide (injectable)
A different medicine from semaglutide, not simply another price tier.
Official product source$99first monthRefill price not publicly verified
Explore this option
Dissolving tablet
Compounded Semaglutide (tablets)
A compounded oral option, not a Wegovy pill or an approved generic.
Official product source$149first monthRefill price not publicly verified
Explore this option
Dissolving tablet
Compounded Tirzepatide (tablets)
A needle-free format whose effects cannot be inferred from injection trials.
Official product source$199first monthRefill price not publicly verified
Explore this optionProduct pages checked September 26, 2026. Confirm your actual offer, eligibility and total at checkout. For the full billing record, see SkinnyRx prices and payment terms.
Do SkinnyRx tirzepatide tablets work like injections?
The available evidence does not establish that they work the same way or deliver the same results. SkinnyRx advertises a compounded dissolving tablet, not an FDA-approved tirzepatide tablet. Results from trials of approved injectable products do not establish the effectiveness of this different formulation. FDA has not reviewed compounded drugs for safety, effectiveness or quality before marketing.
The practical appeal is avoiding needles. The trade-off is uncertainty about the exact compounded tablet, not proof that it is equivalent or ineffective. Ask your prescriber what evidence supports the formulation they propose, how they will assess your response and what would prompt a change. Our oral tirzepatide guide compares this formulation question across providers.
Are SkinnyRx semaglutide tablets the same as Wegovy pills?
No. SkinnyRx's compounded semaglutide tablets are a separate preparation, not Wegovy pills or an FDA-approved generic. Sharing an active ingredient does not establish the same formulation, absorption or clinical results. The February 20 FDA warning letter to SkinnyRx specifically addresses misleading compounded-drug marketing and implied equivalence.
One detail to resolve with the care team
The product FAQs describe under-the-tongue placement, while SkinnyRx's semaglutide tablet guide and tirzepatide tablet guide describe placement between the cheek and gum. We call them dissolving tablets because the public directions conflict. Do not choose between those directions from this review: ask the prescriber or dispensing pharmacist and follow the instructions on your prescription label.
Compare the different products in our oral semaglutide guide. A brand-name listing is not proof that a particular provider currently has it available.
What will the next SkinnyRx bill be?
The public product pages do not establish that amount. Their first-month offers should not be multiplied by twelve to estimate a year of treatment. SkinnyRx's terms say the renewal price is provided during checkout. Save the exact medication, first charge, recurring charge and billing dates before you pay.
Timing matters too. The terms allow processing up to five days before the next subscription period and require cancellation at least five days before the renewal-processing date. The product FAQs use simpler cancellation and refund wording, but the terms add conditions involving services, fees and committed periods. Do not rely on an unconditional full-refund promise. Ask support to confirm the deadline and refund conditions for your specific offer in writing.
What should you confirm before enrolling with SkinnyRx?
Use the published terms and FDA's compounded GLP-1 guidance as a checklist for your conversation with the care team. Four answers make this a more informed decision:
- The actual formulation. Which medicine and format is being prescribed, and why does it fit your situation?
- The dispensing pharmacy. Who will fill the prescription, and whom can you contact about its label or instructions?
- The ongoing commitment. What is the refill charge, when is it processed, and what deadline stops the next payment?
- The follow-up plan. How do you reach a clinician about side effects, lack of benefit or a treatment change?
These checks complement the safety and verification record below. They do not replace a clinician's assessment or make a compounded product FDA approved.
What should you check before you join SkinnyRx?
FDA warning letter on record. Read the letter and context.
Watch out for
- All-in monthly price not confirmed
- Price may change with your dose
- Cancellation limits or fees may apply
Not ready to decide today? Join for occasional price and program updates. Unsubscribe anytime.
Optional. Privacy policy.
SkinnyRx Pros and Cons
- What sets it apart
- 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.
What we like
- 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
What could be better
- 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
Questions about SkinnyRx
How much does SkinnyRx cost after the first month?
The later bill was not published on the four product pages checked September 26, 2026.
Do SkinnyRx tirzepatide tablets work like its injections?
We did not find a published SkinnyRx-specific head-to-head study establishing equivalent effectiveness or absorption for its compounded tablets and injections.
Are SkinnyRx tablets swallowed or dissolved in the mouth?
SkinnyRx's product FAQs describe under-the-tongue tablets, while its tablet guides describe placement between the gum and cheek.
Does SkinnyRx still offer sublingual semaglutide drops?
The older semaglutide-oral product URL redirected to the homepage when checked on September 26, 2026.
Is SkinnyRx the same as Wegovy or Zepbound?
No. SkinnyRx is a provider, not a medication.
Does SkinnyRx list Mounjaro?
Yes. Its Mounjaro product page showed a branded weekly injection marked In stock at $1,400/mo* on October 8, 2026.
Did SkinnyRx receive an FDA warning letter?
Yes. FDA warning letter #717989 was issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx.
How long does it take to get medication after signing up?
SkinnyRx says a licensed clinician reviews your intake and, depending on your state and your health needs, you either have a quick video visit or receive a prescription directly within 24 hours.
Does SkinnyRx name its medical director and its pharmacy?
It names the medical director.
What do verified reviews say about SkinnyRx?
SkinnyRx has 4.8 out of 5 from 4,100 reviews on Trustpilot.
Can I cancel SkinnyRx, and what are the terms?
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.
Does SkinnyRx take insurance?
No. SkinnyRx is cash pay only, so nothing is billed to a plan.
Alternatives to SkinnyRx
Programs with similar medicines, format and insurance options. These are not care-quality rankings, so check each one's full price before you choose.
Is SkinnyRx legit? Pharmacy, prescribers and safety checks
SkinnyRx is a real, operating telehealth company, but "legit" needs qualification: the FDA issued warning letter #717989 on 2026-02-20. It holds 4.8 out of 5 across 4,100 Trustpilot reviews. Compare it with every program on our GLP-1 provider complaint tracker.
FDA warning letter #717989
Issued 2026-02-20. Misbranding under FDCA 502(a) and 502(bb): compounded semaglutide and tirzepatide shown on skinnyrx.com carried labels identifying SkinnyRx, implying SkinnyRx compounded the drugs when it does not, alongside false or misleading website claims.
Received an FDA warning letter on Feb 20, 2026 (ref #717989, issued to Lean Rx, Inc. dba SkinnyRx) for misleading labeling and website claims about compounded GLP-1s. The letter concerns labeling and marketing, not an allegation of unsafe medication. On a re-check of the live site on Aug 16, 2026 the specific problems the letter named had been fixed: the comparison to Mounjaro and Zepbound is gone, the site now states that compounded drugs are not FDA-approved or evaluated by the FDA, it notes that product images are illustrative, and it identifies the compounder as a separate licensed 503A pharmacy. The FDA has not issued a close-out letter, so the warning remains on the public record.
Read the official FDA letterSkinnyRx reviews: what customers say
Each rating links to the profile we read for SkinnyRx.
Trustpilot: Verified June 19, 2026, 4.8★ across 4,100+ Trustpilot reviews. BBB/ConsumerAffairs sentiment is more mixed (see cons).
Active alerts on SkinnyRx
Or jump to a specific program
Compounded tirzepatide weekly injection, $99 for the first month on its product page. It is not FDA-approved, generic, or established as equivalent to Mounjaro or Zepbound.
Compounded tirzepatide dissolving tablets, $199 for the first month. Merchant pages differ on mouth placement; follow the prescriber and dispensing label. Not established as equivalent to injections.
Compounded semaglutide dissolving tablets, $149 for the first month. These are not Wegovy or Rybelsus tablets. Confirm the dispensing directions and refill bill.
Compounded semaglutide weekly injection, $99 for the first month on its product page, tied with the tirzepatide injection as SkinnyRx's cheapest entry rate.
Already know what you want? Start the medical intake form directly.
We may earn a commission when you buy through links on this page.
Verification record for SkinnyRx
We last checked SkinnyRx's prices on . Each fact on this page carries its own date and source. Our editorial methodology explains how we score.
Independent research, not medical advice.
Summarize this review with