SkinnyRx GLP-1 Review
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About SkinnyRx
Direct-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.
Summarize this review with
The price
Price checked 2026-09-03Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
View this plan ↗$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.
Plans & payment terms
View treatment options at SkinnyRx. Confirm the latest price and availability there.
What they offer
- Semaglutide (compounded, injectable)
- Wegovy Pill (brand-name oral semaglutide, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Foundayo Pill (brand-name orforglipron, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Semaglutide (compounded, tablets taken under the tongue)
- Tirzepatide (compounded, injectable)
- Tirzepatide (compounded, tablets taken under the tongue)
Why consider it
- 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
Worth knowing
- 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.
What customers say
- BBB
- Not verified
SkinnyRx carries 4.8 stars across 4,100+ Trustpilot reviews, while BBB/ConsumerAffairs feedback is more mixed. FDA warning letter #717989, issued February 20, 2026, cites misleading labeling and website claims about compounded GLP-1 products; it does not allege unsafe medication.
Read customer evidence →Coverage & care
- 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
- Consultation
- included
- Shipping
- free (overnight on all orders)
Cancel before a clinician completes your prescription review for a full refund; after that the order is non-refundable. Subscriptions renew automatically unless you cancel at least five days before the renewal processing date. No refunds on partially used periods, bundles are non-refundable, and discounts may be reversed if you cancel before the end of a promotional or committed term.
Independent research, not medical advice. Read our safety checks and sources.
All plans, payment and cancellation terms
- Consultation
- Included
- Shipping
- Free
- Insurance
- Not accepted
- 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
Cancellation and refunds: Cancel before a clinician completes your prescription review for a full refund; after that the order is non-refundable. Subscriptions renew automatically unless you cancel at least five days before the renewal processing date. No refunds on partially used periods, bundles are non-refundable, and discounts may be reversed if you cancel before the end of a promotional or committed term.
Want the standalone record? SkinnyRx pricing, every tier with verification dates and detected promotions.
All pricing tiers
Compounded Semaglutide (injectable)
$99 View details ↗Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
Compounded Semaglutide (tablets)
$149 View details ↗Once-daily tablet taken under the tongue, quoted at $149 for the first month on its product page.
Compounded Tirzepatide (injectable)
$99 View details ↗Once-weekly tirzepatide injection, a GLP-1 and GIP dual agonist, quoted at $99 for the first month on its product page.
Compounded Tirzepatide (tablets)
$199 View details ↗Once-daily tirzepatide tablet taken under the tongue, quoted at $199 for the first month on its product page, among the rarest compounded formats in DTC GLP-1.
Why we reached this verdict
SkinnyRx lists four compounded GLP-1 formats and advertises $99 for the first month on both of its injections, but the headline is the catch: every price on the site is a first month rate and no month two price is published anywhere. FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded semaglutide and tirzepatide. The letter concerns labeling and marketing, not an unsafe-medication finding. SkinnyRx does name its medical director, Sajad Zalzala, M.D., but it still does not name the pharmacy that fills prescriptions, and its compounded medications are not sold in Alabama, Louisiana or Mississippi.
What makes it different: 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.
SkinnyRx Pros and Cons
What We Like
What We Like
- +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
What Could Be Better
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
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. It scores 5.3/10 on our methodology; the six signals below are how we checked.
Six trust signals, how we checked them, and what's been updated since the last review.
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 letterVerification record for SkinnyRx
Price checked .
A complete item-by-item verification log is not yet published for this provider. Read individual claims alongside their dates and source links. Our editorial methodology explains the criteria.
Clinical evidence: 20.9% average body-weight reduction at 72 weeks in SURMOUNT-1 (NEJM, 2022). Individual results vary; compounded GLP-1s are not FDA-approved.
What the doctors say about GLP-1 medications
Independent, sourced clinical context on the medication class, not a comment on this provider.
“More options for people with these challenging diseases will be very helpful, particularly if the new oral tablet medicines are priced reasonably.”
“People with overweight or obesity have individual preferences, and with oral semaglutide as a potential new treatment option, more of those who are not on treatment today may consider starting GLP-1 treatment.”
Quotes are general medical commentary about GLP-1 medications, independently sourced and not solicited by GLP-1 Picks. They are not an endorsement of any provider, our provider scores are set solely by our published methodology.
SkinnyRx reviews: what customers say
Recorded third-party ratings and source links for SkinnyRx. “Not verified” means this review has no confirmed figure; it does not establish that no profile exists.
SkinnyRx carries 4.8 stars across 4,100+ Trustpilot reviews, while BBB/ConsumerAffairs feedback is more mixed. FDA warning letter #717989, issued February 20, 2026, cites misleading labeling and website claims about compounded GLP-1 products; it does not allege unsafe medication.
Trustpilot: Verified June 19, 2026, 4.8★ across 4,100+ Trustpilot reviews. BBB/ConsumerAffairs sentiment is more mixed (see cons).
How SkinnyRx works
Online questionnaire
Complete a 5-10 minute medical questionnaire covering health history, current medications, weight goals, and preferred medication format.
Clinician 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.
Compounding pharmacy fills the prescription
Approved prescriptions are routed to a state-licensed 503A compounding pharmacy. SkinnyRx does not publicly name its specific pharmacy partner.
Free 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).
Ongoing 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.
Medications available
Common questions
How much does SkinnyRx cost?+
What's the difference between SkinnyRx's four compounded formats?+
Is SkinnyRx the same as Wegovy or Zepbound?+
More questions (6)
Did SkinnyRx receive an FDA warning letter?+
How long does it take to get medication after signing up?+
Does SkinnyRx name its medical director and its pharmacy?+
What do verified reviews say about SkinnyRx?+
Can I cancel SkinnyRx, and what are the terms?+
Does SkinnyRx take insurance?+
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Helpful Tools
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.
Daily tirzepatide tablets taken under the tongue, $199 for the first month on its product page. Needle-free dual-agonist option, almost no other DTC platform offers this format.
Daily semaglutide tablets taken under the tongue, $149 for the first month on its product page.
Compounded semaglutide weekly injection, $99 for the first month on its product page, tied with the tirzepatide injection as SkinnyRx's cheapest entry rate.
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