The short answer: SkinnyRx is a real telehealth brand: Lean Rx, Inc. (Sacramento, CA) runs it as a platform whose affiliated medical practices prescribe and third-party pharmacies fill. As of Oct 18, 2026, compounded semaglutide costs $99 for the first month, then $249 a month, and tirzepatide $99, then $299 a month; 12-month plans work out to about $191 and $215 a month, charged upfront. Reviews: 4.7/5 on Trustpilot (5,452 reviews) and a B- from the BBB. In February 2026 the FDA sent it a warning letter over its labels and website claims. Compounded GLP-1s are not FDA-approved.
How much does SkinnyRx cost?
| Option | Price | Billing |
|---|---|---|
| Compounded semaglutide injection, monthly | $99 first month, then $249/mo | Monthly, auto-renews |
| Compounded semaglutide injection, 12-month plan | About $191/mo; renews at $199/mo | About $2,288 charged upfront |
| Compounded tirzepatide injection, monthly | $99 first month, then $299/mo | Monthly, auto-renews |
| Compounded tirzepatide injection, 12-month plan | About $215/mo; renews at $225/mo | About $2,574 charged upfront |
SkinnyRx says there is no membership fee on these plans, the price is the same at every dose, and shipping and provider messaging are included. Its site builds prices in the browser, so we read them from its public price file; the upfront totals are our arithmetic from its checkout wording, which authorizes "a charge today" for the whole plan. Prices from skinnyrx.com, checked Oct 18, 2026.
SkinnyRx all-in cost
| Medication | Month 1, all in | Each month after | First 12 months |
|---|---|---|---|
| Compounded semaglutide, monthly plan | $99 | $249 | $2,838 |
| Compounded tirzepatide, monthly plan | $99 | $299 | $3,388 |
At the starting price shown above; later plan or dose changes can change it. Totals are our arithmetic (the published monthly price) from the prices above. On a 12-month plan, the first year is about $2,288 (semaglutide) or $2,574 (tirzepatide), charged upfront.
Is SkinnyRx legit?
- Company: Lean Rx, Inc. dba SkinnyRx, 2108 N St, Sacramento, CA, per its terms. The terms say Lean Rx is "not a healthcare provider nor a pharmacy"; affiliated medical practices, which it does not name, prescribe.
- Pharmacy: Not named. Its terms say independent third-party pharmacies, not owned by Lean Rx, dispense.
- LegitScript: The site links a LegitScript seal to LegitScript's certification lookup for skinnyrx.com. The lookup sits behind a CAPTCHA, so check the current status there.
- FDA: Warning letter, Feb 20, 2026, to Lean Rx, Inc. dba SkinnyRx: the FDA said its product labels suggested SkinnyRx compounds the drugs, and that describing them as "from the same family as" Mounjaro and Zepbound implied FDA approval.
- Trustpilot: 4.7/5 from 5,452 reviews: 91% five-star, 4% one-star. SkinnyRx invites customers to review and replied to 98% of negative reviews.
- BBB: B- rating, not accredited, with 165 complaints in three years.
Legit as a telehealth platform with a LegitScript seal and a traceable company. The FDA letter concerned labels and marketing claims, not drug quality. Its prescribers and pharmacy go unnamed and refunds are discretionary, so read the renewal terms before you pay.
SkinnyRx complaints and praise: 100 recent and 40 low-star Trustpilot reviews
On Oct 18, 2026 we read SkinnyRx' 100 most recent Trustpilot reviews (Sep 4 to Oct 16, 2026): 90 rated 4–5★ and 10 rated 1★. With so few low ratings, complaint shares come from its 40 latest 1–2★ reviews (Mar 16 to Oct 13, 2026), which include those 10. Its overall score that day was 4.7 from 5,452 reviews.
| What reviewers complain about | Share of the 40 latest reviews rated 1–2★ |
|---|---|
| Little or no effect from the medication, often the tablets “Even at the highest dosage, my appetite had not decreased.” 1★ review, Sep 26, 2026 | 45% (18 of 40) |
| Support hard to reach, or promised callbacks that never came “no one had called me back to resolve my issue.” 1★ review, Oct 8, 2026 | 43% (17 of 40) |
| Unexpected, upfront or auto-renewal charges “Horrible service demanded I pay upfront for pills” 1★ review, Sep 13, 2026 | 38% (15 of 40) |
| Refund refused, or only partly refunded “refused to give a refund when you call them about it.” 1★ review, Oct 1, 2026 | 33% (13 of 40) |
| Shipping delays, or medication arriving warm or spoiled “My medication came spoiled because it was delayed 6 days in transit” 1★ review, Jun 2, 2026 | 18% (7 of 40) |
Within the 100 recent reviews alone, the 10 rated 1★ most often report little or no effect, 60% (6 of 10), and support that was hard to reach, 50% (5 of 10).
| What reviewers praise | Share of the 90 recent reviews rated 4–5★ |
|---|---|
| Helpful, patient support staff “Excellent response time and great customer service” 5★ review, Oct 9, 2026 | 91% (82 of 90) |
| Plan, order, payment or dose changes handled “so helpful in changing my order and payment plan!” 5★ review, Oct 8, 2026 | 27% (24 of 90) |
| Easy, simple process “Getting medication was easy for the last year” 5★ review, Sep 29, 2026 | 16% (14 of 90) |
Caveats: Trustpilot marks 48 of the 90 recent 4–5★ reviews as invited by SkinnyRx, and many are short notes praising a named rep right after a phone call, often before treatment starts; every recent 1★ review is marked unprompted. The profile mixes injections, tablets, brand-name pathways and other products. One reader coded the themes, and a review can carry several, so shares add up to more than 100%. These are reviewers' accounts, not verified facts.
How to cancel SkinnyRx
- Cancel in your SkinnyRx account, through its help center, or by calling 1-888-979-9580.
- Do it at least 5 days before the renewal date: renewals can be charged up to 5 days early, and a cancellation takes effect at the end of the paid period.
- Multi-month plans renew for the same length and are charged upfront, so cancel before the term ends if you don't want another one.
Per SkinnyRx's terms and FAQ, you get a full refund before a provider finishes reviewing the prescription or if you are found ineligible; after that, orders and bundled plans are non-refundable and any other refund is at its discretion. Its 90-day money-back offer requires 90 straight paid days, weekly weight and dose logs in its app, and ending at or above your starting weight.
SkinnyRx vs alternatives
| Provider | Type | Published price | Billing | Link |
|---|---|---|---|---|
| SkinnyRx | Compounded, not FDA-approved | Semaglutide $249/mo, tirzepatide $299/mo after a $99 first month; about $191 / $215/mo on 12-month plans | Monthly, or 12 months upfront | SkinnyRx site |
| TrimRx | Compounded, not FDA-approved | Semaglutide $299, tirzepatide $399 per refill | Monthly or prepaid | Our TrimRx review |
| Medvi | Compounded, not FDA-approved | Semaglutide $149–$179 first month, then $299/mo | Monthly | Our Medvi review |
| Cora | Our partner · compounded, not FDA-approved | Semaglutide $99–$175/mo, tirzepatide $135–$225/mo, same at every dose | Monthly to annual prepay (annual is the low end) | See Cora's prices |
| LillyDirect | FDA-approved (Zepbound vials) | $299–$449/mo self-pay, by dose | Monthly; clinician visit billed separately | See LillyDirect's prices |
Prices from each company's own site: SkinnyRx Oct 18, 2026, Cora Oct 9, 2026, LillyDirect Oct 9, 2026. Compounded semaglutide and tirzepatide are not FDA-approved, have not been evaluated by the FDA for safety, effectiveness or quality, and are not therapeutically equivalent to Wegovy, Ozempic, Zepbound or Mounjaro.
Disclosure: Nouri is independent of SkinnyRx and earns nothing from it. Nouri may earn a commission when you sign up with some of the providers we link to. It doesn't change what you pay or how we rank providers. Order in the tables is not a ranking. Facts checked Oct 18, 2026; prices change, so confirm at the source. Full disclosure.
More reviews and cost tools
- Medvi reviews
- TrimRx reviews
- Hers reviews
- LifeMD reviews
- Hims reviews
- Ro reviews
- Remedy Meds reviews
- GobyMeds reviews
- Shed reviews
- Found reviews
- Ivim Health reviews
- Henry Meds reviews
- Mochi Health reviews & cost
- Noom GLP-1 cost
- GLP-1 cost comparison, all providers
- Tirzepatide cost & price
- Tirzepatide dosage calculator
- Semaglutide dosage calculator
- All GLP-1 calculators
Frequently Asked Questions
Is SkinnyRx legit?
SkinnyRx is run by Lean Rx, Inc. in Sacramento, shows a LegitScript seal and holds a B- BBB rating. The FDA sent it a warning letter in February 2026 over its labels and website claims.
How much does SkinnyRx cost?
Compounded semaglutide is $99 for the first month, then $249 a month; tirzepatide is $99, then $299, per SkinnyRx on Oct 18, 2026. 12-month plans cost about $191 and $215 a month, charged upfront.
How much is SkinnyRx tirzepatide?
$99 for the first month, then $299 a month on the monthly plan, or about $215 a month on a 12-month plan charged upfront. SkinnyRx says the price is the same at every dose.
Does SkinnyRx charge a membership fee?
Not on its compounded plans, per its site. Its brand-name medication pathway has a membership, and the pharmacy bills that medication separately.
How do I cancel SkinnyRx?
Cancel in your account, through the help center or at 1-888-979-9580, at least 5 days before the renewal date. Bundled plans are non-refundable.
Is SkinnyRx FDA-approved?
Its compounded semaglutide and tirzepatide are not FDA-approved. The FDA's 2026 letter said its "same family as" Mounjaro and Zepbound wording implied they were.
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting or changing any medication or treatment. Licensed providers review patient assessments before making clinical decisions.
Begin your wellness journey today
Personalized wellness plans from licensed providers. Free shipping. 100% online.