Skip to content
GLP Loss
PartnerBy Tessa WhitfieldUpdated September 2026

SkinnyRx review

Tirzepatide priced, semaglutide not

Injectable tirzepatide carries a published standing rate of $299 a month, while injectable semaglutide is advertised only as $99 for the first month.

Our verdict

SkinnyRx has stopped quoting discounted-looking figures and started publishing plan ladders, and the two halves of its catalog are now disclosed very differently. Tirzepatide is priced in full before any intake: $99 for the first month, then $299 on a one-month plan, falling to $225 if twelve months are committed. Injectable semaglutide gets the same $99 opening figure and no published rate after it, so the product with the lower entry price is the one whose real cost is unknown. Ask for the semaglutide standing rate before paying the $99.

Disclosure: GLP Loss is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. How we make money.

FDA warning letter on record — public record, does not change our verdict.

At a glance

Category
GLP-1 pricing
Molecule
Semaglutide · Tirzepatide
Form
Injection · Oral
Dose published
No
Prescription
Required
Compounded
Yes — not FDA-approved
Pharmacy
Not named
Availability
All 50 states claimed, branded availability may differ from compounded
LegitScript
Claimed by provider
Updated
September 2026

Sponsored alternative

Shed

Compounded pricing without a membership

Check Shed availability →

What it is

A telehealth weight-loss service selling compounded semaglutide and tirzepatide by weekly injection, sublingual drops and daily tablets, with free overnight shipping, a microdose option and branded Ozempic alongside.

How it works

Prescription-gated telehealth sold on plan terms. Committing to a longer term lowers the monthly figure, and the refund policy states that discounts may be reversed or proportionally adjusted if a promotional or committed term is canceled early.

Pricing transparency

Injectable tirzepatide is $99 for the first month, then $299 a month on a one-month plan, $289 on four months, $250 on six and $225 on twelve. Tirzepatide tablets run the same $225 to $299 ladder from a $199 first month, with a three-month tier in place of the four. Sublingual semaglutide is quoted as low as $199 a month. The semaglutide injection and the semaglutide tablets are advertised only as first-month figures, $99 and $149, with nothing published for the months after. Branded Ozempic is listed at $1,400 a month.

Branded vs compounded

Compounded semaglutide and tirzepatide, injectable, sublingual and in tablet form, with a microdose option, plus branded Ozempic. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing, and a microdose protocol is not the schedule any published trial used. The dispensing pharmacies are described only as 503A, never named.

FDA warning letter on record

The FDA issued a warning letter naming Lean Rx, Inc. dba SkinnyRx.

We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove SkinnyRx from our rankings, and it does not change our verdict — read the letter and decide for yourself.

Pros and watch-outs

What we like

  • Tirzepatide priced by plan length before any intake
  • Both molecules in injectable and oral forms
  • Free overnight shipping stated
  • A microdose lane is named rather than implied

Watch-outs

  • The semaglutide injection has a first-month figure and no published rate after it
  • No state list published
  • Compounding pharmacy is not named
  • Committed-term discounts can be reversed if the term is canceled early

Best for

Buyers who want a tirzepatide price they can check before starting.

Who should look elsewhere

Anyone choosing the semaglutide injection, whose ongoing rate is unpublished.

How SkinnyRx compares

A few alternatives worth a look, depending on what you’re optimizing for.

Compare all providers side by side →

More GLP-1 sellers by price reviews: tru Weight LossTru2uTrueMeTry AgelessTRYM HealthTryozi

SkinnyRx, head to head

Each of these sets SkinnyRx against one seller a reader is realistically choosing between, on what a month actually costs.

TW
Tessa Whitfield

Editor · Last updated September 2026

How we assessed this. This review reflects GLP Loss’s own read of SkinnyRx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

What does SkinnyRx cost after the first month?
For injectable tirzepatide it is stated: $299 a month on a one-month plan, $289 on four, $250 on six and $225 on twelve. For injectable semaglutide it is not stated anywhere on the product page. The only semaglutide injection figure published is the $99 first month.
Is $99 a standing price at SkinnyRx?
No. It is labeled a first-month figure on both injections, and on tirzepatide the page shows the rate that follows it. On semaglutide nothing follows it, which makes $99 an opening number rather than a rate to plan a year around. Twelve months of tirzepatide at the one-month rate would be $3,388.
What is the microdose option?
A protocol using doses below the standard escalation schedule, offered on both injections and on the tirzepatide tablet. No published trial covers it — STEP 1 and SURMOUNT-1 reported their results at full titrated doses — so ask what strength you would actually receive.
Is the oral cheaper than the injection at SkinnyRx?
Sublingual semaglutide is quoted as low as $199 a month, which is an ongoing rate rather than an opening one. The semaglutide injection is quoted only at $99 for a first month, so the two cannot be compared directly. Tirzepatide tablets and the tirzepatide injection run the same $225 to $299 ladder, so route makes no difference there.
Is SkinnyRx legit?
FDA issued warning letter 717989 to Lean Rx, Inc. dba SkinnyRx on February 20, 2026. The letter is linked on this page. A warning letter sets out alleged violations; it is not a court finding. Read the linked record before deciding. SkinnyRx is a GLP-1 telehealth service. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. Before you pay, confirm which states it serves, whether it bills insurance and how its intake works in writing for your selected treatment.
Is SkinnyRx expensive compared with other GLP-1 providers?
SkinnyRx is listed from $199/mo in this comparison. The 387 reviewed GLP-1 providers with a listed monthly starting amount range from $76 to $1299, with a median of $179. That puts SkinnyRx above the median. The comparison excludes 192 other reviewed GLP-1 providers. Medicines, doses and payment commitments differ. Confirm the medication, renewal charge and included visits, supplies and delivery before deciding.