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SkinnyRx reviews

Compounded tirzepatideCompounded semaglutideOral GLP-1sNo Rate GLP-1 reviews yetBe the first to reviewPlans from $199/mo
RateGLP1 ScoreBased primarily on public data
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Verdict

SkinnyRx (Lean Rx, Inc., Sacramento) sells compounded semaglutide and tirzepatide as weekly injections or daily sublingual tablets, with compounded tirzepatide at $299 a month on a 1-month plan and down to $225 a month on a 12-month plan, heavy first-month promos, no membership fee and free overnight shipping. It has a 4.8 Trustpilot score but a B BBB grade with 156 complaints and a February 2026 FDA warning letter. It suits price-driven buyers who read the plan terms.

Best for: people who want a low first-month price or a needle-free sublingual tablet, do not need insurance, and are willing to commit to a multi-month plan for the lowest monthly rate
Not ideal for: people who want brand-name Wegovy or Zepbound (listed as unavailable), or who want month-to-month billing with an easy in-app cancellation, which BBB complaints say is lacking

What SkinnyRx costs

Normalised to a monthly price and captured from SkinnyRx's own pages on September 12, 2026. Introductory offers are noted, never used as the price.

Compounded tirzepatide injection — 12-month plan12-month plan billed up front, auto-renews$225/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $99, then $225/mo. Bundled multi-month plans are non-refundable once shipped.

Compounded tirzepatide tablets — 12-month plan12-month plan billed up front, auto-renews$225/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $199, then $225/mo.

Compounded tirzepatide injection — 6-month planbilled $1,500 every 6 months (first cycle $1,349.10 with the $99 first-month promo)$250/mo

medication · clinician visits · shipping · captured September 12, 2026

Checkout states the plan auto-renews every 6 months at $1,500 and can be cancelled in your account or via support; a full refund is issued if a provider decides treatment is not appropriate.

Compounded tirzepatide tablets — 6-month plan6-month plan billed up front, auto-renews$250/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $199, then $250/mo.

Compounded tirzepatide injection — 4-month plan4-month plan billed up front, auto-renews$289/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $99, then $289/mo. Bundled multi-month plans are non-refundable once shipped.

Compounded tirzepatide tablets — 3-month plan3-month plan billed up front, auto-renews$289/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $199, then $289/mo.

Compounded tirzepatide injection — 1-month planmonthly, auto-renewing$299/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $99 ('while supplies last'), then $299/mo. Free overnight shipping; provider consultations included. Compounded, not FDA-approved.

Compounded tirzepatide tablets — 1-month planmonthly, auto-renewing$299/mo

medication · clinician visits · shipping · captured September 12, 2026

First month promoted at $199, then $299/mo. Daily dissolving tablet; compounded and not FDA-approved.

SkinnyRx's public pages for compounded semaglutide show only the first-month promotion ($99 for injections, $149 for sublingual tablets); the regular monthly price for semaglutide is disclosed at checkout after the intake and could not be verified, so no semaglutide plan is listed here. Separate 'commerce' pages sell one-time, non-subscription semaglutide bundles ($2,174 for injections, $2,288 for tablets) without stating the number of months. The Wegovy Pill and Foundayo pages were marked 'Unavailable'. There is no membership fee; SkinnyRx says the price stays the same at every dose. Affirm financing and FSA/HSA cards are accepted.

Cheapest compounded tirzepatide →Cheapest compounded semaglutide →Cheapest GLP-1 without insurance →

Is SkinnyRx legit?

SkinnyRx is the trading name of Lean Rx, Inc., 2108 N Street, Sacramento, California (BBB lists the business as started in January 2019); its medical director is Sajad Zalzala, MD. After an online intake, a US-licensed, board-certified provider reviews your case (with a video visit where your state requires it) and, if appropriate, sends a prescription to an unnamed partner 503A pharmacy that ships overnight for free. SkinnyRx received an FDA warning letter on February 20, 2026 over misleading claims for its compounded semaglutide and tirzepatide.

Trustpilot4.8/55,373 reviewscaptured September 12, 2026BBBB1/5 from 31 customer reviewsNot BBB accreditedcaptured September 12, 2026
Pharmacy & licensing
Company:
Lean Rx, Inc. (dba SkinnyRx; BBB lists LeanRX, Inc.), 2108 N St Ste N, Sacramento, CA 95816
Pharmacy partner:
Unnamed US state-licensed 503A partner pharmacies; SkinnyRx says its partners run third-party potency, sterility, pH and endotoxin testing on each compounded lot
Clinicians:
SkinnyRx states all its providers are based in the United States and are licensed and board certified; prescriptions are written by independent licensed physicians after an online evaluation.
Refunds & cancellation
Cancellation:
SkinnyRx says plans are subscriptions that can be cancelled at any time, in your account or by contacting support at 1-888-979-9580 or support@skinnyrx.com; you must cancel before the next shipment is prepared to avoid the next charge. Multi-month plans auto-renew at the end of the term (for example the 6-month tirzepatide plan renews at $1,500). BBB complaints frequently say the app did not allow cancellation and that charges continued after requests to stop.
Refunds:
Full refund if you cancel before a provider completes the prescription review, or within 24–48 hours if the provider decides you do not qualify. Once the prescription is written and fulfilment begins the order is non-refundable; partially used subscription periods are not refunded (case-by-case exceptions at SkinnyRx's discretion), bundled multi-month subscriptions are non-refundable, and promotional discounts may be reversed or pro-rated when a plan is cancelled early.
Regulatory history
  • FDA warning letter · 2026-02-20The FDA's Center for Drug Evaluation and Research issued a warning letter to Lean Rx, Inc. dba SkinnyRx after reviewing skinnyrx.com in December 2025, finding that claims for its compounded semaglutide and tirzepatide (such as having the same active ingredient as FDA-approved drugs) and labeling that implied SkinnyRx was the manufacturer rendered the products misbranded under FD&C Act sections 502(a) and 502(bb). A written response within 15 working days identifying the actual compounders and correcting the claims was requested. Source

Safety of what they sell: Is compounded tirzepatide safe? · Is compounded semaglutide safe?

What patients say

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What people report elsewhere

On Trustpilot (4.8/5, 5,373 reviews) most people praise attentive, professional support staff, quick and clear communication during intake, an easy-to-use platform and results on the injectable medication. The picture on BBB is very different (1/5 from 31 reviews, 156 complaints closed in three years, B grade): reviewers report the compounded tirzepatide tablets doing little or nothing, small partial refunds after months of payments, charges taken before shipment or after cancellation requests, shipments continuing despite instructions to stop, and an app that offered no way to cancel or remove a card. A minority of Trustpilot reviewers echo the cancellation and slow-support complaints.

Rate GLP-1 has no verified reviews of SkinnyRx yet; the paragraph above summarises public platforms and never quotes them.

Pros

  • ＋ High Trustpilot rating with thousands of reviews
  • ＋ Multiple medication formats (injectable, sublingual, tablet)
  • ＋ No insurance required, HSA/FSA accepted
  • ＋ Free overnight shipping advertised

Cons

  • － Specific compounding pharmacy and prescriber names not disclosed publicly
  • － BBB/ConsumerAffairs complaints about bundle pricing confusion and $3,000+ surprise charges
  • － No-refund-once-shipped policy and cancellation requires a retention phone call
  • － Compounded medications are not FDA-approved finished products

Medications & eligibility

Medications

  • • Compounded semaglutide (injectable)
  • • Compounded semaglutide (sublingual)
  • • Compounded semaglutide tablets
  • • Compounded tirzepatide tablets

What “compounded” means →

Eligibility & insurance

Not published. Eligibility is decided by the reviewing provider from your intake; SkinnyRx advises against GLP-1 use if you are pregnant, breastfeeding or planning pregnancy.

Insurance: not accepted (cash pay)

How SkinnyRx works

  1. 1Pick a treatment and plan, then complete a 5-minute online medical intake; payment is processed after the intake but refunded in full if you do not qualify.
  2. 2A US-licensed clinician reviews your information and, depending on your state, either holds a short video visit or issues the prescription directly, typically within 24 hours.
  3. 3The prescription is filled by a partner 503A pharmacy and shipped free overnight; tracking arrives within about 2 business days.
  4. 4Message the care team or book a follow-up in the portal for side effects or dosing; at the end of each month you complete a refill check-in and the next shipment goes out automatically if approved.

Alternatives to SkinnyRx

Providers in the same lane and price band, plus the comparison pages that include this one.

Blokes logoBlokes8.0/10Compounded semaglutideCompounded tirzepatideHigher overall score: 8.0/10from $199/moRead review →Defy Medical logoDefy Medical7.8/10Compounded tirzepatideCompounded semaglutideHigher overall score: 7.8/10Pricing not listedRead review →ShedRx (Shed) logoShedRx (Shed)7.5/10Compounded semaglutideCompounded tirzepatideHigher overall score: 7.5/10from $199/moRead review →
Cheapest compounded tirzepatideCheapest compounded semaglutideCheapest GLP-1 without insuranceTirzepatide cost without insuranceGLP-1 cost without insuranceBest compounded tirzepatide providersBest compounded semaglutide providersBest online weight loss programs

SkinnyRx FAQ

Is SkinnyRx legit?

SkinnyRx is operated by Lean Rx, Inc. in Sacramento, California, uses US-licensed providers and 503A pharmacies, and scores 4.8/5 on Trustpilot. However, BBB gives it a B grade with 156 complaints in three years, and the FDA sent it a warning letter on February 20, 2026 over misleading claims about its compounded semaglutide and tirzepatide.

How much does SkinnyRx cost per month?

Compounded tirzepatide, injectable or sublingual tablets, costs $299 a month on a 1-month plan, $289 on a 3- or 4-month plan, $250 on a 6-month plan and $225 on a 12-month plan, with first-month promos of $99 (injection) or $199 (tablets). Compounded semaglutide starts at $99 or $149 for the first month; its regular price is shown at checkout.

Does SkinnyRx accept insurance?

No. SkinnyRx does not require or bill insurance. It accepts all major credit cards and FSA/HSA cards, and offers Affirm financing at 0–36% APR for multi-month plans.

How do I cancel SkinnyRx?

SkinnyRx says you can cancel any time in your account or by calling 1-888-979-9580 or emailing support@skinnyrx.com, but you must do so before the next shipment is prepared. Medication already prescribed and shipped is not refunded, and bundled multi-month plans are non-refundable, so cancel before a renewal date.

What medications does SkinnyRx prescribe?

SkinnyRx prescribes compounded semaglutide and compounded tirzepatide as once-weekly injections or once-daily sublingual tablets, including microdose options. Its pages for the brand-name Wegovy Pill and Foundayo were marked unavailable when we checked; compounded products are not FDA-approved.

Which states does SkinnyRx serve?

SkinnyRx does not publish a list of states on its website. It says provider review and whether a video visit is needed depend on state-specific requirements, so availability is confirmed during the online intake.

Written by

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Researches provider pricing, licensing and public ratings from primary sources and re-verifies every profile on a published schedule.

Last verified

September 12, 2026

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Sources

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