SkinnyRx

What you're buying

SkinnyRx sells both GLP-1 molecules in both routes, which is still uncommon. The catalog is four compounded products: injectable semaglutide, injectable tirzepatide, semaglutide tablets and tirzepatide tablets, with a low-dose microdose option flagged on both injectables. A once-weekly shot and a once-daily pill are different regimens, and switching between them without changing clinics is the strongest argument for this company.

The brand-name lane is thinner than the menu suggests. A Wegovy pill is listed on the home page but marked unavailable and described as reachable only through a SkinnyRx membership, and a Foundayo pill sits beside it. Nothing branded is purchasable at a published price today. The legal entity is Lean Rx, Inc., named in the footer, and the pharmacies that actually compound the medication are never named anywhere. The furthest the site goes is that its partners are 503A pharmacies licensed by state pharmacy regulators.

What it costs (and how it's billed)

The pricing page has been removed. Where it used to sit there is now a not-found page, so the only figures on the public site are the four product cards on the home page: injectable semaglutide from $199/month, semaglutide tablets from $249/month, and both tirzepatide products, injection and tablet, from $299/month. The individual product pages repeat the same numbers in the form of an as-low-as claim.

Every one of those figures carries an asterisk. We looked for the footnote on the product page, in the drawers below it, and in the terms, and there is none. An asterisk with nothing attached to it is worse than no asterisk, because it tells a shopper the number has a condition and then declines to say what the condition is. What we can say is what the page does claim: no contracts or commitments, cancel any time, and free overnight shipping on all orders.

The refund terms are more careful than the marketing. You can cancel and get a full refund at any point before a clinician finishes reviewing your prescription, and there is no charge at all if you are found ineligible. Once fulfillment starts, the order is final. Partially used periods are not refunded, bundled subscriptions are not refunded at all, and if you cancel inside a promotional term, discounts already given can be reversed, so the refund can come to less than what you paid minus the part you did not use.

Who can order

The terms answer this precisely, which we appreciate. Compounded medication and the related services are not offered in Alabama, Louisiana or Mississippi, and residents of those three states are not permitted to place orders for them. Branded offerings, the terms say, may be available in all states. That leaves 47 states plus the District of Columbia for the compounded products that are actually purchasable.

Beyond the state rules, eligibility is the usual clinical screen, with an explicit warning against use by anyone pregnant, breastfeeding or planning a pregnancy. If you already hold a prescription elsewhere, a clinician will ask about your current dose rather than restarting you at the bottom of the ladder.

How the intake works

The intake is a five-minute clinical questionnaire. A licensed clinician reviews it, and depending on your health history and your state's rules you either get a quick video visit or a prescription written directly, which the site says happens within 24 hours. Shipping and tracking details follow within two business days, and refills work by filling out a short check-in form at the end of each month rather than automatically.

Support is a patient portal with unlimited messaging to the care team and prescribers at no extra cost, plus a published phone number and an email address. There is an iOS and Android app for meal plans, medication logging and weight tracking. On quality, the site says partner pharmacies run third-party checks: sterility on every batch against the relevant standard, and a potency test performed every three to six months.

What we'd want changed

That potency schedule deserves a second look. Sterility is described as tested on every batch; potency is described as tested every three to six months. Those are different guarantees presented in the same reassuring block, and potency is the one a patient titrating upward actually depends on. We would want that stated plainly rather than folded in beside a per-batch claim.

The FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026, and it is public in the agency's warning-letter database. We are reporting that the letter exists, not what it says, and we link the database so you can read it yourself. Separately, the site claims the highest Trustpilot rating among GLP-1 providers, which is not a checkable statement, and it describes its pharmacies as preparing medication in facilities that comply with FDA rules, which is a claim about a building rather than about the drug. Compounded semaglutide and tirzepatide are not FDA-approved and are not generic versions of the brand products.

Bottom line

If you want a tablet route on either molecule, or you want the freedom to move between a shot and a pill, SkinnyRx has the widest menu at this price and says plainly that you can leave whenever you like. The cancellation terms before a clinician signs off are among the fairest here. What it will not tell you is which pharmacy fills your prescription, what the asterisk on every price means, or what the number is once you are past the floor.