Our verdict on SkinnyRx
SkinnyRx is one of the easiest programs to start. The intake takes about five minutes, a prescription usually follows within 24 hours, and both semaglutide and tirzepatide injections are $99 for the first month.
Its public pages list first-month prices only, so you find out the ongoing rate later. TotalRx shows the full price and the renewal price before you pay, and that price is locked for life, which is the main reason it sits at #1.
What SkinnyRx does well
- Low cost to trySemaglutide and tirzepatide injections are both $99 in the first month.
- Tablets as well as injectionsDaily tablets are offered for both medications if you would rather not inject.
- Fast deliverySkinnyRx advertises free overnight shipping on every order.
- All in one chargeThe monthly price covers medication, shipping, clinician access and the app.
How much does SkinnyRx cost?
SkinnyRx publishes its first-month prices. The price for later months is confirmed during sign-up.
| SkinnyRx option | First month | Each month after | 12 months |
|---|---|---|---|
| Semaglutide injectionWeekly injection | $99 | Shown during sign-up | Not published |
| Tirzepatide injectionWeekly injection | $99 | Shown during sign-up | Not published |
| Semaglutide tabletsDaily tablet | $149 | Shown during sign-up | Not published |
| Tirzepatide tabletsDaily tablet | $199 | Shown during sign-up | Not published |
SkinnyRx publishes a first-month price for each option. The price for the months after is confirmed during sign-up, so ask for it before you pay.
First-month prices from SkinnyRx's own pages, read October 12, 2026. Its public pages do not list the ongoing monthly price. Subscriptions renew automatically, and a renewal may be charged up to five days early.
What to know before you choose SkinnyRx
What does SkinnyRx cost after the first month?
The public pages show first-month prices only. TotalRx tells you the ongoing price up front: from $129 a month, and it never changes.
How does the SkinnyRx money-back guarantee work?
It applies after 90 days if your weight has not dropped, and it requires weekly logging in the app and a claim within 14 days.
How much notice do I need to cancel?
SkinnyRx asks for at least five days before renewal.
What SkinnyRx customers say
We looked at what customers report on Trustpilot. These are their experiences, summarised in our words.
91% of reviewers gave five stars and 4% gave one. Most five-star reviews are about the support team; few mention weight loss results.
What people praise
- Patient reps who explain the process
- Fast replies when something goes wrong
- Easy changes to an order, payment plan or medication format
- Some cancellations and refunds handled smoothly
What people complain about
- Tablets that did little for some customers
- Refunds refused on prepaid multi-month bundles
- Promised callbacks that did not come
- Charges larger than the customer expected
The score is high, and it mostly measures customer service. The low-star reviews are about prepaid bundles and ongoing charges, which fits our advice to confirm the month-two price first.
Is SkinnyRx legit?
Yes. SkinnyRx is operated by Lean Rx, Inc., based in California. Independent licensed providers write the prescriptions and third-party pharmacies dispense the medication. Its compounded medications are not FDA-approved.
Who SkinnyRx suits
- You want the cheapest possible first month
- You prefer tablets to injections
- Overnight shipping matters to you
Visit SkinnyRx, or see how every provider compares in our full rankings.
SkinnyRx reviews: your questions answered
Is SkinnyRx legit?
Yes. It is operated by Lean Rx, Inc. in California, with independent licensed providers and third-party pharmacies.
How much does SkinnyRx cost?
Injections are $99 for the first month. Tablets are $149 for semaglutide and $199 for tirzepatide in the first month. Ongoing prices are shown during sign-up.
Does SkinnyRx offer tirzepatide?
Yes, compounded tirzepatide as a weekly injection or daily tablets.
How fast does SkinnyRx ship?
SkinnyRx advertises free overnight shipping, with tracking details within two business days of your prescription.
Does SkinnyRx take insurance?
No. It is cash-pay, and FSA and HSA cards are accepted.
Can I get a refund from SkinnyRx?
A full refund is available before the provider completes the prescription review. After fulfilment begins, orders are non-refundable.
Is there an alternative to SkinnyRx with a fixed price?
Yes. TotalRx, our #1 pick, starts at $129 a month and locks that price for life.
SkinnyRx vs TotalRx: which is better?
SkinnyRx is cheaper in month one. TotalRx is clearer on long-term cost and never raises its price, so we rank it higher.
Used SkinnyRx? Tell us how it went
We read every reply and may add it to this page. Tell us about the service: price, delivery and support. Please do not include any health or medical information, such as conditions, medications, doses or weight.
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How we review. This review is based on SkinnyRx's published pricing and policies and on recent public reporting, as of October 11, 2026, scored on the same five factors as every provider in our rankings. Prices and terms change often; confirm them with SkinnyRx before you sign up. Medical disclaimer. This page is general information, not medical advice. Consult a licensed healthcare professional before starting any medication. Compounded GLP-1 medications are not FDA-approved and do not undergo the same review for safety, effectiveness and quality as brand-name products. SkinnyRx and all other third-party names and logos are trademarks of their owners, used for identification and comparison only. ProviderCompare is not affiliated with or endorsed by SkinnyRx.