SkinnyRx in short
What we like
A $99 first month on injections, free overnight shipping and tablets if you do not want to inject.
What to watch
Only the first-month price is published. Ask what month two costs before you enter your card.
How we scored SkinnyRx
We rate every program on the same four weighted factors, each out of 10. SkinnyRx's overall rating is 8.3.
| Factor | Score | Why |
|---|---|---|
| Price & Value 35% | 7.9 | $99 to start is the lowest entry price we rate. The ongoing price is not shown on its public pages. |
| Clinical Care 25% | 8.5 | Independent licensed clinicians with messaging included in the price. |
| Speed to Treatment 20% | 8.6 | A five-minute intake, a prescription typically within 24 hours and overnight shipping. |
| Patient Experience 20% | 8.5 | Straightforward sign-up, with a monthly refill form to complete. |
SkinnyRx weight loss options and what each costs
SkinnyRx advertises a first-month price for each option. What you pay after that is confirmed while you sign up, so it is the question to ask before you enter a card.
| Option | First month | After that | Year one |
|---|---|---|---|
| Semaglutide injectionone injection a week | $99 | Confirmed at sign-up | Not published |
| Tirzepatide injectionone injection a week | $99 | Confirmed at sign-up | Not published |
| Semaglutide tabletsone tablet a day | $149 | Confirmed at sign-up | Not published |
| Tirzepatide tabletsone tablet a day | $199 | Confirmed at sign-up | Not published |
First-month prices from SkinnyRx's own pages, read October 12, 2026. Ongoing prices are not shown on its public pages. Plans renew automatically and a renewal can be charged up to five days early.
SkinnyRx at a glance
| SkinnyRx | What we found |
|---|---|
| Run by | Lean Rx, Inc. |
| Medication | Compounded semaglutide and tirzepatide, injections or tablets |
| First month | $99 injections; tablets from $149 |
| Ongoing price | Confirmed during sign-up |
| Notice to cancel | 5 days |
| Insurance | Cash-pay; HSA/FSA accepted |
SkinnyRx publishes first-month prices only ($99 for injections), so we have not estimated a yearly total for it. Prices read October 11, 2026.
Where SkinnyRx is strong
The first month
$99 for semaglutide or tirzepatide injections is hard to beat as a starting price.
Tablets
Daily tablets are offered for both medications.
Where it falls behind our top choice
Our top choice, TotalRx, comes out ahead on two counts. The full price and renewal price are shown before you pay: from $129 a month. 72 hours' notice to cancel, against five days at SkinnyRx, and a rate that is locked for life.
Visit SkinnyRx, or see every program side by side in our ratings.
What SkinnyRx members report
Our rating is our own. To set it beside real experience, here is how SkinnyRx customers have rated it on Trustpilot.
Most of the top-mark reviews praise a support representative; not many describe how much weight was lost.
The good
- Reps take time to explain how everything works
- Problems tend to get a fast answer
- Switching plan, address or medication format is easy
- Some members got cancellations and refunds without a fight
The frustrations
- Tablets not working for some members
- No refund on prepaid multi-month bundles, unshipped months included
- Callbacks and messages that went unanswered
- Bills that were bigger than expected
The headline score is the highest of the programs we rate, and it is mostly a customer service score. The complaints back up our main caution about SkinnyRx: know the ongoing price and the bundle terms before you commit.
SkinnyRx review FAQ
About SkinnyRx
What is SkinnyRx?
An online program offering compounded semaglutide and tirzepatide as weekly injections or daily tablets.
Is SkinnyRx a real company?
Yes. It is operated by Lean Rx, Inc. in Sacramento, California.
Why did you rate SkinnyRx 8.3?
It is quick and inexpensive to start. We marked it down because the ongoing price is not published up front.
What SkinnyRx costs
How much is SkinnyRx?
$99 for the first month of injections. Tablets are $149 for semaglutide and $199 for tirzepatide in month one.
What is the price after the first month?
SkinnyRx confirms it during sign-up. It is not listed on the public pages we read.
Does SkinnyRx offer refunds?
A full refund before the provider finishes the prescription review. After that, orders are non-refundable.
SkinnyRx or TotalRx
Is TotalRx cheaper than SkinnyRx?
SkinnyRx is cheaper in month one. TotalRx publishes its long-term price, from $129 a month, and never raises it.
Which should I choose?
Choose SkinnyRx for the lowest first month or for tablets. Choose TotalRx, our top choice, if you want to know exactly what you will pay for good.
Your turn: how would you rate SkinnyRx?
If you have been a SkinnyRx member, we would like to hear about it. A person reads each response, and we only show the ones we have checked. Stick to the service itself, and leave out anything about your health: no conditions, medications, doses or weight.
Reviews of other programs
TotalRx, Hers, MEDVi, Eden. Or see every review.
Ratings reflect our editorial assessment of SkinnyRx's published pricing and policies and recent public reporting as of October 11, 2026. Prices and terms change often; confirm them with SkinnyRx before you sign up. This page is general information, not medical advice; speak to a licensed healthcare professional before starting any medication. Compounded medications are not reviewed by the FDA for safety, effectiveness or quality. SkinnyRx and other third-party names and logos are trademarks of their owners, used for identification and comparison only. WeightLossRated is not affiliated with or endorsed by SkinnyRx.