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SkinnyRx review: "From $199" is a year up front, and month two is $349

Every product card on SkinnyRx reads "From $199 / month" or "From $299 / month", and both are twelve-month prepay rates. The site ships its own pricing module, and that module records the renewal rate separately: $349 for compounded injectable semaglutide and $399 for injectable tirzepatide. So the price a reader pays if they buy one month and stop is $150 above the number that brought them to the page. SkinnyRx also holds an open FDA warning letter, issued to Lean Rx, Inc. in February 2026 over three claims about compounded drugs — and all three have since been removed from the site, which is the other half of that story.

By Marla Whitfield, Pricing Editor

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Cheapest walk-away

$349/mo

States served

SkinnyRx says only that "all our providers are…

Billing cycle

Monthly (12×/yr)

Verified

August 2026

SkinnyRx says only that "all our providers are based in the United States, where they are licensed and board certified." No state list, included set or excluded set is published on its site, and its FAQ does not answer the question, so nothing here could be tested first-party and no exclusion is asserted below.

At a glance

$229/mo

Advertised

the first-cycle rate

$349/mo

Walk-away

vs. advertised

$4,188

True year

$349 × 12

The same Compounded semaglutide — microdose, weekly injection price, three ways

The short bar is the number SkinnyRx leads with. It lasts one cycle.

Advertised

first cycle only

$229

Walk-away

every cycle after

$349

Ready to check SkinnyRx’s current price?

Verified August 2026. Prices may change.

Visit SkinnyRx

What’s included

  • Licensed provider review, with the provider deciding whether treatment is appropriate
  • Fulfillment stated as "pharmacy pickup or direct delivery where available"
  • In-app support from a care team, stated as continuing after the first order
  • "Cancel anytime", printed on the product cards
  • FSA/HSA cards accepted, per its own FAQ

Pricing, per compound

SkinnyRx prices each compound separately, so there is no single “SkinnyRx” price — only a price per compound. The table below shows, for each one, the price it leads with in the “Advertised” column and what a reader actually pays if they stop after one cycle in “Walk-away”, ordered by what a year actually costs, cheapest first. The “Provider” column names the compound, not the company — every row on this page is SkinnyRx.

ProviderAdvertisedWalk-awayTrue year
Compounded semaglutide — microdose, weekly injection

A three-rung ladder rather than four: 8 months at $229, 4 at $299, 1 at $349, and a renewal rate of $349. The microdose renews at exactly the same price as the standard dose, so the saving exists only while the prepay term runs.

Verified · source

$229.00/mo$349.00/mo$4,188.00

$349.00 × 12 months

Compounded semaglutide — weekly injection

SkinnyRx's own price module carries the full ladder — 12 months at $199, 6 at $249, 4 at $299, 1 at $349 — and a separate renewal rate of $349 recorded for this product. The $349 is therefore both the one-month rate and the rate SkinnyRx's code says a subscription renews at, which is why it is the walk-away figure rather than the $199 on the card.

Verified · source

$199.00/mo$349.00/mo$4,188.00

$349.00 × 12 months

Compounded tirzepatide — microdose, weekly injection

8 months at $319, 4 at $349, 1 at $399, and a renewal price of $399 — again identical to the full-dose renewal rate.

Verified · source

$319.00/mo$399.00/mo$4,788.00

$399.00 × 12 months

Compounded tirzepatide — once-daily tablet

The oral form, priced identically to the injection at every tier: 12 months at $299, 6 at $329, 3 at $349, 1 at $399. ⚠ Worth knowing before choosing on convenience — SkinnyRx charges the same for a daily tablet as for the weekly injection the trials actually tested.

Verified · source

$299.00/mo$399.00/mo$4,788.00

$399.00 × 12 months

Compounded tirzepatide — weekly injection

12 months at $299, 6 at $329, 4 at $349, 1 at $399, and a renewal rate of $399 recorded in the same module. The spread between the advertised and the renewal rate is $100 here against $150 on semaglutide — the tirzepatide card is the more honest of the two.

Verified · source

$299.00/mo$399.00/mo$4,788.00

$399.00 × 12 months

True year assumes 13 payments a year for compounds billed every 4 weeks, and 12 for compounds billed monthly — see the arithmetic under each row.

Pros and cons

Pros

  • The full price ladder exists in one place and is internally consistent …
  • It prints "Compounded drugs are not FDA-approved or evaluated for safety…
  • All three claims FDA cited in February 2026 have been removed: "same active ingredient"…
  • It states its compounding category outright (503A) rather than leaving the pharmacy type unsaid.
  • Microdose versions of both molecules are sold as their own products with their own ladders…
  • "Cancel anytime" is on the cards, and no separate consultation fee is added to any medication price.

Cons

  • Every advertised price is a twelve-month prepay rate.
  • It holds an open FDA warning letter, issued to Lean Rx, Inc.
  • No dispensing pharmacy is named anywhere…
  • "FDA-compliant" is not what a 503A pharmacy is.
  • The daily tablet costs exactly the same as the weekly injection at every tier…
  • The microdose products renew at the same price as the full-dose ones…

How we verified this

What we checked

  • Compounded semaglutide — weekly injection priced against skinnyrx.com, August 2026
  • Compounded tirzepatide — weekly injection priced against skinnyrx.com, August 2026
  • Compounded tirzepatide — once-daily tablet priced against skinnyrx.com, August 2026
  • Compounded semaglutide — microdose, weekly injection priced against skinnyrx.com, August 2026
  • Compounded tirzepatide — microdose, weekly injection priced against skinnyrx.com, August 2026
  • States, inclusions, and terms checked August 2026

What to double-check before you buy

  • SkinnyRx's own price module carries the full ladder …
  • 12 months at $299, 6 at $329, 4 at $349, 1 at $399, and a renewal rate of $399 recorded in the same module.
  • The oral form, priced identically to the injection at every tier: 12 months at $299, 6 at $329, 3 at $349, 1 at $399.
  • A three-rung ladder rather than four: 8 months at $229, 4 at $299, 1 at $349, and a renewal rate of $349.
  • 8 months at $319, 4 at $349, 1 at $399, and a renewal price of $399 — again identical to the full-dose renewal rate.
  • Prices may change. Always confirm against the source link before you buy.

Key terms

Show definitions
Walk-away price
What one cycle costs at the no-commitment, ongoing rate — what you actually pay if you stop after month one.
True year
The walk-away price multiplied by however many times a year it's actually billed — 12 for a calendar month, 13 for a four-week cycle, 17.33 for a 21-day one.
Four-weekly billing
A cycle that repeats every 4 weeks rather than on the calendar month, so it bills 13 times in a year, not 12. Shorter cycles exist and are worse: a 21-day cycle bills 17.33 times. ⚠ A stated SHIPPING interval is not a billing interval.
Compounded
Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.

Bottom line

SkinnyRx’s cheapest walk-away price is $349/mo (Compounded semaglutide — microdose, weekly injection) — about $4,188 a year, billed monthly (12×/yr), if you keep paying it every cycle. Check the pricing table above for every compound this provider sells before you commit to one.

Visit SkinnyRx

Frequently asked questions

What does SkinnyRx actually cost?

If you pay for one month and stop: $349 for compounded injectable semaglutide and $399 for injectable tirzepatide, with the tirzepatide tablet also at $399. The advertised "From $199" and "From $299" are the twelve-month prepay tiers. In between sit $249 and $299 for semaglutide at six and four months, and $329 and $349 for tirzepatide at six and four. These come from SkinnyRx's own pricing module rather than from a percentage worked backwards off a badge.

Why is the price on the card so different from the price in month two?

Because the card quotes the longest commitment. SkinnyRx's price module stores four tiers per product and records the renewal rate separately — $349 for semaglutide, $399 for tirzepatide. Those renewal figures match the one-month tier exactly, which is the clearest signal a seller can give about what happens when a prepay term ends: you go back to the one-month rate. The $150 gap on semaglutide is the widest on this review.

Has SkinnyRx had an FDA warning letter?

Yes, and it is open. FDA issued it to Lean Rx, Inc. dba SkinnyRx on February 20, 2026 (MARCS-CMS 717989, posted March 3) after reviewing skinnyrx.com in December 2025. It cited three claims — including "the same active ingredient as name-brand GLP-1 medications" — as false or misleading, on the grounds that they imply a compounded drug has been FDA-approved when it has not. It alleges nothing about sterility, potency or product quality, and no close-out letter has been posted. What is also true: all three cited claims are gone from the site as of August 11, 2026, and the disclosure FDA said was missing now appears on its pages.

Is the daily tablet cheaper than the injection?

No. SkinnyRx prices compounded tirzepatide tablets identically to the injection at every tier — $299 at twelve months, $329 at six, $349 at three or four, $399 at one. That is worth knowing because the tablet's appeal is convenience rather than cost, and because the trials behind tirzepatide tested a weekly subcutaneous injection rather than a daily oral dose.

Which pharmacy fills a SkinnyRx prescription?

It does not say. Its FAQ asks "Are your pharmacies FDA-compliant?" and answers "Yes. 503A pharmacies are licensed by state boards of pharmacy and are FDA-compliant" — a statement about the category, not about its own pharmacies, with no name, state or license number given. The phrase is also loose: a 503A pharmacy's preparations are exempt from FDA approval rather than compliant with it, so "FDA-compliant" describes a status that does not exist for compounded drugs.

Sources

Every price above was checked against SkinnyRx’s own pricing page — never a third-party aggregator:

Show every source link

Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.