MyStart Health vs SkinnyRx: Price, Yearly Cost & Cancellation
The short version
On the most flexible tirzepatide plans, SkinnyRx costs $200 less over a year ($3,388 vs $3,588). MyStart Health charges no membership fee; SkinnyRx charges no membership fee. Prices verified September 25, 2026.
Side by side
| MyStart Health | SkinnyRx | |
|---|---|---|
| Tirzepatide, most flexible plan | $299/mo | $299/mo (first month $99) |
| Tirzepatide, lowest rate | $299/mo (monthly (4-week supply) or 3-month (12-week supply) plan) | $225/mo (12-month plan) |
| Tirzepatide, first year | $3,588 | $3,388 |
| Membership fee | None | None |
| Higher doses | None per FAQ price-lock ('will never increase from your base plan amount, EVEN if your dosage increases'); first-time discount excluded. | Not stated on public pages; tirzepatide plan prices are shown without dose tiers. |
| Consultation | Online intake quiz reviewed by a licensed clinician; video consult or prescription within 24 hours, same-day video available. Unlimited clinician messaging at no added cost; refill intake form required every 3 months. | Online medical intake reviewed by a licensed US clinician; depending on state rules, a quick video visit or a prescription within 24 hours. Follow-up questions to clinicians through the patient portal at no extra cost; monthly refill form. |
| States | All 50 states | Not in AL, LA, MS |
| How to cancel | Email support with 'CANCEL' in the subject line, or call 888-828-5816 (Mon-Fri 9am-7pm, Sat 10am-4pm ET). | Manage the subscription in the online account, contact the Customer Help Center, or call 1-888-979-9580. Must cancel at least 5 days before the renewal processing date; cancellation takes effect at end of the current period. |
| Refunds | Full refund if not medically eligible or if canceled before the pharmacy processes and ships the order. No refunds once shipped or once a prescription is written, and none for completed or partially completed membership periods; medication cannot be returned. | Full refund if canceled before the provider completes the prescription review, or within 24-48 hours if not approved. Non-refundable once fulfillment begins; no refunds for partially used periods; bundled subscriptions non-refundable. Canceling a committed/promotional term early can reverse discounts. Separate 90-Day Money-Back Guarantee requires 90 days of continuous paid membership, weekly weight and dose logging in the app, no weight loss, and a claim within 14 days. |
| Trustpilot | 4.1 (326 reviews) | 4.8 (5,397 reviews) |
| Regulatory notes | FDA warning letter to MyStart Health LLC (Sept 9, 2025) for false or misleading claims about compounded semaglutide, including 'Generic brand-name semaglutide' wording that implied equivalence to FDA-approved drugs. | FDA warning letter to Lean Rx, Inc; BBB complaint file for SkinnyRx (Sacramento, CA). |
First-year cost uses each provider's most flexible plan (month-to-month where offered), including any intro month and membership fee. Prepaid plans cost less per month but are harder to exit.
Choose MyStart Health if…
- you prefer a provider with fewer regulatory notes on record
- you need coverage in every state
Choose SkinnyRx if…
- you want the lower yearly cost for tirzepatide ($3,388 vs $3,588 on their most flexible plans)
- you're willing to prepay for the lowest tirzepatide rate ($225/mo on its 12-month plan plan)
- a higher Trustpilot score matters to you (4.8 vs 4.1)
Full reviews
MyStart Health reviewpricing, cancellation, what customers saySkinnyRx reviewpricing, cancellation, what customers say
Other comparisons
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FAQ
Is MyStart Health or SkinnyRx cheaper for tirzepatide?
SkinnyRx is cheaper on its most flexible plan: $3,388 for the first year vs $3,588, based on prices verified September 25, 2026.
Do MyStart Health or SkinnyRx charge a membership fee?
MyStart Health: None. SkinnyRx: None.
Which has better reviews, MyStart Health or SkinnyRx?
On Trustpilot, MyStart Health has 4.1 (326 reviews) and SkinnyRx has 4.8 (5,397 reviews).
Sources
- MyStart Health: Homepage FAQ (price, cancellation, price-lock)
- MyStart Health: Support FAQs
- MyStart Health: Refund policy
- SkinnyRx: Homepage (prices, FAQ, refund policy)
- SkinnyRx: Tirzepatide injectable plans
- SkinnyRx: Tirzepatide tablet plans
- Full source lists: MyStart Health, SkinnyRx
Compounded medications are not FDA-approved finished drug products. This page is not medical advice.