SkinnyRx Review 2026: Pricing, Yearly Cost & Cancellation
SkinnyRx charges $99 for the first month of compounded tirzepatide, then $299/month month-to-month, dropping to $225/month on a 12-month plan; tablets start at $199 for the first month. It lists semaglutide at $99 for the first month but does not publish the ongoing price. It received an FDA warning letter in February 2026, and discounts can be clawed back if you cancel a plan early.
At a glance
| Pricing model | Subscription with discounted first month; lower monthly rate for longer commitments (compounded). Branded pills use a separate SkinnyRx membership plus pharmacy-billed medication. |
|---|---|
| Membership fee | None |
| Higher doses | Not stated on public pages; tirzepatide plan prices are shown without dose tiers. |
| Consultation | 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. |
| Pharmacy | Not named. FAQ says 503A pharmacies; terms say medications are dispensed by independent third-party pharmacies not owned by Lean Rx, Inc. Site says partner pharmacies run third-party potency/sterility/endotoxin testing. |
| LegitScript | Certified (per provider) |
| States | Excludes AL, LA, MS |
| Trustpilot | 4.8 · 5,397 reviews |
SkinnyRx pricing
| Medication | Plan | Per month | Billing |
|---|---|---|---|
| Compounded tirzepatide (injectable) | 12-month plan | $225/mo | Intro: 99 Shop page: $99 first month, then $225/mo ('Save $1,014'). Whether billed monthly or prepaid is not stated on the public page. |
| Compounded tirzepatide (injectable) | 6-month plan (labeled Most Popular) | $250/mo | Intro: 99 $99 first month, then $250/mo ('Save $445'). |
| Compounded tirzepatide (injectable) | 4-month plan | $289/mo | Intro: 99 $99 first month, then $289/mo ('Save $230'). |
| Compounded tirzepatide (injectable) | 1-month plan | $299/mo | Intro: 99 $99 first month, then $299/mo. |
| Compounded semaglutide (injectable) | Not published | Not published | Intro: 99 Homepage and product page show only '$99 first month'. No public shop page with ongoing prices (/shop/semaglutide-injectable returns 404). |
| Compounded tirzepatide tablets (oral) | 12 / 6 / 3 / 1-month plans | $225/mo | Intro: 199 Shop page: $199 first month, then $225/mo (12-mo), $250/mo (6-mo), $289/mo (3-mo), $299/mo (1-mo). |
| Compounded semaglutide tablets (oral) | Not published | Not published | Intro: 149 Homepage shows '$149 first month' only. |
| brand-name oral semaglutide / brand-name orforglipron | Via SkinnyRx Membership | Not published | Listed as 'Unavailable' on the homepage. Medication billed by a third-party pharmacy; SkinnyRx membership fee amount not published (terms say it is non-refundable). |
What a year costs
What a year costs on the most flexible plan SkinnyRx offers. Prepaid multi-month plans are usually cheaper per month but harder to exit.
- Tirzepatide: $99 first month + $299 × 11 = $3,388/year
brand-name semaglutide or brand-name tirzepatide at retail runs roughly $1,000–$1,350/month without insurance.
Who it's a good fit for
People who want tirzepatide as injections or tablets and are comfortable committing to a longer plan for the lowest rate.
What customers say
Common praise
- Many reviewers single out named phone reps as patient and thorough when answering questions
- Quick responses and smooth handling of billing and subscription changes
- Some long-term members report large weight losses and say anti-nausea help early on made the start easier
Common complaints
- Some say the medication did not produce the weight loss they expected
- A minority report trouble getting useful help through chat support
Themes summarized from recent Trustpilot reviews (see all 5,397).
Good to know
- FSA/HSA accepted
- Free overnight shipping advertised
- Buy now, pay later option shown at checkout
- 90-Day Money-Back Guarantee (conditions in terms section 19)
- Microdosing available; sermorelin injections $199/month; metabolic health/CGM add-on program
- Renewals may be charged up to 5 days early
- Contradiction: product pages say 'No contracts or commitments - cancel anytime', while the refund policy says canceling before the end of a committed term can reverse the discounts received
- Product page claims '4.8/5 star rating on Trustpilot (highest among GLP-1 providers)' (unverified marketing claim)
Regulatory notes
- FDA warning letter to Lean Rx, Inc. dba SkinnyRx (Feb 20, 2026) for false or misleading claims about compounded semaglutide and tirzepatide: labels implied SkinnyRx was the compounder, and claims implied equivalence to FDA-approved drugs. Source
- BBB complaint file for SkinnyRx (Sacramento, CA). Source
How to cancel SkinnyRx
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 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.
Before you sign up
- Confirm the price after any intro month, and whether medication is billed separately.
- Ask whether the price changes at higher doses.
- Read the cancellation and refund terms before prepaying for multiple months.
SkinnyRx vs the alternatives
The best SkinnyRx alternatives, ranked →
More provider reviews
FAQ
How much does SkinnyRx cost per month?
compounded tirzepatide starts at $225/month (12-month plan plan). Prices verified September 25, 2026.
Does SkinnyRx charge a membership fee?
No separate membership fee is listed; the published price includes the provider visit and medication.
Does the price go up at higher doses?
Not stated on public pages; tirzepatide plan prices are shown without dose tiers.
How do I cancel SkinnyRx?
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 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.
Is SkinnyRx legit?
SkinnyRx has a 4.8 TrustScore from 5,397 Trustpilot reviews (checked September 25, 2026). It states it is LegitScript certified. See the regulatory notes on this page before signing up.
Is SkinnyRx available in my state?
Not available in: AL, LA, MS. Terms: certain compounded medications and related services are not available in Alabama, Louisiana or Mississippi.
Sources
- Homepage (prices, FAQ, refund policy)
- Tirzepatide injectable plans
- Tirzepatide tablet plans
- Semaglutide injectable product page
- brand-name oral semaglutide page
- FAQ
- Terms (cancellation, states, guarantee, pharmacy)
- LegitScript checker link on site
- FDA warning letter
- Trustpilot
- SkinnyRx on Trustpilot
Compounded medications are not FDA-approved finished drug products. This page is not medical advice.