Compounded semaglutide
SkinnyRx review
SkinnyRx advertises injectable semaglutide with a discounted first month, then renews the 1-month plan at $249 once a calendar month. That makes $249 the figure to budget for from month two. Shipping is free and overnight, and you can cancel future months at any time.
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Is it right for you?
Worth a look if
- You want a cheap first month to find out how semaglutide suits you before committing further.
- You like tracking your weight and doses in an app, which the money-back guarantee depends on.
- You want the choice of a microdose plan with a slower titration.
Skip it if
- You live in Alabama, Louisiana or Mississippi, where SkinnyRx doesn't offer compounded medication.
- You want the renewal price printed on the product page before you start an intake.
- You'd rather pay one fixed monthly price from the very first charge.
What's included
SkinnyRx's injectable semaglutide is a weekly shot, sold as a subscription you can cancel at any time. The product page lists it as FSA/HSA eligible, offers a microdose option and promises free overnight shipping on every order. Longer plans cost less per month but are billed as bundles.
Prescriptions come from independent licensed clinicians, and partner 503A pharmacies compound the medication. SkinnyRx says every compounded lot is checked by outside labs for sterility and endotoxins, with potency tested every 3 to 6 months. Sajad Zalzala, M.D., is named as medical director.
Clinician questions about side effects or dosing are included at no extra cost through the patient portal. SkinnyRx also sells semaglutide tablets, so make sure the injectable is the product in your cart.
From sign-up to refills
- Start the intake from the injectable semaglutide page. It runs 15 short steps, starting with your weight-loss goal.
- Pick a plan length when SkinnyRx offers them. The 1-month plan carries the first-month discount and then renews monthly.
- A licensed clinician reviews your answers, and your state may require a short video visit. A prescription can come within 24 hours.
- Tracking details arrive within 2 business days. At the end of each month, you fill in a refill form to keep the next supply coming.
See SkinnyRx's semaglutide plans
$249 a month for compounded semaglutide.
Go to SkinnyRx →We earn a commission if you start care through this link, at no extra cost to you.
What's good, what isn't
What's good
- Every semaglutide order from SkinnyRx ships overnight at no charge.
- The product page shows passed potency, sterility, pH and endotoxin tests for SkinnyRx's partner pharmacy lots.
- If a SkinnyRx provider doesn't approve you, you can cancel for a full refund before the review is completed.
What isn't
- Each month ends with a SkinnyRx refill form, and the next supply waits until you send it.
- SkinnyRx doesn't sell compounded semaglutide in Alabama, Louisiana or Mississippi.
- The FDA issued a warning letter to Lean Rx, Inc., which does business as SkinnyRx, in February 2026.
Read these terms first
- Month two
- The public semaglutide page shows only the first-month offer, not the renewal amount. Confirm what the 1-month plan renews at on the order summary before you enter a card.
- Leaving a discounted plan early
- If you cancel before a promotional or committed term ends, SkinnyRx may reverse the discount, so a refund can come in lower than you expect. Bundled plans aren't refundable.
- The FDA letter
- The February 2026 letter cited false or misleading claims and misbranding. You can read it on the FDA's warning-letter pages before you decide.
- Guarantee conditions
- The 90-day money-back guarantee requires weekly weight and dose logs in the SkinnyRx app, and it pays only if you end the period no lighter than you began.
- FDA warning letter
- FDA sent SkinnyRx a warning letter in February 2026. Read what it covers.
Price
SkinnyRx costs $249 a month for compounded semaglutide. That is the starting dose, and it rises as your dose does.
How we got $249
The arithmeticOne month = 30.4375 days
SkinnyRx charges $249.00 every month
It advertises no monthly price, so the charge is where this starts.
$249.00
And it is charged once a calendar month
+ $0.00
A real month$249.00
Reconciles exactly — the advertised figure is a real month.
The price above is the starting dose, and it rises as your dose does. This seller does not publish how far, so treat it as an entry price rather than what you will be paying in six months.
Where it sits, and what costs less
$54median $199$325+
269 cheaper · 71%91 dearer · 24%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- SkinnyRx$249
Another 264 sellers are cheaper than SkinnyRx. The whole cheapest list →
Where it says it operates
Branded medication offerings may be available in all U.S. states, while certain compounded medication and related offerings are currently not available in Alabama, Louisiana, and Mississippi. We do not offer or provide certain compounded medication and related Services in Alabama, Louisiana, or Mississippi, and we do not permit individuals located in those states to create orders, complete purchases, or otherwise use the Services to obtain those offerings.
Read on its own site in August 2026. It excludes Alabama, Louisiana, Mississippi. That is the seller’s own promise for the whole country, so confirm your state when you sign up.
State pages this seller appears on: AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY ME MD MA MI MN MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $299 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
FDA has written to this seller
In , FDA sent warning letter 717989 to Lean Rx, Inc. dba SkinnyRx (Sacramento, CA). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names skinnyrx.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. We earn a commission if you use the link on this page, and the letter is shown beside it. How we screen for these →
Common questions about SkinnyRx
- Is SkinnyRx legit?
- SkinnyRx is the trade name of Lean Rx, Inc., a telehealth company. Independent licensed clinicians prescribe and state-licensed 503A pharmacies compound. The FDA sent Lean Rx a warning letter in February 2026 over false or misleading claims. Compounded semaglutide is not Wegovy or Ozempic and is not FDA-approved.
- How much is SkinnyRx semaglutide per month?
- After the discounted first month, the 1-month plan renews at $249 once a calendar month. Longer plans lower the monthly rate but are billed as bundles.
- Does SkinnyRx take insurance?
- No insurance is needed or billed. SkinnyRx lists its injectable semaglutide as FSA/HSA eligible, and Affirm financing is offered at checkout.
- Can you cancel SkinnyRx?
- Yes. Cancel future months at any time, before your next shipment is prepared. Once a prescription is written and fulfillment starts, that order isn't refundable.
Start semaglutide with SkinnyRx
Prescribed online by a licensed clinician if you qualify.
Go to SkinnyRx →We earn a commission if you start care through this link, at no extra cost to you.
More semaglutide sellers to weigh up
- Gala$249a monthGo to Gala →
- RxSpan MD$249a monthGo to RxSpan MD →
- Oak$250a monthGo to Oak →
Listed by price. We earn a commission if you start care through this link, at no extra cost to you.