SkinnyRx Reviews: Price, Safety, Complaints and Legit Questions

Short answer: SkinnyRx is the telehealth brand of Lean Rx, Inc. SkinnyRx says it offers clinician review for prescription treatment, including compounded GLP-1 products; its advertised first-month product prices ran from $99 to $199 on October 27, 2026. Its BBB profile displayed a B- rating and 166 complaints in three years, while its Trustpilot profile displayed a 4.8/5 TrustScore from 5,461 reviews; those are two very different signals to weigh before you pay.

If you are considering Skinny Rx, the useful question is not whether an ad sounds convincing. It is which medicine and form you are being offered, what the full recurring total will be, when the next charge can happen, and whether the pharmacy and cancellation terms work for you.

SkinnyRx quick facts

Disclosure: This page may contain links to SkinnyRx.

What does SkinnyRx prescribe?

SkinnyRx says you complete an online medical intake, then a licensed clinician decides whether prescription treatment is appropriate. If prescribed, the seller says fulfillment may be pharmacy pickup or direct delivery, tracking is generally sent within two business days after the prescription, and monthly refills require a form before an eligible order ships automatically.

The advertised compounded choices are injectable semaglutide, injectable tirzepatide, compounded semaglutide tablets, and compounded tirzepatide tablets. These are compounded products, including the documented injectable and tablet products; they are not FDA-approved and are not generic Wegovy or Zepbound. The FDA’s compounded GLP-1 guidance says the agency does not review compounded drugs for safety, effectiveness, or quality before marketing.

For contrast, MedlinePlus describes FDA-approved semaglutide injection under brands including Wegovy, and says it is used to assist with weight loss in certain people who are obese or overweight and have weight-related medical problems; see the semaglutide drug information. MedlinePlus lists Mounjaro and Zepbound as tirzepatide injection brands and describes their approved uses, including weight management in specified people; see the tirzepatide drug information. SkinnyRx’s product tiles labeled Wegovy Pill and Foundayo Pill as FDA-approved but unavailable at the time of this review.

How much does SkinnyRx cost each month?

These are first-month figures displayed October 27, 2026. As of October 27, 2026, SkinnyRx’s pages did not show a product-specific ongoing monthly price, so confirm the recurring medicine, membership, shipping, and pharmacy total at checkout before submitting payment.

The seller says it accepts major cards and FSA/HSA payment, but its terms say it and its affiliated practices operate on a cash-pay basis and do not accept commercial insurance, Medicare, or Medicaid. The terms also say branded medicine may be billed and shipped by a third-party pharmacy or manufacturer-affiliated program, while a SkinnyRx membership charge for branded access is non-refundable.

Will SkinnyRx auto-refill, and how do you cancel?

Yes, certain subscriptions renew automatically. SkinnyRx’s FAQ says you can cancel future months at any time before the next shipment is prepared. Its SkinnyRx terms say to cancel at least five days before the applicable renewal processing date, because a renewal may be charged and shipped up to five days early.

1. Open your online account and manage the subscription, or contact Customer Help Center support.
2. You can also call 1-888-979-9580.
3. Cancel at least five days before renewal processing, not merely before the expected delivery date.
4. Save the cancellation confirmation and confirm that the next renewal date is removed.

Cancellation takes effect at the end of the current subscription period. The terms say partially used periods are not refundable, although SkinnyRx may decide refunds case by case. An approved medication refund requires all unopened medication to be returned to the dispensing pharmacy and verified; return shipping is the customer’s responsibility. Pharmacy, provider, payment-processing, shipping, handling, and other third-party fees are non-refundable under the terms. The seller’s FAQ says an ineligible applicant receives a full refund within 24–48 hours after the completed intake, while bundled subscriptions are non-refundable.

What do SkinnyRx reviews and complaints say?

On Trustpilot, SkinnyRx displayed a 4.8/5 TrustScore from 5,461 reviews. Trustpilot says the company has replied to 100% of negative reviews, typically within 48 hours. Many displayed reviews are marked “Invited,” and the profile uses a paid Trustpilot subscription. Trustpilot also says it does not fact-check reviews. The profile’s AI summary describes many positive experiences. A search-result excerpt of the same page also notes reports from some reviewers that treatment did not work as expected or was associated with unexpected weight gain.

The BBB business profile displayed a B- rating, no accreditation, and 166 complaints filed in the last three years. Its complaint summary listed 166 complaints in the last three years and 90 in the prior 12 months. It separately displayed 101 answered, 64 resolved, and one unresolved. Consumers described delayed shipments, charges while medical history was pending, refund and cancellation friction, questions about oral-product absorption, and disappointment with results. These are consumer reports, not findings. Displayed company responses commonly invite the consumer to call support and say some requests require pharmacy and billing-team investigation.

What did the FDA say about SkinnyRx?

In its February 20, 2026 warning letter to Lean Rx, Inc. dba SkinnyRx, titled “False & Misleading Claims/Misbranded (Telehealth),” the FDA said it observed the site offering compounded semaglutide and tirzepatide products. The FDA warning letter said pictured labels identifying SkinnyRx suggested it was the compounder when it was not, and that “same active ingredient” style claims could imply FDA approval or evaluation when the products had not received it. FDA asked for a written response within 15 working days.

FDA also says compounding can serve patients whose medical needs cannot be met by an FDA-approved drug, but compounded drugs are not FDA-approved. The agency has said companies cannot promote non-FDA-approved compounded products as generic versions of, or the same as, FDA-approved medicines.

What about oral tirzepatide and the lawsuit?

Freeland v. Foothills Professional Pharmacy, M.D. Pa. 4:26-cv-00263, concerns allegations about oral tirzepatide tablets sold through SkinnyRx and related sites. The plaintiff alleges that telehealth companies and compounding pharmacies marketed unapproved oral tirzepatide as safe and effective and used an automated process with little or no medical review. Those are allegations, not findings. Lean Rx, Inc. is not a named defendant; the complaint’s defendant list names Avocado Health Technology, Inc., Does 1–5, Foothills Professional Pharmacy, Ltd., TeleRx Providers, P.C., and Sajad Zalzala, M.D.

Is SkinnyRx legit?

SkinnyRx is a named telehealth business operated by Lean Rx, Inc., with published terms, a customer-support number, a BBB profile, and an FDA warning letter directed to the company. Those are checkable facts, not a safety certification. Before paying, confirm the exact medicine and form, the dispensing pharmacy’s name, your first and recurring monthly total, the refill date, and the five-day cancellation window.

If the offer says “oral tirzepatide,” ask the prescriber or pharmacy exactly what it is and how it is regulated. No FDA-approved oral tirzepatide exists. If you want a framework for comparing GLP-1 routes, costs, and safety questions, this GLP-1 pills safety guide and this Ozempic alternatives guide can help you frame the same checkout questions.

Who may prefer SkinnyRx, and who may prefer another option?

SkinnyRx may suit someone who wants an online intake, clinician review, cash-pay access, and a prescription option that can be delivered or picked up where available. It may be less suitable if you need a published long-term price before enrolling, want a named pharmacy before purchase, want in-person care, or want to use commercial insurance, Medicare, or Medicaid.

Depending on your priorities, another type of option may fit better: brand-name treatment through insurance, a lower-cost cash program with a clearly stated recurring price, an oral option with a clearly identified approved medicine, or an in-person clinic. For a comparison of another telehealth subscription’s checkout and cancellation questions, see this ReadyRx subscription guide.

Talk to a clinician first if

Tell the clinician about a personal or family history of thyroid tumors or MEN 2, pancreatitis, diabetic retinopathy, severe stomach problems including gastroparesis, gallbladder or kidney disease, pregnancy or breastfeeding, and upcoming surgery. MedlinePlus lists these discussion points for semaglutide injection and also lists nausea, vomiting, diarrhea, stomach pain, constipation, and other potential effects. Discuss prescription questions with the clinician managing your care.

Skinny Rx questions people ask

Are SkinnyRx tablets FDA-approved?

No. SkinnyRx’s compounded semaglutide and tirzepatide tablet products are not FDA-approved, and FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.

Does SkinnyRx have a monthly membership fee?

The seller’s blog says membership could be as low as $39 for the first month and $74 after the first month with annual prepayment, but it does not connect those figures to a specific product. Confirm the membership amount and whether it is separate from medicine before checkout.

Can I cancel SkinnyRx anytime?

You can request cancellation through your account, Customer Help Center, or phone. For the next renewal to be avoided, the terms require cancellation at least five days before the renewal processing date.

Are SkinnyRx reviews positive or negative?

They are mixed across platforms. Trustpilot’s displayed overall score is high, while BBB displays a B- rating and complaint volume. Read recent comments for the issue that matters most to you, such as delivery, billing, cancellation, or communication, and treat individual comments as personal reports.

What should I check before ordering?

• The exact medicine, form, and whether it is compounded or FDA-approved.
• The name and contact information of the dispensing pharmacy.
• Your total first charge and recurring total.
• Your renewal-processing date and the five-day cancellation deadline.
• Which charges remain non-refundable after a prescription is reviewed or fulfilled.

The same disciplined review of price, ingredients, and return terms can help with a cbdmd gummies review or virectin reviews as well.

By Sense and Evidence Health Research Team

This article is for general information purposes only and does not constitute medical advice. Consult your doctor or qualified healthcare provider before making changes to your health routine.