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SkinnyRx Review

Item: SkinnyRx
Author: Peptide Clinic Finder

Edited by Gabriel BrocklesbyFounder & EditorFact-checkedLast updated 17 October 2026

SkinnyRx is a US online service selling compounded GLP-1 and sermorelin treatment, with injections advertised at $99 for the first month, but in February 2026 the FDA sent it a warning letter over website claims about its compounded products. It does not publish what month two costs.

A US online service offering compounded injectable and tablet forms of semaglutide and tirzepatide, and compounded injectable sermorelin, prescribed only after an online consultation with a licensed provider, as SkinnyRx describes it. SkinnyRx advertises first-month prices of $99 for the two injectable GLP-1 products, $149 for semaglutide tablets and $199 for tirzepatide tablets (checked 21 October 2026), and sermorelin at $199 a month (checked 17 October 2026).

See SkinnyRx pricing

Quick verdict

SkinnyRx prints a first-month price beside every product, but not what month two costs, and the FDA sent it a warning letter in February 2026 about how its website described its compounded products. No close-out letter is linked from the FDA's page as of 17 October 2026. If you are weighing it, read the letter, ask what you will pay from the second month, and ask who prescribes and which pharmacy compounds and ships your order.

FDA warning letter 717989

On 20 February 2026 the US Food and Drug Administration issued warning letter 717989 (MARCS-CMS 717989) to Lean Rx, Inc. dba SkinnyRx, of Sacramento, California. It was issued by the Center for Drug Evaluation and Research (CDER), and it asks for a written response to the Office of Compounding Quality and Compliance in CDER's Office of Compliance. The FDA says it reviewed the skinnyrx.com website in December 2025.

In plain words: the FDA says the SkinnyRx website made two kinds of false or misleading claim about its compounded semaglutide and tirzepatide. First, the product labels pictured on the site identified "SkinnyRx" in a way that suggested SkinnyRx is the compounder of the drugs, when the FDA says it is not. Second, website claims such as that a product contains "the same active ingredient as FDA-approved medications" implied FDA approval or evaluation that compounded drugs do not have. The letter alleges misbranding under sections 502(a) and 502(bb) of the Federal Food, Drug, and Cosmetic Act, and a prohibited act under section 301(a).

This is a summary of the FDA's page, not a substitute for it. Read the letter itself for its full wording. As of 17 October 2026 we found no close-out letter linked from the FDA's page for this letter, so we cannot say the matter is closed.

Read warning letter 717989 on fda.gov (checked 17 October 2026)

Key highlights

First-month prices advertised at $99 for injectable tirzepatide (while supplies last), $99 for injectable semaglutide, $149 and $199 for the tablets (checked 21 October 2026)
Month-two and ongoing prices are not published on the pages we read
Says there are no contracts or commitments and you can cancel anytime; FSA and HSA cards are accepted and pay-later financing is offered
Full refund only before a licensed provider completes the prescription review; non-refundable once fulfilment begins
Received FDA warning letter 717989 (20 February 2026) over website claims about its compounded products; no close-out letter is linked from the FDA's page as of 17 October 2026

Who SkinnyRx is best for

Buyers who want to compare first-month prices for compounded GLP-1 injections and tablets, and who are comfortable with a provider that has an FDA warning letter on file and no close-out letter linked from the FDA's page as of 17 October 2026. It does not suit anyone who needs to know the month-two price before they start, because SkinnyRx does not publish it.

This profile is designed to help users compare the program before beginning intake. It is not a recommendation that any treatment is appropriate.

Pricing and access

SkinnyRx advertises these prices on its own site (checked 21 October 2026): compounded injectable tirzepatide, weekly, $99 for the first month while supplies last, with free overnight shipping; compounded injectable semaglutide, weekly, $99 for the first month; compounded semaglutide tablets, daily, $149 for the first month; compounded tirzepatide tablets, daily, $199 for the first month. On 17 October 2026 it also listed compounded injectable sermorelin at $199 a month. Microdose options are listed for the injectable tirzepatide and semaglutide.

SkinnyRx does not publish the month-two or ongoing price for any of its GLP-1 products on the pages we read, and we have not estimated it. Every GLP-1 figure above is a first-month price, and the injectable tirzepatide price is marked "While Supplies Last". Confirm what you will pay each month after the first, for which product and dose, before you start. FSA and HSA cards are accepted, and the site offers pay-later financing through Affirm.

SkinnyRx is a US service and says its providers are based in the United States. The pages we read do not list the states it serves, so check that it serves yours before you pay.

See SkinnyRx pricing

Treatment, consultation, and delivery

Compounded injectable tirzepatide and semaglutide, each once weekly, with microdose options listed on both; compounded semaglutide tablets and compounded tirzepatide tablets, each once daily; and compounded injectable sermorelin. The site also lists FDA-approved brand-name GLP-1 options, some described as available through a SkinnyRx membership, which this review does not cover. A licensed provider decides whether any treatment is appropriate for you.

SkinnyRx says a licensed provider reviews your information and decides whether prescription treatment is appropriate, that its treatments are only available if prescribed after an online consultation, and that all its providers are based in the United States and are licensed and board certified. It says payment is processed only after you finish the pre-qualification medical intake, and that you are not charged if the provider decides you do not qualify. The pages we read do not name the prescribing clinicians.

SkinnyRx says shipping and tracking information follow within two business days of the prescription being written, and the injectable tirzepatide page says the $99 first month comes with free overnight shipping. It describes the medication as dispensed by a U.S. state-licensed pharmacy and does not name the pharmacy on the pages we read. The FDA's letter says SkinnyRx is not the compounder of the drugs shown on its website, so ask which pharmacy compounds and ships your order.

SkinnyRx pricing, explained

Read on skinnyrx.com on 21 October 2026, these are the prices SkinnyRx advertises. Compounded injectable tirzepatide, once weekly: $99 for the first month, marked "While Supplies Last", with free overnight shipping. Compounded injectable semaglutide, once weekly: $99 for the first month. Compounded semaglutide tablets, once daily: $149 for the first month. Compounded tirzepatide tablets, once daily: $199 for the first month. On 17 October 2026 SkinnyRx also listed compounded injectable sermorelin at $199 a month.

The GLP-1 figures are first-month prices only. SkinnyRx does not publish the month-two or ongoing price for any of them on the pages we read, and we do not know what any of them costs after the first month. The injectable tirzepatide price carries a "While Supplies Last" marker, so it may not be available when you look.

SkinnyRx says refund amounts can depend on whether promotional discounts were applied, and that if a subscription is cancelled before the end of a promotional or committed term, discounts received may be reversed or proportionally adjusted. FSA and HSA cards are accepted, and the site offers pay-later financing through Affirm. Confirm the full price, and what a first-month offer becomes, before you pay.

See SkinnyRx pricing

Cancellation and refunds, in SkinnyRx's words

SkinnyRx says there are no contracts or commitments and that you can cancel anytime. Its refund policy is narrower than that sounds. You can cancel an order and receive a full refund any time before a licensed provider completes your prescription review. Once the prescription has been completed and fulfilment has begun, the order is non-refundable.

For ongoing subscriptions you can cancel future months at any time, and SkinnyRx says to cancel before your next shipment is prepared to avoid being charged for the next month. It says it does not offer refunds for partially used subscription periods, although it may issue refunds case by case at its own discretion, and that bundled subscriptions are non-refundable, as are medications already shipped as part of a subscription.

SkinnyRx also says you are not charged if you are not eligible: payment is processed only after the pre-qualification medical intake, and if the provider decides you do not qualify a full refund is issued within 24 to 48 hours.

Worth knowing before you start

The medication is compounded. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality, and SkinnyRx's own tirzepatide page says compounded tirzepatide has not been approved by the FDA for weight loss. A prescription is never guaranteed: a licensed provider decides whether treatment is appropriate for you.

The FDA issued warning letter 717989 to Lean Rx, Inc. dba SkinnyRx on 20 February 2026. In plain words, it says the website suggested SkinnyRx is the compounder of the drugs when it is not, and made claims that implied FDA approval, and it alleges misbranding. We found no close-out letter linked from the FDA's page as of 17 October 2026. The full wording is on the FDA's page, linked above.

The first-month prices are not the price of month two, which SkinnyRx does not publish. The pages we read name neither the prescribing clinicians nor the pharmacy that fills an order.

What to ask SkinnyRx before you enrol

What will I pay from the second month, for which product and dose, and does the price change as my dose changes? The pages we read publish only the first-month figure.

Who prescribes, and which pharmacy compounds and ships my order? The pages we read name neither, and the FDA's letter says SkinnyRx is not the compounder.

What exactly is refundable once my provider has completed the review, and what happens to a first-month discount if I cancel?

Has SkinnyRx responded to FDA warning letter 717989, and has the website wording it covered been changed?

Frequently asked questions

Is SkinnyRx legit?

We do not rate whether a provider is legitimate. What we can say is what is on the record. The FDA issued warning letter 717989 to Lean Rx, Inc. dba SkinnyRx on 20 February 2026, alleging misbranding over website claims that implied SkinnyRx compounds its products and that they have FDA approval, and we found no close-out letter linked from the FDA's page as of 17 October 2026. SkinnyRx says its providers are US-based, licensed and board certified, and that its medication is dispensed by a U.S. state-licensed pharmacy; we have not verified either statement. Read the letter on the FDA's site and ask the questions above before you pay.

See SkinnyRx pricing

Is SkinnyRx FDA-approved?

No. SkinnyRx sells compounded medications, which are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality. The FDA also issued warning letter 717989 to Lean Rx, Inc. dba SkinnyRx on 20 February 2026, alleging that its website implied its compounded products have FDA approval and suggested SkinnyRx is their compounder when it is not. SkinnyRx also lists FDA-approved brand-name options, which this review does not cover.

How much does SkinnyRx cost?

As of 21 October 2026 SkinnyRx advertises $99 for the first month of compounded injectable tirzepatide (while supplies last), $99 for the first month of compounded injectable semaglutide, $149 for the first month of compounded semaglutide tablets and $199 for the first month of compounded tirzepatide tablets. On 17 October 2026 it listed compounded injectable sermorelin at $199 a month. It does not publish the month-two or ongoing price for the GLP-1 products on the pages we read, so confirm it before you pay.

Can I cancel SkinnyRx or get a refund?

SkinnyRx says there are no contracts or commitments and you can cancel anytime. A full refund is available only before a licensed provider completes your prescription review; once the prescription is completed and fulfilment begins the order is non-refundable. It does not refund partially used subscription periods, and bundled subscriptions are non-refundable. You are not charged if the provider decides you do not qualify.

Does SkinnyRx accept FSA or HSA cards?

Yes. SkinnyRx says it accepts FSA and HSA cards, does not require insurance, and offers pay-later financing through Affirm. Check with your plan administrator whether a given treatment is an eligible expense.

Finished the review? Check current availability and pricing for SkinnyRx directly.

See SkinnyRx pricing

SkinnyRx

Pros

The first-month price of every GLP-1 product is printed beside the product, including both tablets
States plainly when a refund ends: once a licensed provider completes the review and fulfilment begins
Says you are not charged if the provider decides you do not qualify
FSA and HSA cards are accepted, and pay-later financing is offered

Considerations

The FDA issued warning letter 717989 on 20 February 2026 over website claims that implied SkinnyRx compounds its products and that they have FDA approval, and we found no close-out letter linked from the FDA's page as of 17 October 2026
Month-two and ongoing prices are not published, so the cost beyond the first month cannot be worked out
The $99 injectable tirzepatide offer is marked "While Supplies Last"
Once a prescription is completed and fulfilment begins an order is non-refundable, and bundled subscriptions and partially used subscription periods are not refunded
The pages we read do not name the prescribing clinicians or the pharmacy that fills an order
Compounded medications are not FDA-approved, and a prescription is never guaranteed

Best next research paths

Compare online GLP-1 programs Compare semaglutide providers online Read semaglutide clinical context

Editorial transparency

PCF reviews online programs for comparison purposes only. Provider details, pricing, availability, and medication paths can change. Confirm current terms directly and consult a licensed clinician before making medical decisions.

Sources for this review, each read on the date shown:

The first-month prices, microdose options, free overnight shipping and the "While Supplies Last" marker: skinnyrx.com, the home page and the injectable tirzepatide page, read in a browser, checked 17 October 2026.
The cancellation and refund policy, FSA and HSA cards, pay-later financing, the provider and pharmacy statements and the compounded notices: skinnyrx.com, the home page and the injectable tirzepatide page, read in a browser, checked 17 October 2026.
FDA warning letter 717989: the addressee, date, issuing office, allegations and the absence of a linked close-out letter: fda.gov, warning letter 717989, read in a browser, checked 17 October 2026.