SkinnyRx reviews 2026: what it costs, what the public record shows, and how cancellation works
What SkinnyRx charges, what its public record shows, and what its terms say about cancelling. Every figure here is read from SkinnyRx's own pages and from FDA's warning letter on November 3, 2026.
By Open Water Rx Editorial Team, Publisher and buyer-guide research
Last checked Rechecked monthly
By Open Water Rx Editorial Team. Published . Sources checked .
Short answer
SkinnyRx is the brand of Lean Rx, Inc., based in Sacramento, California. Its terms say Lean Rx is neither a healthcare provider nor a pharmacy: clinicians at affiliated medical practices prescribe, and independent pharmacies dispense. On November 3, 2026, SkinnyRx advertised compounded semaglutide and tirzepatide injections at $99 for the first month and did not publish the price charged from month two. Its public record is mixed: a 4.8 TrustScore from 5,394 Trustpilot reviews, a B- rating from the Better Business Bureau with 86 complaints in the last 12 months, and an FDA warning letter dated February 20, 2026. SkinnyRx is not scored or ranked in this guide.
Is SkinnyRx legit?
SkinnyRx is an operating company that sells a subscription after a clinician review. Three separate questions decide whether it suits you.
- Who prescribes. SkinnyRx’s terms say providers work through affiliated medical practices that are separate legal entities from Lean Rx, Inc. The pages we read do not name the practices.
- Who dispenses. The terms say independent third-party pharmacies dispense, and that Lean Rx has no ownership in any of them. The pages we read do not name the pharmacy. Ask which pharmacy will fill your prescription, then check its license with that state’s board of pharmacy.
- Whether regulators have raised concerns. FDA sent SkinnyRx a warning letter in February 2026, covered below. A warning letter states the agency’s concerns; it is not a court ruling.
What SkinnyRx costs
| Item | What SkinnyRx lists | Source and check date |
|---|---|---|
| Compounded semaglutide injection, first month | $99, first month only, under a "While Supplies Last" banner. This is not the ongoing price. | skinnyrx.com, checked Nov 3, 2026 |
| Compounded tirzepatide injection, first month | $99, first month only, same banner. This is not the ongoing price. | skinnyrx.com, checked Nov 3, 2026 |
| Compounded semaglutide or tirzepatide, month two onward | Not established. SkinnyRx’s help center says the renewal amount can differ from the first month and is shown at checkout. | support.skinnyrx.com, "How much does treatment cost?", checked Nov 3, 2026 |
| Compounded semaglutide tablets, first month | $149 | skinnyrx.com, checked Nov 3, 2026 |
| Compounded tirzepatide tablets, first month | $199 | skinnyrx.com, checked Nov 3, 2026 |
| Brand-name Wegovy pill and Foundayo | Membership from $248 a month; medication cost not published | skinnyrx.com, checked Nov 3, 2026 |
| What the price may include | Medication if prescribed, provider review, care team support and shipping on eligible plans | support.skinnyrx.com, checked Nov 3, 2026 |
SkinnyRx publishes first-month prices and keeps the renewal price for checkout. Before you pay, write down the amount you will be charged at your first renewal, and when.
What the FDA warning letter says
FDA’s Center for Drug Evaluation and Research sent a warning letter to Lean Rx, Inc. dba SkinnyRx on February 20, 2026, after reviewing skinnyrx.com in December 2025. The letter raised two issues:
- Product images showed "SkinnyRx" on compounded semaglutide and tirzepatide labels. FDA said this suggested SkinnyRx compounded the drugs when it did not.
- The site described the compounded products as containing the same active ingredient as name-brand and FDA-approved GLP-1 medications. FDA said those claims implied the compounded products were FDA-approved or evaluated for safety and effectiveness when they were not.
FDA said the products were misbranded and noted that its list was not exhaustive. Compounded drugs are not FDA-approved, and FDA does not review them for safety, effectiveness or quality before they are sold. Read the letter: FDA warning letter 717989 (opens in a new tab).
Reviews and complaints, by the numbers
| Source | Record | Checked |
|---|---|---|
| Trustpilot (skinnyrx.com) | TrustScore 4.8 from 5,394 reviews | Nov 3, 2026 |
| Better Business Bureau (SkinnyRX, Sacramento) | B- rating, not BBB accredited | Nov 3, 2026 |
| Better Business Bureau complaints | 166 in the last 3 years, 86 in the last 12 months | Nov 3, 2026 |
| FDA | Warning letter 717989, dated February 20, 2026 | Nov 3, 2026 |
| LegitScript | SkinnyRx's site links to LegitScript's lookup. We could not confirm its certification status on LegitScript's own lookup | Nov 3, 2026 |
A star rating measures customer experience, not medical quality. Read the complaint categories on BBB, not only the count.
How to cancel SkinnyRx, and what you get back
From SkinnyRx’s terms (last updated September 22, 2026), its help center and its product-page FAQ, read November 3, 2026:
- You can cancel through the customer help center or by calling 1-888-979-9580.
- Cancel at least 5 days before your renewal processing date. Renewal charges can be processed up to 5 days early.
- A cancellation takes effect at the end of the current subscription period.
- Full refund only if you cancel before a provider completes the prescription review. Once fulfillment starts, the order is not refundable.
- No refunds for partly used subscription periods. If you cancel before the end of a promotional or committed term, discounts you received may be reversed.
- SkinnyRx offers a 90-day money-back guarantee with conditions, including 90 days of continuous paid membership. Read section 19 of its terms before relying on it.
- Disputes go to binding individual arbitration with a class-action waiver. You can opt out within 30 days of accepting the terms by emailing [email protected].
Questions to ask before you pay
- What exactly will I be charged at my first renewal, and on what date?
- Is the first-month price tied to a committed term, and what happens to the discount if I cancel early?
- Which pharmacy will fill my prescription, and in which state is it licensed?
- What do I need to do, and by when, to qualify for the 90-day guarantee?
Compare before you choose
Surfbound Health · Publisher’s own program, scored and ranked the same way
Compounded semaglutide $169 a month and compounded tirzepatide $219 a month, the same at every prescribed dose, with no membership fee. Nothing is charged unless a licensed provider approves the prescription. Cancel any time in the patient portal. Source: surfbound.co/pricing, checked Nov 3, 2026.
GLP1 Buyer Guide and Surfbound Health are both owned by Open Water Rx LLC.
Frequently asked questions
How much does SkinnyRx cost per month?
On November 3, 2026, SkinnyRx advertised first-month prices only: $99 for compounded semaglutide or tirzepatide injections, $149 for semaglutide tablets and $199 for tirzepatide tablets. It did not publish the price charged from month two; its help center says the renewal amount is shown at checkout.
Is SkinnyRx legit?
SkinnyRx is the brand of Lean Rx, Inc. in Sacramento. Affiliated medical practices prescribe and independent pharmacies dispense. On November 3, 2026 it had a 4.8 Trustpilot score from 5,394 reviews and a B- BBB rating with 86 complaints in the last 12 months, and FDA had sent it a warning letter on February 20, 2026.
Did SkinnyRx get an FDA warning letter?
Yes. FDA warning letter 717989, dated February 20, 2026, said SkinnyRx’s website showed its name on compounded drug labels and implied its compounded products were FDA-approved. FDA called the products misbranded.
How do I cancel SkinnyRx?
Use the customer help center or call 1-888-979-9580 at least 5 days before your renewal processing date. Cancellation takes effect at the end of the current period.
Can I get a refund from SkinnyRx?
A full refund applies only before a provider completes your prescription review. After fulfillment starts, the order is not refundable, and partly used periods are not refunded. A separate 90-day money-back guarantee has its own conditions.
Is SkinnyRx semaglutide FDA-approved?
No. SkinnyRx prescribes compounded semaglutide and tirzepatide, and compounded drugs are not FDA-approved.
This article records what SkinnyRx and FDA published on the dates shown. It is not medical advice and does not recommend a program. Prices and terms change; confirm them on SkinnyRx’s own pages before you pay.
Suggested citation
GLP1 Buyer Guide. "SkinnyRx reviews 2026: what it costs, what the public record shows, and how cancellation works." Open Water Rx LLC, last modified November 10, 2026. https://glp1buyerguide.com/articles/skinnyrx-reviews-cost-2026
Last modified . Facts carry the date we checked the provider page behind them.