Review · Not a partner
A month of compounded injectable tirzepatide is $299 at SkinnyRx after the first one. The $99 on every page is month one, and the plan it sits on charges $1,349.10 the day you buy it.
One month, no commitment
$299/mo, month to month
Price read from SkinnyRx's own page
Not a partner. Links to SkinnyRx go to their own site and pay us nothing. Who pays us.
Compare every priced provider →SkinnyRx sells compounded tirzepatide and semaglutide in two forms each, and it is the busiest funnel on this roster: six shop and checkout pages, an A/B-tested intake, a financing partner and two branded pills it cannot currently supply.
It trades as Lean Rx, Inc., and its telehealth is contracted out — “Medical services available through SkinnyRx are provided through our telemedicine partner, AyaRx.”
| Plan | Per month | Charged today |
|---|---|---|
Injectable, 1 month plan · advertisedSource1 month plan Save $200 $99 first month, then $299/mohttps://skinnyrx.com/shop/tirzepatide-injectable — read 2026-09-02 | $299 | $99 |
Injectable, 6 month planSourceBy checking out, you authorize a $1,349.10 charge today for a 6 month plan that then auto-renews every 6 months at $1,500.https://skinnyrx.com/shop/checkout-injectable — read 2026-09-02 | $250 | $1,349.10 |
Tablets, 1 month planSource1 month plan Save $100 $199 first month, then $299/mohttps://skinnyrx.com/shop/tirzepatide-tablets — read 2026-09-02 | $299 | $199 |
Tablets, 6 month planSourceyou authorize a $1,449 charge today for a 6 month plan that then auto-renews every 6 months at $1,500https://skinnyrx.com/shop/checkout — read 2026-09-02 | $250 | $1,449 |
⛔ The plan cards read like monthly billing and the checkout says otherwise: the whole term is charged on day one, and the cycle is “Every 30 days for 6 months” rather than a calendar month. ⚠ Two more rungs are advertised on each product page and are not here, because SkinnyRx publishes a per-month rate for them and no charge: the injectable at $289 on four months and $225 on twelve, the tablets at $289 on three and $225 on twelve. Only the six-month plan carries an authorization line, and reaching the others means pressing Buy Now.
We did not find a price for this on SkinnyRx's own pages when we read them in September 2026.
SkinnyRx sells compounded semaglutide as an injection and as a tablet and publishes one figure for each: “$99 first month” and “$149 first month”. Neither has a shop page, neither has a plan ladder, and its sitemap carries no /shop/semaglutide path at all. Its buttons go to the intake, which runs past eleven screens to an account-creation wall without showing a price. So there is no standing semaglutide rate to publish — not because the walk stopped early, but because nothing before the wall states one.
$299 a month for compounded tirzepatide, injection or tablet, once the first month is behind you. The first month is $99 for the injection and $199 for the tablet.
The prepay rungs cut the standing rate rather than the first month: $289 a month on four months, $250 on six, $225 on twelve, with the $99 or $199 first month on top of each.
⛔ Read the checkout before the plan card. The card looks like a monthly bill; the authorization line says “By checking out, you authorize a $1,349.10 charge today for a 6 month plan that then auto-renews every 6 months at $1,500.” The whole term leaves the card at once, and the order summary sets the cycle at “Every 30 days for 6 months” rather than calendar months.
It also renews dearer than it sells. The same line that takes $1,349.10 renews at $1,500, on a site whose shop pages say “We bundle it all — for a price that never goes up.”
The $72.21 on nine pages is not a SkinnyRx price. It is a financing illustration on a hypothetical purchase: “For example, a $800 purchase could be split into 12 monthly payments of $72.21 at 15% APR.”
Neither is the $250 consultation figure. That sits in a column headed “The traditional route”, next to $100 a month for follow-ups and $50 for messaging — what SkinnyRx says a clinic charges, not what it charges. Its own line is that clinician access costs nothing extra.
Two savings claims do not survive their own arithmetic. The injectable page prints “Your total/mo $224.85”, “Traditional total/year $6,250” and “TOTAL ANNUAL SAVINGS $3,250”, but $224.85 across twelve months is $2,698.20, which leaves $3,551.80. The tablets page reconciles exactly. And “Your total/mo” matches no rung on either page: the injectable twelve-month plan works out at $214.50 a month, not $224.85.
The full breakdown — what is included, what is extra, and what happens at higher doses — is on the SkinnyRx cost page.
Anyone budgeting on $99. It buys one month of one product; the second month is $299 unless you have prepaid a term.
Anyone who reads a plan card as a monthly bill. The six-month plan takes $1,349.10 on day one.
Anyone counting on the price holding. The same checkout that charges $1,349.10 renews at $1,500, under a shop page promising a price that never goes up.
Anyone in Alabama, Louisiana or Mississippi. The terms exclude compounded medication there, and the checkout's delivery dropdown offers all fifty states and DC anyway.
Anyone wanting semaglutide with a price attached. SkinnyRx sells it and publishes only a first-month figure.
These are the checks this site applies to every company — how we review. Not stated means we could not find it on their site, which is a finding about the site, not about the company.
Read September 2, 2026. Thirty of SkinnyRx's own URLs, taken from its sitemap: the home page, all six product pages, all six shop and checkout pages, /faq, /contact, /terms, /privacy, /intake and its A/B variant, /quiz-hp2, /microdosing, /tirzepatide-tablet, three credential pages, /homepage-start, two bundle pages, /provider/guides, robots.txt, sitemap.xml and a nonsense control.
⛔⛔ THE INSTRUMENT FAILED BEFORE THE READING DID, AND THE CONTROL IS THE ONLY REASON THIS RECORD IS TRUSTWORTHY. skinnyrx.com returns HTTP 200 and an identical 4,407-byte shell for every path, including one invented for the purpose. Status and size both “confirm” URLs that do not exist. The valid test is the rendered page: the control at /zzz-nonsense-control-8172 renders the words “Page not found”, and every real URL above rendered real content. No URL on this host was minted from a pattern; the catalog came from its own sitemap.
The ladder, quoted in reading order from https://skinnyrx.com/shop/tirzepatide-injectable: “$99 first month”, then “Max Savings 12 month plan Save $1,014 $99 first month, then $225/mo”, “Most Popular 6 month plan Save $445 $99 first month, then $250/mo”, “4 month plan Save $230 $99 first month, then $289/mo”, “1 month plan Save $200 $99 first month, then $299/mo”. The tablets page carries the same shape at $199 first month with a three-month rung in place of the four, ending “1 month plan Save $100 $199 first month, then $299/mo”.
★ What the checkout says that the cards do not, quoted in full from /shop/checkout-injectable: “By checking out, you authorize a $1,349.10 charge today for a 6 month plan that then auto-renews every 6 months at $1,500. Cancel anytime in your account or by contacting support. If a provider determines treatment isn't right for you, you'll receive a full refund.” Its order summary reads “Injectable Tirzepatide”, “6 month plan”, “$99”, “first month”, “then $250/mo”, “Subtotal”, “$1,349.10”, “Shipping”, “$0.00”, “Shipping Frequency”, “Every 30 days for 6 months”, “Total if prescribed”, “$1,794”, “$1,349.10”, “You are saving $445 with your plan.” The tablets checkout says the same thing at its own figure: “you authorize a $1,449 charge today for a 6 month plan that then auto-renews every 6 months at $1,500”.
Why only two of the eight advertised rungs are on the ladder above. Both checkout pages load with the six-month plan hard-selected whatever path you arrive by, and the only way to load a different plan is to press Buy Now — a commit control, which is not pressed here. So the four-, three- and twelve-month rungs have a published per-month rate and no published charge, and they are described rather than priced.
The $72.21, settled. It appears on nine of the nine captures that carry it and only ever inside the financing disclosure: “For example, a $800 purchase could be split into 12 monthly payments of $72.21 at 15% APR.” It is not a SkinnyRx price and not a weekly rate.
The $250, $100 and $50 figures on the shop pages belong to a column headed “The traditional route” — a comparison against a clinic, not SkinnyRx's own fees. Its own position: “If you have questions about progress, side effects, or dosage, you can consult with a clinician at no extra cost through our patient portal.” A membership fee exists and is never priced: “Any SkinnyRx membership fee charged for access to branded medication is non-refundable.”
The savings arithmetic, both halves. Injectable page: “Your total/mo $224.85”, “Traditional total/year $6,250”, “TOTAL ANNUAL SAVINGS $3,250” — but 12 × $224.85 = $2,698.20 and $6,250 − $2,698.20 = $3,551.80. The tablets page prints $241.50, $6,250 and $3,352, and 12 × $241.50 = $2,898, which leaves exactly $3,352. A footnote says the SkinnyRx figure “reflects the 12 month plan”; the injectable twelve-month plan is $99 + 11 × $225 = $2,574, or $214.50 a month.
Excluded states that the checkout still sells to. Terms: “certain compounded medication and related offerings are currently not available in Alabama, Louisiana, and Mississippi”. The delivery dropdown at checkout offers 51 entries — every state plus the District of Columbia — with none of the three missing.
Where the semaglutide walk ended, and why nothing is published from it. Eleven screens in, the intake reaches “Account Setup”, “What is your email?” and a required consent box; Continue is refused until it is ticked. It was not ticked, no email was entered and no account exists. Three earlier passes stalled on the walker's own errors and are not cited. No price appears on any screen before that wall.
The entity: “Lean Rx, Inc. (“SkinnyRx”, “LeanRx”, “we”, “our” or “us”) owns and operates the SkinnyRx website”, at 2108 N ST STE N, Sacramento, CA 95816, with the footer reading “©2026 Lean Rx, Inc.”
Screened against FDA's published enforcement index on September 2, 2026 and nothing is filed against this company. The screen ran over all 3,664 letters on the strings SkinnyRx, Skinny Rx and Lean Rx and returned no match; the same screen in the same pass returns the three letters this roster already carries for Hims, Hers and Levity.
What is not on these pages, and the strings searched for it. Across all 27 content captures, “licensed in”, “your state”, “all 50”, “50 states” and “state where” return no statement that the prescriber is licensed where the patient is — every hit refers to the pharmacy. The nearest is “Based on your health needs and state-specific requirements, you may have a quick video visit”. No compounding pharmacy is named; the site says only “503A pharmacies are licensed by state boards of pharmacy and are FDA-compliant”. On fulfillment, the terms restrict the customer's location — “We are based in the United States, and the Services are intended for use only by persons located in the United States” — which says nothing about where medication is compounded, so that row reads Not stated.
The same molecules at every other company we have reviewed, with the range each one falls in.
Words used above: Compounded, 503A, Prepay, Membership, Auto-renewal. All of them are in the glossary.
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