Compounded tirzepatide

SkinnyRx review

By ·Editor·Reviewed

After a discounted first month, SkinnyRx renews compounded tirzepatide at $299 a month on its 1-month plan. The price doesn't rise at higher doses, and shipping is free. The $225 figure on the same page belongs to the 12-month plan, which charges the whole year at checkout.

A real month costs$299advertised $225 +$74.00 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesSame at every dose
Where it shipsClaims every state
FDA warning letterOne on filestill listed here
Visit SkinnyRx →We earn a commission if you start care through this link, at no extra cost to you.

Visit SkinnyRx →We earn a commission if you start care through this link, at no extra cost to you.

On this page

Who it suits

Good fit if

  • You want to pay one month at a time and keep the option to stop after any month.
  • You'd rather check out first and answer the health questions by text afterward.
  • You expect your dose to climb, since SkinnyRx lists the same price at higher doses.

Look elsewhere if

  • You live in Alabama, Louisiana or Mississippi, where SkinnyRx doesn't sell compounded medication.
  • You're comparing the $225 headline with other sellers' monthly prices. Month to month, it's $299.

What you get

The shop page offers injectable tirzepatide on four plans: 1, 4, 6 and 12 months. The 1-month plan renews at $299 once a calendar month. The longer plans lower the monthly rate, down to $225 on 12 months, but each one bills its full term at checkout and renews for another full term.

Every plan covers the provider visits, dose changes, the medication and free shipping, and the page lists a microdose option. SkinnyRx says its providers are licensed in the U.S. and its vials come from 503A compounding pharmacies. Provider access is unlimited five days a week, and questions about side effects or dosing cost nothing extra.

SkinnyRx also backs the program with a 90-day money-back guarantee. It pays out only if you log your weight and every dose in the app each week and end the 90 days no lighter than you started.

How it works

  1. Pick a plan on the tirzepatide shop page and check out. There's no health form before you pay.
  2. A SkinnyRx clinical assistant texts you a secure link within a few minutes. The intake takes about five minutes.
  3. A licensed provider reviews it within 24 hours. Depending on your state, you may need a short video visit first.
  4. Once you're prescribed, tracking details follow within 2 business days and the medication ships free.
  5. Near the end of each month you fill in a refill form. If the provider approves, the next supply ships automatically.

Check SkinnyRx's tirzepatide price

$299 a month for compounded tirzepatide.

Visit SkinnyRx →We earn a commission if you start care through this link, at no extra cost to you.

Pros and cons

Pros

  • The 1-month plan lets you leave after any month instead of committing to 4, 6 or 12.
  • Its comparison table promises “Same price” at higher doses, so a dose increase doesn't raise the bill.
  • If a provider decides tirzepatide isn't right for you, SkinnyRx's checkout promises a full refund.

Cons

  • The $225 rate requires paying for all 12 months in one charge at checkout.
  • Compounded tirzepatide isn't sold to anyone in Alabama, Louisiana or Mississippi.
  • The FDA sent SkinnyRx's parent company, Lean Rx, a warning letter in February 2026.

Check before you pay

What renews, and when
The checkout spells out the renewal before you pay: the 1-month plan renews every month at $299. A 4, 6 or 12-month plan renews for the same length again, billed in one payment. Cancel in your account or through support.
Stopping before a shipment
To avoid next month's charge, cancel before your next shipment is prepared. Leaving a longer plan early can reverse the discount you received, and bundled plans aren't refundable.
The guarantee's fine print
The 90-day guarantee needs 90 straight paid days, weekly weight and dose logs in the app, and a claim within 14 days of the period ending.
Regulatory history
The FDA's February 2026 warning letter to Lean Rx, which does business as SkinnyRx, was about false or misleading claims and misbranding.
FDA warning letter
FDA sent SkinnyRx a warning letter in February 2026. Read what it covers.

Price

SkinnyRx costs $299 a month for compounded tirzepatide. It advertises $225.

How we got $299

The arithmeticOne month = 30.4375 days

  1. SkinnyRx advertises

    Read on SkinnyRx's own site

    $225.00

  2. The card is charged $299.00, not $225.00

    The advertised figure is not the amount that leaves the account.

    + $74.00

  3. And it is charged once a calendar month

    + $0.00

A real month$299.00

A real month costs $74.00 more than the figure advertised.

Where it sits, and what costs less

$86median $269$434+

221 cheaper · 61%119 dearer · 33%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. SkinnyRx$299

Another 216 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.

Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.

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 →

SkinnyRx questions

Is SkinnyRx legit?
SkinnyRx is a telehealth service run by Lean Rx, Inc. Independent licensed providers decide on prescriptions, and U.S. 503A pharmacies fill them. Its tirzepatide is compounded, so it isn't Zepbound or Mounjaro and has no FDA approval. The FDA sent Lean Rx a warning letter in February 2026.
How much is SkinnyRx tirzepatide per month?
$299 a month on the 1-month plan, after a discounted first month. Prepaying longer terms lowers the rate, with the 12-month plan working out to $225 a month. The price holds at higher doses.
Does SkinnyRx take insurance?
No. SkinnyRx doesn't require insurance. It takes major credit cards and FSA or HSA cards, and offers Affirm financing at checkout.
Can you cancel SkinnyRx?
Yes, in your account or by contacting support. Cancel before your next shipment is prepared to avoid the next charge. An order becomes non-refundable once the prescription is written and fulfillment starts.

Ready to start with SkinnyRx?

Prescribed online by a licensed clinician if you qualify.

Visit SkinnyRx →We earn a commission if you start care through this link, at no extra cost to you.

Other tirzepatide sellers to compare

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