Provider review
SkinnyRx review
Sells a real microdose product for both molecules, at full-dose prices.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
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$349/mo sema · $399/mo tirz
Visit SkinnyRxThe microdose SKUs are separately built and separately consented — and priced level with the full-dose plans at every term the two share, with no twelve-month tier to reach the lower rate.
Price as published
SkinnyRx
$349/mo sema · $399/mo tirz
FDA warning letter · SkinnyRx · February 2026 · addressed to Lean Rx, Inc. dba SkinnyRx. Details in our review.
- Vs median
- $174/mo above the $175 median
- Market
- $59–$1,300/mo across 299 of 548
- Structure
- Same price at every dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
What you get here is a real microdose product rather than a smaller amount of somebody else's plan: there are distinct microdose SKUs for both injectable semaglutide and injectable tirzepatide, a microdosing page, a sign-up flow that branches on it, and its own consent step. It also does something worth crediting, because almost nobody here does it — its microdosing consent says outright that the term is descriptive only, is not a recognized dosing category, and carries no assumption of reduced risk, which is closer to what the evidence supports than most of the marketing here. What it does not do is charge you less for taking less. Line its two ladders up and the microdose products cost exactly what the full-dose products cost at every term the two have in common, and because the microdose line stops at an eight-month commitment while the full-dose line runs to twelve, the cheapest rate a microdoser can reach is higher than the cheapest rate a full-dose buyer can reach. Read the price field before comparing it with anything else here, too: every figure the storefront displays is that product's longest-commitment rung, printed under the words as low as, and the month-to-month rate appears on no page of the site.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You want microdosing to be a product the provider actually built, consented and supports — not a standard plan you quietly under-fill yourself
- You want a provider that states in its own consent language that microdosing is not a recognized dosing category, rather than selling it as settled
- You want a low dose of tirzepatide specifically, and want it as a purpose-built option rather than a fraction of a full-dose vial
- You will genuinely commit to eight months or more, which is the only way the microdose line reaches its lower rate
- You want the whole price ladder visible before handing over an email address
Look elsewhere if
- You came here to pay less for taking less — this is the clearest case here of a microdose priced level with the full dose, and its best rate is the higher of the two
- You intend to pay month to month and would be comparing headline figures: every advertised rate is a long-commitment rung, and the monthly rate is published nowhere on the site
- You live in Alabama, Mississippi or Louisiana, which are excluded on every product
- You want the dispensing pharmacy, the operating entity or a LegitScript ID named before you order — none is published
- You were drawn by the brand-name pills on its storefront; both show as unavailable, and no brand tirzepatide is sold at all
What it actually costs
Price as published
$349/mo sema · $399/mo tirz
- Vs median
- $174/mo above the $175 median across the 299 of 548 programs here that publish a plain monthly rate
- Market
- $59–$1,300/mo is the full published spread on this site
- Structure
- Same price at every dose
One stated price across doses. A lower dose does not automatically reduce the bill. Compare the complete medication, membership, laboratory and shipping quotes before assuming another plan costs less.
113 of the 548 programs here price a small dose this way. Sells named microdose products for both injectables and prices them level with its full-dose plans at every term the two share, so taking less costs the same. The microdose line has no twelve-month option while the full-dose line does, so its cheapest reachable rate is the higher of the two. Every figure displayed is a longest-commitment rate, and the month-to-month rate appears nowhere. The non-injectable routes are full-dose products; the microdose is injectable only.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not confirmed
- Labs
- Not required
- Pricing
- Flat at every dose
What it does well
- A purpose-built microdose product for BOTH molecules — "Injectable Semaglutide Microdose" and "Injectable Tirzepatide Microdose" are separate SKUs with their own funnel and their own consent step, not a standard plan you under-fill yourself
- Its own microdosing consent states plainly that "microdosing" is descriptive only and is not a recognized dosing category, alongside a separate "No Assumption of Reduced Risk" section — a more candid framing of the evidence than most providers here offer
- The full price ladder for every product is published in the storefront's own data before any intake quiz, so a plan can be costed without handing over an email address
- Unusually wide catalog for a reader who may switch routes — both molecules as injections, plus a compounded tirzepatide tablet and an oral semaglutide
- No separate membership fee on the GLP-1 line, and the price is stated as the same at every dose, so titrating up does not raise the bill
- Free overnight shipping, Affirm financing, HSA/FSA eligibility and a 90-day money-back guarantee
Pharmacy, labs and oversight
SkinnyRx does not publicly identify the pharmacy that fills its prescriptions. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
2 of 4 published openly
What SkinnyRx publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNo pharmacy is identified anywhere on its own pages.
- Not published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsOne price at every dose, so the bill is knowable before you titrate.
- Published
- FDA warning letter on fileOne is on file. The disclosure and the FDA's own database are directly below.
- On file
FDA warning letter
The U.S. Food and Drug Administration issued a warning letter to SkinnyRx in February 2026. It is addressed to Lean Rx, Inc. dba SkinnyRx — search that name, not ours, to find it. We are not summarizing what it says — read it at the source. This does not change how SkinnyRx is listed here or whether we are paid for a click to it, and we would rather you knew both of those things at once.
How the program works
SkinnyRx is a compounded-GLP-1 telehealth storefront with an unusually wide catalog: semaglutide and tirzepatide as once-weekly injections, a compounded tirzepatide tablet, an oral semaglutide, and — the reason it is here — dedicated microdose versions of both injectables, sold as distinct products rather than as a smaller vial of the standard plan. An online intake is reviewed by a licensed provider after checkout, and microdosing is routed as its own funnel with its own consent step. What a low-dose reader most needs to know is the price structure. Every figure the storefront shows is that product's longest-commitment rung, printed under the words "As low as", and the month-to-month rate appears on no page: semaglutide advertised at $199/mo is $349 by the month, tirzepatide advertised at $299/mo is $399. The microdose products are priced identically to the full-dose ones at every rung they share, and because the microdose line stops at an eight-month commitment while the full-dose line runs to twelve, its cheapest possible rate is higher than the full-dose product's. No dispensing pharmacy, corporate entity or LegitScript ID is published anywhere on the site.
The honest cons
Microdosing here is not a cheaper way in: the microdose SKUs are priced identically to the full-dose products at every rung they share, and because the microdose line has no twelve-month tier its best possible rate is HIGHER than the full-dose product's — $229 against $199 for semaglutide, $319 against $299 for tirzepatide. You pay the same or more for less medication
- Every price the site displays is its longest-commitment rung, labeled "As low as" — the month-to-month rate ($349 semaglutide, $399 tirzepatide, microdose or not) is rendered on no page of the site
- The struck-through $329 shown beside injectable semaglutide matches no plan on its own ladder ($199/$249/$299/$349)
- The FDA issued this company a warning letter in February 2026; the letter is public in the FDA's warning-letter database
- Not available in Alabama, Mississippi or Louisiana, and no served-states list is published anywhere on the site
- The Wegovy® and Foundayo™ pills the storefront advertises both show "Unavailable", and no brand tirzepatide is sold at all — the $49 attached to those pills is a membership fee, not a medication price
- No dispensing pharmacy, corporate entity or LegitScript ID is named anywhere on the site; 503A is referenced only generically in the FAQ
- Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
SkinnyRx is one of 548 low-dose GLP-1 programs compared on this site, and 299 of them publish a monthly rate you can read before signing up. The full list puts every published price in one place, with the companies that pay us listed first — something we state there, on the page it applies to.
Where this sits
#19 of 548
Ordered with the companies that pay us first, and SkinnyRx is one of them. A disclosed partition, not a score.
Compare all 548 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- What the evidence actually shows
- What microdosing GLP-1 costs
- Low dose vs full dose
- Microdose & reconstitution calculator
- Titration planner
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
MEDGm
$299/mo sema · $399/mo tirz after intake
- Vs median
- $124/mo above the $175 median
- Market
- $59–$1,300/mo across 299 of 548
- Structure
- Same price at every dose
- Dispensed
- Compounded by RedRock · Health Warehouse · Precision Medicine · Triad Rx
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the MEDGm review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.