SkinnyRx vs Zealthy
Recorded prices, access and terms.
The short answer
- Cheapest to start, semaglutide: Neither has a recorded semaglutide monthly-plan rate. The sellers' own lines read SkinnyRx: "$99 first month, renewal not published"; Zealthy: "As low as $151/mo, term not stated". Those terms differ, so we do not rank them.
- Cheapest to start, tirzepatide: Neither has a recorded tirzepatide monthly-plan rate. The sellers' own lines read SkinnyRx: "$99 first month, renewal not published". Those terms differ, so we do not rank them.
- Cheapest over 12 months, semaglutide: Neither record holds a rate and term we can carry to 12 months for semaglutide.
- Cheapest over 12 months, tirzepatide: Neither record holds a rate and term we can carry to 12 months for tirzepatide.
- Broadest availability: Zealthy is recorded in 50 states, SkinnyRx in 48.
- Drugs: SkinnyRx lists compounded medication only; Zealthy lists brand-name and compounded medication.
Price lines compare recorded monthly-plan subtotals and term totals, as on our price pages. A lower recorded rate is not a complete cost: labs, dose changes and the amount due today can differ.
Decision table
The entries below are recorded provider statements unless a regulatory source is linked. A provider webpage does not independently verify its licenses or quality. SkinnyRx source · Zealthy source.
| Compare | SkinnyRx | Zealthy |
|---|---|---|
| Recorded monthly-plan price | Not recorded | Not recorded |
| Recorded medication/program subtotal | Seller's headline: $99 first month for injections, tablets $149 or $199 first month, renewal price not published. It may require prepayment, a specific dose or introductory terms. The full required cost is not established. | Seller's headline: Semaglutide as low as $151/mo, plan term not stated. It may require prepayment, a specific dose or introductory terms. The full required cost is not established. |
| Lowest 12-month total on the record | No rate and term we can carry to 12 months | No rate and term we can carry to 12 months |
| Full required monthly cost | Not established: consultation, labs, membership, dose changes and shipping must be checked | Not established: consultation, labs, membership, dose changes and shipping must be checked |
| Drug type listed | Compounded | Brand-name and compounded |
| Oral option | Listed | Injections only on the record |
| Consultation | Included in the record; current conditions unconfirmed | $135/mo membership in the record; current conditions unconfirmed |
| Membership or program fee | Not separately recorded; do not assume zero. | $135/mo recorded membership; inclusion in bundled prices is unconfirmed. |
| Shipping | Recorded as included; confirm for your address | Recorded as included; confirm for your address |
| Labs | Required tests and any lab charge are not recorded. | Required tests and any lab charge are not recorded. |
| Insurance | Self-pay on the record | Self-pay on the record |
| Pharmacy license | Not independently verified. Obtain the dispensing pharmacy name and verify its state license. | Not independently verified. Obtain the dispensing pharmacy name and verify its state license. |
| Reported states | 48; confirm eligibility and clinician licensing in your state | 50; confirm eligibility and clinician licensing in your state |
| Cancellation | Cancellation reported; notice, minimum term and refund conditions unconfirmed | Cancellation reported; notice, minimum term and refund conditions unconfirmed |
| Clinician/support as reported | Licensed U.S. physicians, 24-48hr prescription review | Licensed physicians, ongoing clinical support |
| Trustpilot | 4.8/5 from 5,401 reviews (read Nov 5, 2026) | 3.2/5 from 6,059 reviews (read Nov 5, 2026) |
| Recorded provider check | 2026-11-06 | 2026-11-06 |
Price by plan and term
Each rate is a per-month amount for the plan named, from the seller's own page on the date shown. A term plan's rate needs the full term; the total under it is the rate times the months.
SkinnyRx
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline | $99 first month, renewal not published | $99 first month, renewal not published | SkinnyRx page, read Nov 6, 2026 |
Last published standing prices were $199/mo injectable semaglutide and $299/mo injectable tirzepatide (seen September 1, 2026). Since September 2 the homepage, both product pages and the FAQ show only a '$99 first month' price for each injectable (tablets $149 / $199 first month) under a '$99 GLP-1 Injections: While Supplies Last' banner, with no renewal rate anywhere, so it has no standing price on record. Plans are subscriptions with no contract, cancel anytime; the refund FAQ notes promotional discounts may be reversed if you cancel before the end of a promotional term. Re-checked September 26, 2026: still only first-month prices ($99 injections 'while supplies last', tablets $149 semaglutide / $199 tirzepatide first month). Re-read November 6, 2026: unchanged.
Zealthy
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline | As low as $151/mo, term not stated | Not listed | Zealthy page, read Nov 6, 2026 |
getzealthy.com/weight-loss says semaglutide 'as low as $151/month' with no term on the page, and brand drugs as low as $25/month where coverage applies (read November 6, 2026). A '$96 off' banner is a first-order promotion.
What is included
SkinnyRx
Visits: consultation recorded as "Included". Care: Licensed U.S. physicians, 24-48hr prescription review.
Shipping: recorded as included.
Labs: Required tests and any lab charge are not recorded.
Dose increases: A price for each dose step is not recorded.
What SkinnyRx lists:
- Three delivery forms: injectable, sublingual, and oral tablets
- Month-to-month billing with no contracts
How it works, per SkinnyRx's page:
- Take an online assessment of your health history, goals and preferences.
- A licensed provider reviews it and decides whether prescription treatment is appropriate.
- If prescribed, fulfillment may be pharmacy pickup or direct delivery where available.
- The care team offers in-app support and progress tracking.
Zealthy
Visits: consultation recorded as "$135/mo membership". Care: Licensed physicians, ongoing clinical support.
Shipping: recorded as included.
Labs: Required tests and any lab charge are not recorded.
Dose increases: A price for each dose step is not recorded.
What Zealthy lists:
- Access to both compounded and FDA-approved brand-name medications
- Physician-supervised with ongoing clinical support
- Can facilitate brand-name prescriptions for insured patients
States served
SkinnyRx: 48 states
Recorded as available in 48 states.
The record names no excluded state. Confirm yours at intake.
Zealthy: 50 states
Recorded as available in all 50 states.
The record names no excluded state. Confirm yours at intake.
State-by-state costs and Medicaid notes are on the GLP-1 cost by state pages.
Drugs offered
SkinnyRx: compounded medication only
- Compounded Semaglutide (Injectable)
- Compounded Semaglutide (Sublingual)
- Compounded Tirzepatide (Injectable)
- Compounded Tirzepatide (Tablets)
An oral form is listed.
Zealthy: brand-name and compounded medication
- Compounded Semaglutide
- Compounded Tirzepatide
- Wegovy
- Zepbound
Injections only on the record.
Compounded drugs are made by a pharmacy for a patient and are not the brand products. Compounded vs brand-name GLP-1.
Membership and other fees
- SkinnyRx: Not separately recorded; do not assume zero.
- Zealthy: $135/mo recorded membership; inclusion in bundled prices is unconfirmed.
A fee missing from the record is unknown, not zero.
Cancellation and refunds
SkinnyRx
Recorded as cancel anytime, but introductory discounts may be reversed on early cancellation. Confirm notice and refund rules.
- A full refund is available until a licensed provider completes the prescription review.
- Partially used subscription periods are not refunded as a rule, and bundled subscriptions are non-refundable.
Zealthy
Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
Which should you choose?
SkinnyRx
On the record, SkinnyRx suits a reader who wants an oral option and no separate membership fee on the record.
Zealthy
On the record, Zealthy suits a reader who wants more states on the record (50 against 48) and brand-name, FDA-approved medication.
Ask each provider for the full cost at your prescribed dose, required labs and visits, the dispensing pharmacy, the clinician's state license, renewal charges and written refund terms. Compare those answers with your clinician.
Compounded drugs are not FDA-approved and do not undergo FDA review for safety, effectiveness or quality before marketing. FDA source and recommendations.
SkinnyRx: evidence and terms
Recorded FDA letter (2026-02-20): FDA found claims on skinnyrx.com for compounded GLP-1 products false or misleading, making the products misbranded under FD&C Act sections 502(a) and 502(bb). FDA letter.
Zealthy: evidence and terms
Recorded FDA letter (2025-09-09): FDA found claims on getzealthy.com for compounded GLP-1 products false or misleading, making the products misbranded under FD&C Act sections 502(a) and 502(bb). FDA letter.
SkinnyRx vs Zealthy: questions
Which is cheaper, SkinnyRx or Zealthy?
Neither has a recorded semaglutide monthly-plan rate. The sellers' own lines read SkinnyRx: "$99 first month, renewal not published"; Zealthy: "As low as $151/mo, term not stated". Those terms differ, so we do not rank them. Neither has a recorded tirzepatide monthly-plan rate. The sellers' own lines read SkinnyRx: "$99 first month, renewal not published". Those terms differ, so we do not rank them. These are medication and recorded program-fee subtotals; labs, dose changes and other charges may be extra.
Which costs less over a year, SkinnyRx or Zealthy?
Neither record holds a rate and term we can carry to 12 months for semaglutide. Neither record holds a rate and term we can carry to 12 months for tirzepatide. A term plan commits you for the full term, so check its refund rules first.
Is SkinnyRx or Zealthy available in more states?
Zealthy is recorded in more states: 50 against 48. Confirm your state at intake.
Do SkinnyRx and Zealthy offer brand-name or compounded GLP-1?
SkinnyRx lists compounded medication only (Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets)). Zealthy lists brand-name and compounded medication (Compounded Semaglutide, Compounded Tirzepatide, Wegovy, Zepbound). Compounded drugs are not FDA-approved.
Does SkinnyRx or Zealthy charge a membership fee?
SkinnyRx: Not separately recorded; do not assume zero. Zealthy: $135/mo recorded membership; inclusion in bundled prices is unconfirmed.
Can you cancel SkinnyRx or Zealthy at any time?
SkinnyRx: Recorded as cancel anytime, but introductory discounts may be reversed on early cancellation. Confirm notice and refund rules. Zealthy: Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
Are the visit and shipping included with SkinnyRx and Zealthy?
SkinnyRx: consultation recorded as "Included", shipping recorded as included. Zealthy: consultation recorded as "$135/mo membership", shipping recorded as included.
Do SkinnyRx or Zealthy take insurance?
Neither is recorded as accepting insurance; both are self-pay on our record.
Does SkinnyRx or Zealthy offer a pill or tablet?
SkinnyRx lists an oral option; Zealthy lists injections only on our record.
Compare the full provider directory · Compare recorded price subtotals