
Medications
Compounded Semaglutide (oral tablets, oral drops, injectable)
Monthly Cost
$199-$359/mo
Speed to Start
Very Fast
Compounded Medications
Est. 2023
About SkinnyRx
SkinnyRx entered the GLP-1 telehealth market in 2023 with an unusual value proposition: no appointment required. Unlike most competitors that mandate at least one synchronous or asynchronous provider consultation, SkinnyRx allows patients to obtain compounded semaglutide through a questionnaire-only workflow. The company offers multiple delivery formats including oral tablets, sublingual drops, and traditional injectables, with pricing between 199 and 359 per month.
The variety of formulations is a legitimate differentiator. Many patients are needle-averse, and SkinnyRx’s oral and sublingual options remove that barrier entirely. That said, our editorial team notes that compounded oral semaglutide has limited published data on bioavailability compared to the FDA-approved oral formulation (Rybelsus), and patients should discuss absorption expectations with their own physician. The pricing is competitive, particularly at the 9 entry tier for oral formats.
SkinnyRx’s Trustpilot profile is impressive on the surface: a 4.8-star rating from 4,900+ reviews. This is one of the highest satisfaction scores in the GLP-1 telehealth category. Patients consistently praise the ease of ordering and the quality of the oral formulations. The B rating from the BBB is also above average for the industry, suggesting fewer unresolved complaints than many peers.
The no-appointment model raises clinical oversight concerns, however. Weight-loss medications, including GLP-1 receptor agonists, carry real risks including pancreatitis, gallbladder disease, and thyroid complications. A questionnaire alone may not catch contraindications that a live consultation would surface. SkinnyRx provides minimal ongoing support with no lab monitoring, no dietitian access, and limited check-in protocols. For patients with comorbidities or complex medical histories, this hands-off approach could be problematic.
SkinnyRx is best understood as a convenience-first platform. It removes friction from the prescribing process more aggressively than almost any competitor, and its patient satisfaction numbers reflect genuine appreciation for that ease. But convenience and clinical rigor can be in tension, and GLP-1.Reviews believes the lack of a required medical consultation is a meaningful tradeoff that patients should enter with open eyes.
At a Glance
Medications Offered
Compounded Semaglutide (oral tablets, oral drops, injectable)
Compounded
Cost & Insurance
- Monthly: $199-$359/mo
- 6-month estimate: $1,194-$2,154
- Insurance: No
- Self-pay: Yes
Clinical Features
- Lab testing: No
- Dietitian access: No
- Verified Pharmacy: 503A state-licensed, FDA-regulated compounding pharmacies
- BBB Rating: B
Delivery & Access
- Format: Both (oral/tablets + subcutaneous)
- Nationwide telehealth: Yes
- Speed: Very Fast
- Spanish-speaking providers: Not available
Medical Disclaimer: This review is for informational purposes only and does not constitute medical advice. GLP-1 medications are prescription drugs that should only be used under the supervision of a licensed healthcare provider. Individual results may vary.
Editorial Independence: GLP-1.Reviews maintains full editorial independence. Our scores are based on verified data and standardized criteria.













