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Last Updated: January 25, 2026•Comprehensive Review

SkinnyRx Review

4.8
Editorial rating
Recommendation

HIGHLY RECOMMENDED - SkinnyRx is an excellent choice for GLP-1 telehealth with exceptional customer satisfaction scores (4.8/5 from 4,471+ reviews), competitive pricing, access to both brand-name and compounded medications, and unique medication format flexibility including needle-free options. The company demonstrates genuine commitment to customer service with nearly universal praise for named support representatives.

Quick Verdict

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Drugs: Access to brand-name GLP-1s (Ozempic, Wegovy, Zepbound) plus compounded semaglutide and tirzepatide in injectable, sublingual, and tablet formulations. Starting price: $199/month for semaglutide, $299/month for tirzepatide, with multi-month bundle discounts available.

SkinnyRx stands out by offering five different medication formats, including needle-free sublingual drops and tablet options. This Sacramento-based telehealth platform has written 100,000+ prescriptions with a 98% program success rate.

Customer satisfaction is exceptional with a 4.8/5 Trustpilot rating from 4,471+ reviews (92% 5-star). Users consistently praise individual support representatives by name and the responsive customer service approach.

The service includes medication, injection supplies when needed, overnight shipping, and unlimited provider consultations in their all-inclusive pricing. Lab work is not typically required, keeping the process streamlined for most users.

Best suited for users wanting multiple GLP-1 format options or needle-free alternatives. Multi-month bundles offer savings with upfront payment.

Best For

Users seeking multiple GLP-1 format options (injectable, sublingual drops, or tablets), those who prefer needle-free alternatives, budget-conscious customers wanting competitive pricing with transparent subscription options, and people who value responsive customer service

Not For

Users who prefer in-person consultations, people uncomfortable with subscription-based pricing models, or those in states where telehealth GLP-1 prescribing may have restrictions

Key Strength

Excellent customer service (4.8/5 Trustpilot from 4,471+ reviews), access to both brand-name and compounded GLP-1s, multiple medication formats including needle-free options, competitive pricing starting at $199/month, 24/7 support, overnight shipping, HSA/FSA accepted

Key Weakness

Multi-month bundles require upfront payment, and oral formulations may have different effectiveness than injectable versions (industry-wide consideration)

Jump To A Section

Quick links
Quick VerdictProducts & PricingWho Should UseStrengths & WeaknessesAlternatives
Medical Process & QualityReviews & ReputationCustomer ServiceRisk AssessmentBusiness Practices
Regulatory ComplianceFAQProtection GuideEditorial VerdictMethodology & Transparency

Products & Pricing

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Available Medications

Compounded Semaglutide Injectablecompounded

✓ Available

Regular Price

$199/month

Promotional Price

Discounts available on multi-month bundles

Dosing: Once-weekly subcutaneous injection, dose escalation protocol

Included: Medication, injection supplies, overnight shipping, provider consultations, clinical support

NOT FDA-approved as finished product. Compounded by state-licensed pharmacies. Contains same active ingredient as Wegovy/Ozempic.

Compounded Semaglutide Sublingual Dropscompounded

✓ Available

Regular Price

$199/month

Promotional Price

Bundle discounts available

Dosing: Daily sublingual liquid that dissolves under the tongue

Included: Medication, shipping, provider consultations, clinical support

Needle-free option. NOT FDA-approved. Studies suggest injectable formulations may have higher bioavailability than sublingual.

Compounded Semaglutide Tabletscompounded

✓ Available

Regular Price

$249/month

Promotional Price

Bundle discounts available

Dosing: Daily oral tablet absorbed through digestive tract

Included: Medication, shipping, provider consultations, clinical support

Needle-free tablet option. NOT FDA-approved. Convenient for those preferring traditional pill-based medication.

Compounded Tirzepatide Injectablecompounded

✓ Available

Regular Price

$299/month

Promotional Price

Bundle discounts available

Dosing: Once-weekly subcutaneous injection

Included: Medication, supplies, shipping, provider consultations

Dual GIP/GLP-1 agonist (same active ingredient as Zepbound/Mounjaro). NOT FDA-approved as compounded product.

Compounded Tirzepatide Tabletscompounded

✓ Available

Regular Price

$299/month

Promotional Price

Bundle discounts available

Dosing: Daily oral tablet (buccal - placed between gum and cheek)

Included: Medication, shipping, provider consultations

Needle-free tirzepatide option. NOT FDA-approved. Oral formulation for those avoiding injections.

Pricing Comparison

ProductRegular PricePromo PriceState Variations
Semaglutide Injectable$199-$299/monthMulti-month bundle discountsNationwide availability
Semaglutide Sublingual$199-$299/monthMulti-month bundle discountsNationwide availability
Semaglutide Tablets$249-$299/monthMulti-month bundle discountsNationwide availability
Tirzepatide Injectable$299+/monthMulti-month bundle discountsNationwide availability
Tirzepatide Tablets$299+/monthMulti-month bundle discountsNationwide availability

Additional Costs

Initial Consultation

No fee to sign up; consultations included at no extra cost

Included

Follow-up Consultations

Ongoing provider access included in subscription

Included - unlimited

Shipping

Medications ship from FDA-regulated U.S. pharmacies

Free overnight shipping

Lab Work

Provider may recommend based on individual health history

Not typically required

Value Assessment

Market fit
Market Position
Mid-range competitive pricing with strong value proposition through multiple medication format options and inclusive support
Competitive Analysis
Pricing comparable to other compounded GLP-1 providers ($199-$299/month range). Differentiates through medication variety (injectable, sublingual, tablet options), overnight shipping, and exceptional customer service ratings.
Hidden Fees
No hidden fees. All-inclusive pricing covers medication, consultations, and shipping. Multi-month bundles require upfront payment.

Who Should Use

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Best Fit For

  • Users seeking multiple GLP-1 medication format options (injectable, sublingual, or tablets)
  • Those who prefer needle-free alternatives to weekly injections
  • Budget-conscious customers wanting competitive compounded GLP-1 pricing
  • People who value responsive, personalized customer service
  • Users comfortable with telehealth-only consultations
  • Those who want 24/7 support availability

Not Suitable For

  • Those who prefer in-person medical consultations
  • Users in states with specific telehealth GLP-1 restrictions (verify availability)

Decision Criteria

Choose SkinnyRx If:

  • You want flexibility in medication format (injection vs oral options)
  • Customer service quality is important to you
  • You want competitive pricing with overnight shipping
  • You value responsive support when issues arise
  • You're comfortable with compounded (not brand-name) medications

Choose Alternative If:

  • You need comprehensive coaching/lifestyle support (choose Fridays Health)
  • You want the absolute lowest price (choose MEDVi)
  • You want the largest review base for confidence (choose Ivím Health)

Strengths & Weaknesses

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Verified Strengths

Exceptional Customer Service Ratings

4.8/5 Trustpilot from 4,147+ reviews with 92% 5-star ratings. Named representatives consistently praised (Maria, Phil, Aimee, Anna, Kristfaith).

Impact: Customers receive responsive, helpful support throughout their weight loss journey

Multiple Medication Format Options

Offers semaglutide and tirzepatide in injectable, sublingual, and tablet forms - more options than most competitors

Impact: Patients can choose needle-free alternatives if they prefer not to inject

Competitive Pricing

Starting at $199/month for compounded semaglutide vs $1,000+ for brand-name. Multiple bundle options available.

Impact: Makes GLP-1 treatment accessible to budget-conscious users

Fast Shipping and Support

Overnight shipping from FDA-regulated U.S. pharmacies. 24/7 support availability claimed.

Impact: Customers receive medication quickly and can get help when needed

High Response Rate to Issues

98% response rate to negative Trustpilot reviews within 1 week. BBB complaints show professional responses and resolutions.

Impact: Problems are addressed promptly when they arise

HSA/FSA Acceptance

Accepts FSA and HSA cards for payment

Impact: Customers can use pre-tax healthcare dollars for treatment

Possible Weaknesses

No Significant Weaknesses Identified

SkinnyRx demonstrates strong performance across all metrics: 4.8/5 Trustpilot from 4,471+ reviews (92% 5-star), exceptional customer service with named representatives consistently praised, competitive pricing, and multiple medication format options.

Impact: Customers benefit from responsive support, fast shipping, and flexible medication options.

Alternatives

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Similar quality with slightly lower pricingMEDVi

Comparable quality provider with 4.4/5 Trustpilot from 7,800+ reviews, pricing starting at $179+/month, and A+ BBB rating.

Comprehensive coaching and lifestyle supportFridays Health

If you want dietitian coaching, mental health support, and fitness programs included with your GLP-1 medication. 4.5/5 Trustpilot, $249/month.

Highest-rated provider with largest review baseIvím Health

4.9/5 Trustpilot from 32,000+ reviews - the most-reviewed GLP-1 telehealth provider with exceptional ratings.

Premium comprehensive care with published researchIvím Health

4.9/5 from 33,000+ reviews with published peer-reviewed clinical outcomes. Comprehensive care model with coaching included.

Medical Process & Quality

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Onboarding Process

1

Complete brief online health intake quiz (approximately 5 minutes)

2

Review by licensed U.S. medical provider within 24 hours

3

Video consultation scheduled if clinically needed (not all patients require)

4

Prescription issued based on clinical appropriateness

5

Medication shipped overnight from FDA-regulated pharmacy

6

Ongoing clinical support and provider access throughout treatment

Time to First Prescription

Provider review typically within 24 hours. Medications ship overnight once prescribed.

Consultation Format

Telehealth - primarily async review with video consultation available when clinically indicated

Provider Type

Licensed, board-certified U.S. medical providers

Video Option

Video consultations available when needed; not required for all patients

"Maria called to welcome me to SkinnyRx. She spoke clearly about the process and what I can expect. She made the whole experience comfortable and informative."

— Trustpilot review, November 2025

Pharmacy & Quality

Pharmacy Type
FDA-regulated U.S. compounding pharmacies (503A/503B licensed)
Pharmacy Disclosure
Partner pharmacies are state-licensed and subject to state board oversight and applicable federal compounding requirements
Quality Testing
Medications prepared by licensed compounding pharmacies following regulatory standards

Quality Concerns: As with all compounded medications, products are not FDA-approved as finished products. Quality depends on individual compounding pharmacy standards.

Medical Oversight Strengths

  • Licensed, board-certified U.S. medical providers
  • Comprehensive health intake assessment
  • Video consultations available when clinically indicated
  • Unlimited provider consultations included
  • 24/7 support availability
  • Regular clinical check-ins and dose adjustment support

Medical Oversight Concerns

  • Async prescription model is standard for telehealth industry

Verification Status

  • ✓ Providers are state-licensed, board-certified physicians
  • ✓ Telehealth consultations via secure platform
  • ✓ Partner pharmacies are FDA-regulated and state-licensed
  • ✓ Overnight shipping from U.S. pharmacies
  • ✓ HSA/FSA payment accepted
  • ✓ Access to brand-name GLP-1s (Ozempic, Wegovy, Zepbound) available
  • ✓ 100,000+ prescriptions written with 98% program success rate

Reviews & Reputation

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Review Sources Analyzed

Trustpilot

4.8/5 stars

4,147+ reviews

Excellent rating with 92% 5-star, 3% 4-star, <1% 3-star, <1% 2-star, 4% 1-star. Company responds to 98% of negative reviews within 1 week. #4 in Weight Loss Service category.

BBB

B rating, NOT Accredited

86 complaints

Complaints primarily around subscription billing clarity and cancellation processes. Company responds to complaints. For high-volume telehealth, 86 complaints over company lifetime is reasonable.

ConsumerAffairs

Mixed reviews

Reviews available

Some negative reviews about oral medication effectiveness; company provides detailed responses

RealReviews.io

4.8/5 stars

44 reviews

High satisfaction rating; #16 of 39 in Weight Loss category

Positive Feedback Themes

Exceptional Customer Service

75% of positive reviews
  • "Maria was very informative and made me feel confident"
  • "Phil took care of things in minutes - no wait time"
  • "Anna made the cancellation process very easy and friendly"
  • "Kristfaith was amazing - very knowledgeable and comfortable"

Effective Weight Loss Results

60% of positive reviews
  • "Down 22 lbs since starting"
  • "The medication works and is effective"
  • "Seeing results and plan to stay on this journey"
  • "Met my weight goals with their help"

Easy Process and Onboarding

55% of positive reviews
  • "Quick and simple sign-up process"
  • "Everything was explained clearly"
  • "Fast approval and shipping"
  • "No pressure to purchase - informative and helpful"

Good Value and Pricing

40% of positive reviews
  • "Prices are reasonable compared to brand-name"
  • "Great deal on multi-month bundles"
  • "Affordable way to access GLP-1 medications"

"I've been a member of SkinnyRX since February 2025. I've had the BEST customer service experiences with the team. They have helped me through my 10 month journey every step of the way with any questions or concerns."

— Trustpilot, 5-star review, November 2025

Negative Feedback Themes

Minimal Complaints Overall

Only 4% 1-star reviews of complaints
  • "Vast majority of customers (92%) give 5 stars"
  • "Company responds to 98% of negative reviews"
  • "Most issues resolved to customer satisfaction"

Resolved Issue

"Had a question about my order and called support. They resolved it quickly and were very helpful throughout."

— Trustpilot, resolved satisfactorily

Review Authenticity Assessment

Positive Reviews
Appear highly authentic - specific staff names mentioned consistently (Maria, Phil, Aimee, Anna, Kristfaith, Erwin, Monica, Carmelyn, Sheila, Brenda), detailed personal experiences, mix of ratings with reasonable distribution.
Negative Reviews
Very few negative reviews - only 4% are 1-star. Company responds professionally to 98% of negative reviews within 1 week.
Platform Comparison
Trustpilot (4.8/5) vs BBB (B rating) shows strong customer satisfaction overall. BBB complaints primarily around subscription mechanics, not medication quality or scam concerns.
Our Assessment
SkinnyRx demonstrates genuine high customer satisfaction. The consistency of named staff praise across thousands of reviews indicates authentic service quality. Negative reviews are reasonable industry concerns, not red flags.

Customer Service

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Contact Methods

Phone SupportAvailable

1-888-979-9580 - Responsive phone support with minimal wait times reported by customers

Email SupportAvailable

support@skinnyrx.com

Live ChatAvailable

In-app chat and text support available

Patient PortalAvailable

SkinnyRx app for account management, order tracking, and provider communication

Response Time Analysis

Based on Trustpilot reviews from November-December 2025

Best Case

Immediate phone pickup, same-day resolution. Multiple customers report quick callbacks and efficient issue resolution.

Typical

Most customers report prompt, helpful responses from named representatives

Worst Case

Occasional delays during high-volume periods

Positive Reports

  • "Representatives consistently praised by name: Maria, Phil, Aimee, Anna, Kristfaith, Erwin, Monica, Carmelyn"
  • "Helpful onboarding calls that explain the process thoroughly"
  • "Patient and understanding when helping with questions or concerns"
  • "Quick resolution of issues including shipping problems"
  • "Welcoming and professional demeanor"
  • "Clear explanations of medication options and expectations"
  • "Easy cancellation process when requested"

Negative Reports

  • "Some customers report oral formulations may be less effective than injectables (consistent with clinical understanding)"

Support Quality Ratings

responsiveness
4.8/5 - Excellent98% response rate to negative Trustpilot reviews. Customers consistently praise quick response times and named representatives.
helpfulness
4.8/5 - ExcellentRepresentatives praised for patience, thoroughness, and going above and beyond. Multiple reviews mention specific helpful staff members.
issue Resolution
4.5/5 - Very GoodMost issues resolved satisfactorily. Some limitations on refunds for shipped prescription medications (standard industry practice).

Risk Assessment

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Patient Safety

LOW
  • • Licensed, board-certified U.S. providers
  • • FDA-regulated compounding pharmacies
  • • Comprehensive health intake assessment
  • • Unlimited provider consultations included
  • • No FDA warning letters or enforcement actions

Strong medical oversight with licensed providers and regulated pharmacies. Compounded medications are not FDA-approved (industry-wide), but SkinnyRx operates within established telehealth standards.

Financial Risk

LOW
  • • Transparent pricing on website
  • • HSA/FSA accepted
  • • Refunds available for unshipped portions
  • • Company responds to billing complaints professionally
  • • Affirm financing available

Low financial risk with clear pricing and responsive customer service. Main consideration is understanding multi-month bundle terms before purchase.

Service Risk

LOW
  • • 4.8/5 Trustpilot from 4,147+ reviews
  • • 98% response rate to negative reviews
  • • 24/7 support claimed
  • • Named representatives consistently praised
  • • Overnight shipping

Excellent service track record. Customers consistently praise responsiveness and helpfulness of support team.

Overall Risk Level: LOW - SkinnyRx demonstrates strong performance across customer satisfaction, regulatory compliance, and service quality. The 4.8/5 Trustpilot rating from 4,147+ reviews with 92% 5-star indicates genuine high satisfaction. B BBB rating with professional complaint resolution is reasonable for high-volume telehealth.

Risk Mitigation Steps:

Read subscription terms carefully before multi-month bundle purchase
Understand oral formulations may be less effective than injectable
Start with shorter commitment if unsure about medication response
Contact support promptly with any concerns - they're highly responsive

Business Practices

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Subscription & Billing

Auto-Renewal

Yes - subscription plans auto-renew. Multi-month bundles charged upfront.

Billing Transparency

GOOD - Pricing clearly displayed on website. Multi-month bundle terms explained at checkout.

Payment Methods

Credit cards, FSA cards, HSA cards, Affirm financing available

Financing

Affirm financing available for multi-month bundles

Regulatory Compliance

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Federal Compliance

FDA Status

Warning Letters
No FDA warning letters found for SkinnyRx/Lean Rx, Inc.
Enforcement Actions
None found
Complaints
Compounded medications are NOT FDA-approved as finished products (industry-wide, not specific to SkinnyRx)

FTC Status

Complaints
No known FTC complaints or actions found
Advertising Issues
None found

"All medications are prescribed by licensed medical providers and filled by FDA-regulated U.S. pharmacies. Consultations are included at no extra cost, and medications ship overnight."

— SkinnyRx website/company description

State Compliance

State Restrictions

Nationwide telehealth availability. Some states may have specific telehealth GLP-1 prescribing requirements.

State-Specific Requirements

Operates through state-licensed providers and pharmacies

Pharmacy Board Actions

No known state pharmacy board actions found

FAQ

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Legitimacy & Safety

Pricing & Billing

Medication & Treatment

Protection Guide

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Before Signing Up

  • Read subscription terms carefully - understand if purchasing monthly vs multi-month bundle
  • Note the auto-renewal date and cancellation process
  • Understand that oral formulations may have different effectiveness than injectable
  • Verify your state allows telehealth GLP-1 prescribing
  • Have your medical history and current medications ready for intake

During Service

  • Use 24/7 support if you have any questions or concerns
  • Communicate with clinical team about side effects or dose adjustments
  • Track your weight loss progress to assess medication effectiveness
  • Contact support if medication format isn't working - alternatives available
  • Note renewal dates to avoid unwanted auto-charges

If You Have Problems

  • Contact customer service at 1-888-979-9580 - they're highly responsive
  • Representatives are empowered to help resolve issues
  • Request refund for unshipped medication portions if canceling
  • File BBB complaint if unable to resolve directly (company responds professionally)
  • Document all communications for records

Editorial Verdict

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4.8
HIGHLY RECOMMENDED - SkinnyRx is an excellent choice for GLP-1 telehealth with exceptional customer satisfaction scores (4.8/5 from 4,471+ reviews), competitive pricing, access to both brand-name and compounded medications, and unique medication format flexibility including needle-free options. The company demonstrates genuine commitment to customer service with nearly universal praise for named support representatives.
Medical Quality4.5/5

Licensed, board-certified U.S. providers and FDA-regulated compounding pharmacies. Multiple medication format options. Comprehensive health intake. No FDA warning letters or enforcement actions.

Value/Affordability4.5/5

Competitive pricing starting at $199/month with multiple bundle options. Free overnight shipping and HSA/FSA acceptance add value. Multi-month bundles offer savings.

Customer Support5.0/5

Exceptional - 4.8/5 Trustpilot with 98% response rate to negative reviews. Named representatives consistently praised. 24/7 support availability claimed.

Transparency4.5/5

Clear pricing on website. Multi-month bundle terms explained at checkout. Company provides detailed responses to all concerns.

Business Practices4.5/5

B BBB rating with professional complaint resolution. No regulatory actions. Standard telehealth subscription practices with clear cancellation process.

Bottom Line

SkinnyRx stands out in the crowded GLP-1 telehealth market through exceptional customer service and medication format flexibility. The 4.8/5 Trustpilot rating from 4,471+ reviews with 92% 5-star ratings reflects genuine customer satisfaction. Representatives like Maria, Phil, Aimee, and Anna are praised by name across hundreds of reviews for being helpful, patient, and knowledgeable. The company offers access to brand-name GLP-1s (Ozempic, Wegovy, Zepbound) as well as compounded options in injectable, sublingual drops, and tablet formats. With 100,000+ prescriptions written and a 98% program success rate, SkinnyRx delivers proven results. Pricing is competitive at $199-$299/month with overnight shipping included. For users who value responsive support and want medication format options, SkinnyRx is an excellent choice.

Alternatives to Consider

Best Alternative: MEDVi — If you want slightly lower pricing ($179+/month) with a larger review base (7,800+ Trustpilot reviews) and A+ BBB rating, MEDVi is a solid alternative with proven track record.

Others: Ivím Health (4.9/5 from 32,000+ reviews - highest volume), Fridays Health ($249/month with coaching included), Ro Body Program ($349+ for FDA-approved options)

Methodology & Transparency

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Research Scope

  • Period: January 2026
  • Sources: Trustpilot (4,147+ reviews), BBB (86 complaints), ConsumerAffairs, RealReviews.io, company website, press releases
  • Reports Reviewed: 4,147+ Trustpilot reviews analyzed with focus on recent patterns
  • Verified Complaints: 86 BBB complaints reviewed for patterns and resolution rates

Verification Standards

We verified: Trustpilot rating 4.8/5 from 4,147+ reviews (92% 5-star), BBB B rating with 86 complaints - company responds to complaints, Company address: 2108 N St Ste N, Sacramento, CA 95816, Founded 2019, BBB file opened June 2024, Leadership: Michael Deardroff (Director of Support), Eddie Lee (CFO), Pricing: Starting at $199/month semaglutide, $299/month tirzepatide, No FDA warning letters or enforcement actions found.

We could not verify: Specific compounding pharmacy partners, Total customer count, Medication quality (would require lab testing), 24/7 support availability claims.

Legal Disclaimers

This review is based on publicly available information including: Trustpilot reviews accessed January 2026; BBB business profile accessed January 2026; company website content; press releases; and third-party review sites. All claims are supported by documented sources.

This review is for informational purposes only and does not constitute medical advice. GLP-1 medications have risks and side effects. Consult with a qualified healthcare provider before starting any weight loss medication. This review does not replace professional medical consultation.

AllGLP1.com may earn affiliate commissions from providers recommended in this review. This does not influence our factual findings. Our assessments are based on documented customer experiences and publicly available information.

Sources Cited

Customer Reviews

  • SkinnyRx Trustpilot Reviews - 4,147+ reviews, 4.8/5 rating, 92% 5-star, 98% response rate to negative reviews (Accessed: January 25, 2026)
  • ConsumerAffairs - SkinnyRX - Verified reviews with company responses (Accessed: January 25, 2026)
  • RealReviews.io - SkinnyRx - 44 reviews, 4.8/5 rating (Accessed: January 25, 2026)

Business Profiles

  • SkinnyRX BBB Business Profile - B rating, 86 complaints, NOT BBB Accredited, company responds to complaints (Accessed: January 25, 2026)

Company Sources

  • SkinnyRx Official Website - Pricing, medication options, company information (Accessed: January 25, 2026)
  • Globe Newswire - SkinnyRx Press Release - December 2025 company press release about pricing and offerings (Accessed: January 25, 2026)