Brief Score
94/100
Updated August 2026
CoreAge Rx
The steadiest desk in the ranking: one flat, no-step-up price on both molecules, nationwide, and it hasn't moved.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
Alternatives to SkinnyRx
SkinnyRx sits at No. 319 in our ranking with a Brief Score of 58. Here are the GLP-1 desks we'd weigh against it — ranked on the same six-factor Brief Score, top down.
Prefer a straight head-to-head? CoreAge Rx vs SkinnyRx.
Our top alternative
More desks worth weighing
No. 27 · Grade B
85/100TeleCareSpot
A nationwide desk with an oral option — full-formulary, but priced at the premium end.
- Sema
- $299/mo
- Coverage
- All 50 states
No. 183 · Grade C
67/100AquaVita NextGen
AquaVita NextGen (AquaVita Wellness & Medspa) offers compounded semaglutide and tirzepatide (ODT tablets).
- Sema
- From $375/mo (first-month rate, compounded)
- Coverage
- 5 states
No. 165 · Grade C
68/100Dr. Arevitalize
Dr. Arevitalize (Dr.Arevitalize Health, Inc.) is a LegitScript-certified telehealth platform offering compounded GLP-1 weight-loss medication in both injectable and oral-capsule forms — semaglutide fr
- Sema
- From $319/mo (compounded)
- Coverage
- Coverage not published
No. 43 · Grade B−
80/100Apex MD
Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.
- Sema
- $299/mo
- Coverage
- All 50 states
No. 128 · Grade C
71/100MyStart Health
MyStart Health offers all-inclusive compounded semaglutide and tirzepatide at $299/month with a price-lock guarantee, same-day physician consultations, and 24/7 care team access.
- Sema
- From $299/mo (all doses, compounded)
- Coverage
- Coverage not published
FDA warning letter, September 2025 — issued to Matthew Stern, CEO MyStart Health LLC.. See the FDA's warning letter database.
No. 149 · Grade C
69/100Claya
Claya is a direct-to-consumer telehealth platform offering compounded semaglutide and tirzepatide in both injectable and oral-tablet forms — a wider format range than most competitors.
- Sema
- From $299/mo (compounded)
- Coverage
- Coverage not published
No. 102 · Grade C
73/100NovoCare Pharmacy
Novo Nordisk's first-party direct-to-consumer pharmacy for branded Wegovy (semaglutide).
- Sema
- From $349/mo (2.4 mg dose, brand-name)
- Coverage
- All 50 states
No. 216 · Grade C
66/100Willow
Telehealth provider offering compounded GLP-1 medications in both tablet and injectable formats.
- Sema
- From $299/mo (starting dose, compounded)
- Coverage
- Coverage not published
On the record
The FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026. SkinnyRx keeps its place here and its link is unchanged — but you should know the letter exists before you start care. Read it in the FDA's warning letter database.
Rankings reflect the Dose Brief Score — our editorial judgment per the methodology. Pricing and coverage reflect public disclosures at last review and change often — confirm on each provider's site. Not medical advice; see our disclosure.