SkinnyRx vs TeleCareSpot

FDAWarning letter issued to Lean Rx, Inc. dba SkinnyRx in February 2026. See the FDA warning-letter database.

Strengths

• +Both molecules by both routes: semaglutide and tirzepatide as injections, tirzepatide as a tablet on the identical term ladder, plus a separate low-dose line with its own page
• +The full term ladder — every rung, both molecules — is on the product page before any medical intake, which is more than most of this ranking discloses after one
• +Terms are concrete rather than gestural: free shipping, unlimited provider messaging, a 90-day money-back guarantee, and no charge at all if a clinician finds you ineligible
• +The state exclusions are published rather than discovered at checkout — 47 states plus DC, with Alabama, Louisiana and Mississippi named

Where it loses points

• –FDA issued Lean Rx, Inc. dba SkinnyRx a warning letter in February 2026; the letter is public in FDA's warning-letter database
• –The advertised "$199/mo" and "$299/mo" are twelve-month rates by construction — the site's own price code drops the one-month rung before picking a headline — so the monthly rates are $349 semaglutide and $399 tirzepatide
• –Those rungs are a single up-front charge, not a smaller bill: $2,388 for the semaglutide year and $3,588 for the tirzepatide year, taken on day one and auto-renewing each term, with membership fees stated as non-refundable
• –The microdose line costs the SAME as full dose at every term the two share, and its floor is HIGHER — $229 against $199 on semaglutide, $319 against $299 on tirzepatide — because the low-dose plans stop at eight months rather than twelve
• –No brand-name product is actually purchasable: Ozempic, Wegovy, Mounjaro and Zepbound all carry a null price, both pill products are out of stock, and the only priced brand path is a $49/mo membership plus a medication cost that is never published
• –Compounded semaglutide and tirzepatide are not FDA-approved and are not generic equivalents of the brand drugs
• –Fulfillment is disclosed only as a category: "503A pharmacies", never a facility, never a city, and no medical director is named for the program anywhere on the site — so the two things that decide whether a compounded vial is trustworthy are the two things this seller does not publish
• –Labs and monitoring are simply absent from the site: nothing states whether baseline or follow-up bloodwork is required, included in the membership, or billed on top of it
• –Alabama, Louisiana and Mississippi are excluded, so three states' readers cannot buy at any price on this ladder

Strengths

• +Flat, all-inclusive monthly pricing with no hidden fees — compounded semaglutide $299/month and tirzepatide $399/month, all doses included
• +HIPAA compliance and licensed US physicians
• +Multiple options: compounded semaglutide, tirzepatide, oral tirzepatide, and phentermine
• +DNA-calibrated dosing option that tailors the GLP-1 dose to how you metabolize it
• +Broad coverage in 47 states and DC, with free shipping and cancel-anytime plans

Where it loses points

• –The LegitScript seal ID this provider publishes, #45936855, does not resolve on LegitScript's own CDN — checked August 2026, alongside six seal IDs from other providers that returned normally in the same pass
• –Compounded medications are not FDA-approved — not brand Wegovy, Ozempic, Zepbound, or Mounjaro
• –Not available in Alaska, Mississippi, or New Jersey
• –The compounding pharmacy partner is not named
• –A separate weight-loss consultation fee applies (credited toward your medication package if approved)
• –Trustpilot rating and review counts (4.9, 14,000+) are self-stated on the site