Head-to-head · WeighScore
SkinnyRx vs Trimi
The verdict
Trimi takes it — 86.4/100 to 60.5/100.
Trimi grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Bottom-quartile pricing on both molecules under one flat membership, shipped free nationwide — a strong-value pick sitting just behind the top tier.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | SkinnyRx | Trimi |
|---|---|---|
| WeighScore | 60.5/100 | 86.4/100 |
| Grade | C | B |
| Scorecard rank | #247 | #5 |
| Semaglutide | $349/mo month-to-month (compounded; the advertised rate is a 12-month prepay) | $129/mo |
| Tirzepatide | $399/mo month-to-month (compounded; the advertised rate is a 12-month prepay) | $199/mo |
| Coverage | 47 states + DC (not Alabama, Louisiana or Mississippi) | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #247 · C
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 board 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 programme 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
Graded #5 · B
Strengths
- Low flat pricing on both semaglutide and tirzepatide
- Both molecules on a single membership
- Free shipping to all 50 states
- Fast dispatch once the prescriber signs off
Where it loses points
- Compounded only — no brand-name Ozempic/Wegovy or Mounjaro/Zepbound
- Injection only — no oral or sublingual route
- Dispensing pharmacy not publicly named
- Shorter public track record than the incumbents
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 508 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.