MEDGm vs SkinnyRx
In our scoring, SkinnyRx edges ahead overall (7.6 vs 7.3 out of 10), and SkinnyRx costs less for compounded semaglutide (about $1,797 a year less).
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Key differences
- Price
- SkinnyRx $149.25/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,797 a year less with SkinnyRx)
- Coverage
- MEDGm 50 states + DC (SkinnyRx doesn't publish a state list)
- Included
- MEDGm: medication, clinician visits, shipping; SkinnyRx: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: MEDGm none, SkinnyRx 1
MEDGm
Affiliate partnerPublishes its full state list (50 states + DC)
semaglutide
$299
$179 first month
Our score 7.3/10
SkinnyRx
Affiliate partnerBest for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
semaglutide
$149.25
Our score 7.6/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
MEDGm
SkinnyRx
Price
Semaglutide / month
$299/mo
$179 first month
Better on this row: $149.25/mo
Semaglutide / year (modeled)
$3,588
Better on this row: $1,791
Tirzepatide / month
$399/mo
$279 first month
Better on this row: $224.25/mo
Tirzepatide / year (modeled)
$4,788
Better on this row: $2,691
Oral semaglutide / month
$369/mo
$249 first month
Better on this row: $199/mo
Oral semaglutide / year (modeled)
$4,428
Better on this row: $2,388
Brand Wegovy / Ozempic / month
Not listed
$1,400/mo
Brand Zepbound / Mounjaro / month
Not listed
$1,400/mo
Coverage
State availability
50 states + DC
List not published
Oral option listed
Yes
Yes
Brand-name access listed
Not listed
Wegovy / Ozempic, Zepbound / Mounjaro
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Plan quoted after intake; a price is published
Cancel anytime
Yes
Not disclosed
Minimum commitment
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
Not disclosed
Refunds
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
90-day money-back guarantee
Early-cancellation fee
None
Not disclosed
FDA warning letters
Better on this row: None on record
1 warning letter
Provider facts checked
September 2026
August 2026
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose MEDGm if…
- Publishes its full state list (50 states + DC)
- No FDA warning letters on record (SkinnyRx has 1)
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
What to weigh up
- About $1,797 a year more than SkinnyRx for compounded semaglutide
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
Choose SkinnyRx if…
- About $1,797 a year less than MEDGm for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which MEDGm doesn't price
- Licensed US clinicians on every prescription
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
MEDGm
7.3/10
SkinnyRx
7.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
Get started →MEDGm vs SkinnyRx: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.