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Midi Health vs SkinnyRx

In our scoring, SkinnyRx edges ahead overall (7.6 vs 7.0 out of 10), and SkinnyRx costs less for compounded semaglutide (about $366 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

Key differences

Price
SkinnyRx $149.25/mo vs Midi Health $165.90/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $366 a year less with SkinnyRx · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
Coverage
Midi Health 50 states (SkinnyRx doesn't publish a state list)
Included
Midi Health: not stated; SkinnyRx: medication, clinician visits, shipping
Safety
FDA warning letters on record: Midi Health none, SkinnyRx 1

How we compare providers

Midi Health logo

Midi Health

Affiliate partner

Best for menopause-focused care with GLP-1 as a metabolic adjunct

semaglutide

$165.90/mo

billed every 4 weeks

Our score 7.0/10

SkinnyRx logo

SkinnyRx

Affiliate partner

Best for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price

semaglutide

$149.25/mo

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.

Midi Health

SkinnyRx

Price

Semaglutide / month

$165.90/mo

billed every 4 weeks

Better on this row: $149.25/mo

Semaglutide / year (modeled)

$2,157

13 charges

Better on this row: $1,791

Tirzepatide / month

$210/mo

billed every 4 weeks

Better on this row: $224.25/mo

Tirzepatide / year (modeled)

$2,730

13 charges

Better on this row: $2,691

Oral semaglutide / month

Better on this row: $164/mo

billed every 4 weeks

$199/mo

Oral semaglutide / year (modeled)

Better on this row: $2,132

13 charges

$2,388

Oral tirzepatide / month

$209/mo

billed every 4 weeks

Not listed

Brand Wegovy / Ozempic / month

Not listed

$1,400/mo

Brand Zepbound / Mounjaro / month

Not listed

$1,400/mo

Coverage

State availability

50 states

List not published

Oral option listed

Yes

Yes

Brand-name access listed

Not listed

Wegovy / Ozempic, Zepbound / Mounjaro

Included in the price

Not disclosed

Medication, clinician visits, shipping

Terms & safety

Price shown

Plan quoted after intake; a price is published

Plan quoted after intake; a price is published

Video visit

Required

Not disclosed

Refunds

Not disclosed

90-day money-back guarantee

FDA warning letters

Better on this row: None on record

1 warning letter

Provider facts checked

August 2026

August 2026

Every dose and plan: Midi Health · SkinnyRx

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

Midi Health logo

Choose Midi Health if…

  • Lists oral compounded tirzepatide, which SkinnyRx doesn't price
  • Publishes its full state list (50 states)
  • No FDA warning letters on record (SkinnyRx has 1)

What to weigh up

  • About $366 a year more than SkinnyRx for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • Does not accept Medicare, Medicaid, or Medi-Cal
SkinnyRx logo

Choose SkinnyRx if…

  • About $366 a year less than Midi Health for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Midi Health 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.

Midi Health

7.0/10

Overall

SkinnyRx

7.6/10

Value25%

7.0A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
7.5

Trust & Safety15%

7.3A
vs
B
5.8

Accessibility10%

6.5A
vs
B
6.5

Support10%

7.0A
vs
B
8.4

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8.3

Collective

The lowest flat medication price if you can absorb an annual membership fee

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From $59/mo + membership

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7.4

MadeMed

Compounded GLP-1 in both injection and oral forms

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8.3

Found

Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s

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From $169/mo

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Midi Health vs SkinnyRx: FAQ

For compounded semaglutide, SkinnyRx costs less: about $366 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo); one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost. See Costs & coverage above for each medication side by side.
SkinnyRx scores higher overall at 7.6/10 versus 7.0/10, and is particularly strong for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price. That said, Midi Health is a better fit if you want menopause-focused care with GLP-1 as a metabolic adjunct.
Both Midi Health and SkinnyRx are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
Midi Health: $165.90 (billed every 4 weeks, 13 charges a year), about $2,157 a year. SkinnyRx: $149.25, about $1,791 a year. SkinnyRx costs about $366 less a year at these prices.
Midi Health publishes 50 states. SkinnyRx doesn't publish a state list. Where a list isn't published, confirm your state during sign-up before paying.
Midi Health doesn't state its cancellation terms. SkinnyRx doesn't state its cancellation terms. Check the provider's own terms before you buy.

Key terms, explained

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Continue exploring Midi Health and SkinnyRx head-to-heads in the same category.

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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.