Ro vs SkinnyRx

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Ro vs SkinnyRx: Overview

Choosing between Ro and SkinnyRx for GLP-1 weight loss medication? Both are highly-rated providers, but they differ in pricing, medication options, and service features.

Ro offers both semaglutide and tirzepatide at $149/month with a rating of 8.6/10. SkinnyRx also provides both semaglutide and tirzepatide at $199/month with a 8/10 rating.

With only a $50/month price difference, your choice will likely come down to features, support quality, and medication options.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$50/mo

Rating Difference

0.6

Winner

Ro

Best For

Budget

Ro

View full Ro review →

Rating

8.6/10Better

Monthly Price

$149Cheaper

Medications

semaglutidetirzepatide

Pros

✓Prescribes FDA-approved, brand-name GLP-1s - Zepbound, Wegovy pen and pill, Ozempic, Saxenda and the new Foundayo pill - rather than compounded copies
✓Real insurance support: a dedicated team handles prior authorizations and appeals, and there is a free GLP-1 insurance checker you can run before paying anything
✓Publishes exact cash-pay prices for the Zepbound KwikPen: $299/mo at 2.5 mg, $399/mo at 5 mg and $449/mo at 7.5-15 mg with the manufacturer offer (checked July 26, 2026)
✓Membership is $39 for the first month, and as low as $74/mo if you prepay for a year
✓Long-established: trading since 2017, BBB accredited since 2018, and one of the largest telehealth platforms in the US
✓Prescriptions are typically filled and shipped within 1-4 days
✓Cash-pay Zepbound single-dose vials are available if you want to skip the insurance process entirely
✓Ongoing provider messaging, check-ins and progress tracking are included in the membership fee

Cons

✗The membership fee does not include your medication. At $149/mo month-to-month plus $449/mo for a maintenance dose of Zepbound, the realistic all-in cost is roughly $520-600 a month
✗The discounted $449 refill price depends on completing a check-in within 45 days of your last delivery. Miss that window and the price jumps to $499 for 7.5 mg, or $699 for the 10, 12.5 and 15 mg doses
✗All sales are final. Ro states it cannot issue refunds or accept returns on prescription products, except where it has made an error filling your prescription
✗The headline $74/mo membership rate requires prepaying a full year upfront
✗BBB lists 619 complaints, and Trustpilot sits at 3.8 from 4,796 reviews, with cancellation and billing the dominant negative themes
✗No customer phone number or support email is published on the site; support runs through your account
✗Because the medication price depends on your insurance, what you will actually pay each month cannot be known until after you have signed up and been assessed
✗The homepage claim 'Lose 20% body weight on average with Zepbound' comes from the manufacturer's trial of the branded drug, not from Ro's own patients

Choose Ro

SkinnyRx

View full SkinnyRx review →

Rating

8/10

Monthly Price

$199

Medications

semaglutidetirzepatide

Pros

✓Trustpilot rating of 4.8 across 5,272 reviews, an unusually strong independent signal for this category
✓Publishes a customer phone number, +1 (888) 979-9580, and a support email rather than hiding behind a portal
✓Full refund available any time before a licensed provider completes your prescription
✓Compounded injectable semaglutide from $199/month and tirzepatide, as tablets or injection, from $299/month, with microdose options (checked July 26, 2026)
✓Carefully separates compounded from brand-name in its own disclosures instead of implying the two are the same
✓Buy-now-pay-later through Affirm with the APR disclosed openly - the site gives a worked example of $800 split into 12 payments of $72.21 at 15% APR
✓A mobile app for meal plans, medication tracking and weight logging, plus unlimited provider messaging and free shipping
✓A substantial clinical content library covering practical issues like GLP-1s with levothyroxine, gallbladder pain and surgery timing

Cons

✗A '90-day money-back guarantee' is advertised in a banner on every page, but the site's own /money-back-guarantee link returns a 404 reading 'Page not found... Probably the link is broken'. We could not find the terms of that guarantee anywhere
✗The hero promises 'FDA-approved Wegovy, Foundayo and other GLP-1s', yet both the Wegovy Pill and Foundayo Pill are marked 'Unavailable' in the product list directly below
✗Pricing is at the higher end for compounded product: $199/month for semaglutide and $299/month for tirzepatide, where several rivals advertise under $150
✗'Lose up to 14.9% of your body weight' takes the figure from the STEP 1 trial of branded semaglutide and applies it to a compounded preparation that has not been trialled
✗The published refund window closes as soon as a provider completes your prescription, which can be the same day you sign up
✗A pop-up offers 'up to 43% off' without stating what plan or commitment unlocks that discount
✗No BBB profile or complaint history to cross-check the Trustpilot score against
✗No published support hours, so the phone line's availability is unknown

Choose SkinnyRx

Feature-by-feature comparison

Feature	Ro	SkinnyRx
Monthly Price	$149	$199
Rating	8.6/10	8/10
Medications	semaglutide, tirzepatide	semaglutide, tirzepatide
Insurance Accepted	Yes	No
Support Hours	On-demand provider messaging (hours not published)	Not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Typically filled and shipped within 1-4 days	Not published
Mobile App	Available	Available
Dedicated Coach	Included	Not included
Follow-up Frequency	Ongoing check-ins plus on-demand provider messaging	Unlimited provider messaging plus app-based tracking
Money-back Guarantee	None - Ro states all sales of prescription products are final, except where it filled your prescription in error	A 90-day money-back guarantee is advertised sitewide, but its terms page returns a 404; a full refund is available before a provider completes your prescription
Cancellation Policy	Cancel the membership before your next billing date; charges already processed are not refunded	Cancel anytime; full refund only before the prescription is completed by a provider

Which should you choose?

Choose Ro if you:

→Want to save $50/month with a more affordable option
→Prefer a higher-rated service (8.6/10 vs 8/10)
→Need insurance coverage for your treatment
→Want personalized coaching support included
→Value: prescribes fda-approved, brand-name glp-1s - zepbound, wegovy pen and pill, ozempic, saxenda and the new foundayo pill - rather than compounded copies

Get started with Ro

Choose SkinnyRx if you:

→Value: trustpilot rating of 4.8 across 5,272 reviews, an unusually strong independent signal for this category

Get started with SkinnyRx

Website previews

Ro

SkinnyRx

Our recommendation

Ro comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Ro

Ro vs SkinnyRx

Ro vs SkinnyRx: Overview

Our recommended brand

At a glance

Ro

Pros

Cons

SkinnyRx

Pros

Cons

Feature-by-feature comparison

Which should you choose?

Choose Ro if you:

Choose SkinnyRx if you:

Website previews

Ro

SkinnyRx

Our recommendation

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