SkinnyRx vs Midi Health

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

SkinnyRx vs Midi Health: Overview

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

SkinnyRx offers both semaglutide and tirzepatide at $199/month with a rating of 8/10. Midi Health also provides both semaglutide and tirzepatide at $164/month with a 8.6/10 rating.

With only a $35/month price difference, your choice will likely come down to features, support quality, and medication options.

VERIFIED

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.

At a glance

Price Difference
$35/mo
Rating Difference
0.6
Winner
Midi Health
Best For
Budget

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

Midi Health

View full Midi Health review →
Rating
8.6/10Better
Monthly Price
$164Cheaper
Medications
compounded GLP-1compounded GLP-1/GIPbrand-name GLP-1s

Pros

  • The GLP-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked July 28, 2026)
  • Compounded GLP-1 injectable runs $165.90 for the lowest doses, $270.90 in the mid range and $355.00 at the top; the dual-action GLP-1/GIP injectable runs $210.00 to $434.00, all for a 4-week supply
  • Sublingual options are offered as well, from $164.00 for GLP-1 and $209.00 for dual-action GLP-1/GIP, for people who will not inject
  • Its partner compounding pharmacies are 503B-accredited. 503B outsourcing facilities register with the FDA, are subject to current good manufacturing practice requirements and are FDA-inspected - a materially higher standard than the 503A pharmacies most competitors use
  • There is no membership fee. You pay for care and medication only
  • Visits are insurance-covered for qualifying patients, and HSA/FSA funds can be used for copays and services
  • Midi will also prescribe brand-name GLP-1s sent to a pharmacy of your choice, so you are not locked into compounded product if you would rather have the approved drug
  • The efficacy claim is the best-sourced in this category. Midi reports patients lost an average of 16 lbs after six or more months, and footnotes it to a retrospective analysis of 6,958 patients who completed two or more weight management visits between 1 May 2025 and 30 April 2026, while stating plainly that weight data were self-reported and results are not guaranteed
  • Care is genuinely whole-person for midlife women - perimenopause, menopause, weight, mood and memory, sexual wellness, hair and skin, sleep, and cancer survivorship - with lab orders and lifestyle support included where appropriate
  • Available in all 50 states

Cons

  • The compounded products are still not FDA-approved. 503B accreditation raises the manufacturing standard considerably but does not mean the FDA has reviewed these preparations for safety or efficacy
  • Midi never names the active drug anywhere in its pricing. Everything is labelled 'GLP-1' or 'GLP-1/GIP'. The dose ladders shown - 0.25 through 2.5 mg, and 2.5 through 15 mg - match the standard semaglutide and tirzepatide titrations exactly, but you should confirm with the clinician what you are actually being prescribed
  • Microdosing is offered from $34 a week for eligible patients. Microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses, and the 16 lb outcome figure covers patients on 'a range of treatments', not microdosing specifically
  • Medicaid and Medi-Cal patients cannot be treated at all, even if they offer to pay cash
  • Medicare does not cover Midi, and beneficiaries cannot submit claims for visits, medications or associated services
  • Prices rise steeply as you titrate up. Injectable GLP-1 more than doubles from $165.90 to $355.00, and the dual-action sublingual runs from $209.00 to $460.00, so the entry price is not what you will pay long term
  • The 16 lb average comes from self-reported weights in a retrospective chart review with no control group - well documented, but not a controlled trial
  • GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks
Choose Midi Health

Feature-by-feature comparison

FeatureSkinnyRxMidi Health
Monthly Price$199$164
Rating8/108.6/10
Medicationssemaglutide, tirzepatidecompounded GLP-1, compounded GLP-1/GIP, brand-name GLP-1s
Insurance AcceptedNoYes
Support HoursNot publishedNot published
Live ChatNoNo
Free ShippingYesYes
Shipping SpeedNot publishedDiscreet shipping included in every quoted medication price
Mobile AppAvailableNo
Dedicated CoachNot includedNot included
Follow-up FrequencyUnlimited provider messaging plus app-based trackingContinued care visits with the same clinician, covered by insurance for qualifying patients
Money-back GuaranteeA 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 prescriptionNone published
Cancellation PolicyCancel anytime; full refund only before the prescription is completed by a providerNo membership fee and no subscription lock-in; you pay for care and medication only

Which should you choose?

Choose SkinnyRx if you:

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

Choose Midi Health if you:

  • Want to save $35/month with a more affordable option
  • Prefer a higher-rated service (8.6/10 vs 8/10)
  • Want more medication options to choose from
  • Need insurance coverage for your treatment
  • Value: the glp-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked july 28, 2026)

Website previews

SkinnyRx

SkinnyRx website

Midi Health

Midi Health website

Our recommendation

Midi Health 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 Midi Health

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