Ro vs SkinnyRx
Ro's brand-name membership with every dose priced against SkinnyRx's compounded plan with a $99 first month.
Short answer
Ro publishes every price: a $149 monthly membership after a $39 first month, plus brand-name medication, about $298 a month on the Wegovy pill. SkinnyRx starts compounded injections at $99 for the first month but shows the month-two price only after signup. Ro helps with insurance. SkinnyRx has an FDA warning letter on record (717989).
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Is Ro or SkinnyRx better?
Ro sells FDA-approved brands (the Wegovy pill and pen, Zepbound, Foundayo and Ozempic) with an insurance concierge and video access. SkinnyRx sells compounded semaglutide and tirzepatide as injections or under-the-tongue tablets, cash-pay, with a quick provider decision and no contract. Its refunds are tighter than the cancel-anytime headline: orders are non-refundable once fulfillment starts. SkinnyRx received FDA warning letter 717989 in February 2026, linked in the table below.
How they differ
- Published up front
Ro
Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separatelySkinnyRx
From $99 for the first month; ongoing price shown after signup; cancel anytime- Insurance
Ro
Works with insuranceSkinnyRx
Cash-pay only- How you're seen
Ro
Video visit / Async intakeSkinnyRx
Video visit / Async intake- Medications
Ro
Branded medicationSkinnyRx
Compounded semaglutide, Compounded tirzepatide- FDA warning letter
Ro
None on recordSkinnyRx
| Ro | SkinnyRx | |
|---|---|---|
| Published up front | Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separately | From $99 for the first month; ongoing price shown after signup; cancel anytime |
| Insurance | Works with insurance | Cash-pay only |
| How you're seen | Video visit / Async intake | Video visit / Async intake |
| Medications | Branded medication | Compounded semaglutide, Compounded tirzepatide |
| FDA warning letter | None on record | Warning letter 717989 |
What each one costs and includes
Month-to-month prices a new patient can buy, with any required membership counted in. First-month promotions and prepaid averages are labeled as such.
- First full month
Ro
$39 the first month, then a $149 monthly membership plus medication: about $298 a month on the Wegovy pillSkinnyRx
$99 for the first month of injections, or $149 to $199 for tablets; the price from month two appears only after you create an account- Once you're on a steady dose
Ro
About $498 a month on a Wegovy pen at maintenance, or $598 on Zepbound at 10 to 15 mgSkinnyRx
Not shown before signup, so get the renewal price in writing- What the fee covers
Ro
Clinician care and the insurance concierge; medication is billed at Ro's cash price or your copaySkinnyRx
Provider review and medication, with each compounded lot sent for third-party testing- Medications
Ro
Brand-name only: the Wegovy pill and pen, Zepbound, Foundayo and OzempicSkinnyRx
Compounded semaglutide and tirzepatide as weekly injections or daily under-the-tongue tablets- Insurance
Ro
Can cover the Wegovy pen, Zepbound autoinjector and Ozempic; the membership is always cash, and Medicaid isn't eligibleSkinnyRx
Cash-pay; FSA/HSA cards and Affirm financing accepted; no insurance, Medicare or Medicaid- Commitment and refunds
Ro
Month to month; a 12-month prepay cuts the membership to $74 a month; the $39 first month is refunded if you aren't eligibleSkinnyRx
Auto-renews; cancel at least five days before renewal; non-refundable once fulfillment starts- How care works
Ro
Video or async visits, plus an insurance concierge that files prior authorizations and appeals denialsSkinnyRx
Online intake with a provider decision usually inside 24 hours; video only where the state requires it- Look elsewhere if
Ro
You're on Medicaid, want a GLP-1 pill billed to insurance, or want the lowest monthly priceSkinnyRx
You want to compare monthly costs before signing up, want a named pharmacy, or live in Alabama, Louisiana or Mississippi
| Ro | SkinnyRx | |
|---|---|---|
| First full month | $39 the first month, then a $149 monthly membership plus medication: about $298 a month on the Wegovy pill | $99 for the first month of injections, or $149 to $199 for tablets; the price from month two appears only after you create an account |
| Once you're on a steady dose | About $498 a month on a Wegovy pen at maintenance, or $598 on Zepbound at 10 to 15 mg | Not shown before signup, so get the renewal price in writing |
| What the fee covers | Clinician care and the insurance concierge; medication is billed at Ro's cash price or your copay | Provider review and medication, with each compounded lot sent for third-party testing |
| Medications | Brand-name only: the Wegovy pill and pen, Zepbound, Foundayo and Ozempic | Compounded semaglutide and tirzepatide as weekly injections or daily under-the-tongue tablets |
| Insurance | Can cover the Wegovy pen, Zepbound autoinjector and Ozempic; the membership is always cash, and Medicaid isn't eligible | Cash-pay; FSA/HSA cards and Affirm financing accepted; no insurance, Medicare or Medicaid |
| Commitment and refunds | Month to month; a 12-month prepay cuts the membership to $74 a month; the $39 first month is refunded if you aren't eligible | Auto-renews; cancel at least five days before renewal; non-refundable once fulfillment starts |
| How care works | Video or async visits, plus an insurance concierge that files prior authorizations and appeals denials | Online intake with a provider decision usually inside 24 hours; video only where the state requires it |
| Look elsewhere if | You're on Medicaid, want a GLP-1 pill billed to insurance, or want the lowest monthly price | You want to compare monthly costs before signing up, want a named pharmacy, or live in Alabama, Louisiana or Mississippi |
Ro
- Access
- Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separately
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit / Async intake
What we like
- FDA-approved brand-name medication only, including two GLP-1 pills
- Every dose price published, so the bill can be totaled before you start
- Insurance concierge checks coverage, files prior authorizations and appeals denials
Watch-outs
- Two charges, and the $149 monthly membership is cash-only even when insurance covers the drug
- Drug prices rise with dose: about $498 a month all-in on a Wegovy pen at maintenance
Pick Ro if: You want an FDA-approved brand, published dose prices and insurance help.
Check Ro availability →Read the full Ro review →
SkinnyRx
Partner- Access
- From $99 for the first month; ongoing price shown after signup; cancel anytime
- Medications
- Semaglutide · Tirzepatide · Oral
- Insurance
- Cash-pay
- Visit
- Video visit / Async intake
What we like
- Low first-month entry price: $99 for injections
- Injection or daily tablet for both semaglutide and tirzepatide, with microdosing on most
- Provider decision usually within 24 hours, video visit only where the state requires one
Watch-outs
- Only first-month prices are published; the month-two price appears after signup
- Non-refundable once fulfillment starts, and promotional discounts can be reversed if you cancel early
Pick SkinnyRx if: You want a low first month and no contract, and you'll get the renewal price in writing.
Check SkinnyRx availability →Read the full SkinnyRx review →Want the full field? See every option in our GLP-1 providers roundup, or narrow by tirzepatide / semaglutide and price.