MEDVi vs SkinnyRx: Which GLP-1 Program Is Better? (2026)

We put MEDVi and SkinnyRx head-to-head — what you actually pay each month, which GLP-1 medications you can get, the level of clinician support, and where each one wins — so you can pick the cheaper, better-fit weight loss program in minutes.

Julian Caraulani
Julian Caraulani
Dr. A. Goher, MD
Medically reviewed by Dr. A. Goher, MD
Published:

Quick Verdict

We recommend SkinnyRx

Between these two providers, SkinnyRx is our pick for most users. It offers a higher overall rating (9.1 vs 8.9). That said, MEDVi may be the better fit if you are looking for those wanting a cheap first month plus a choice of pill or shot compounded meds.

SkinnyRx scores 9.1/10 in our independent evaluation at $199/month, while MEDVi scores 8.9/10 at $179/month. Both programs connect you with a licensed physician and deliver medication straight to your door. SkinnyRx also offers oral GLP-1 options for patients who prefer pills over injections. Each score weighs five things: safety and medical oversight (30%), pricing transparency (25%), value for money (20%), quality of clinical support (15%), and how fast you can get started (10%). We build these comparisons ourselves — no provider buys a better rating or a higher spot. Pricing checked April 2026.

Side-by-Side Comparison

Monthly Price
MEDVi
$179
SkinnyRx
$199
Rating
MEDVi
8.9 / 10
SkinnyRx
9.1 / 10
Medication Type
MEDVi
Compounded Only
SkinnyRx
Compounded Only
Insurance Accepted
MEDVi
No
SkinnyRx
No
States Available
MEDVi
49 states
SkinnyRx
48 states
Consultation Fee
MEDVi
Included
SkinnyRx
Included
Shipping
MEDVi
Free Shipping
SkinnyRx
Free Shipping
Cancel Anytime
MEDVi
Yes
SkinnyRx
Yes
Medical Support
MEDVi
Licensed doctors reachable for unlimited visits and round-the-clock messages
SkinnyRx
U.S.-licensed doctors who turn around prescription reviews in 24-48 hours

Figures show entry-level cash prices before any insurance. What you ultimately pay can change with your plan and the specific medication. Last checked April 2026.

MEDVi: Detailed Look

MEDVi

Tailored GLP-1 treatment in shot or tablet form, starting at $179

8.9/10
Excellent

Pros

  • That $179 opening month already covers both your meds and your visit
  • Choose between a standard injection or a dissolving oral tablet
  • See your doctor as often as needed, with messaging open around the clock
  • Carries LegitScript certification, a marker of compliance and openness

Cons

  • After month one the rate climbs to $299 each month
  • Strictly cash-pay — they won't bill your insurer
Best For

Those wanting a cheap first month plus a choice of pill or shot compounded meds

SkinnyRx: Detailed Look

SkinnyRx

A rapidly scaling GLP-1 service offering pills, sublinguals, and shots with Affirm financing

9.1/10
Excellent

Pros

  • Take it three ways — as a shot, under the tongue, or as a tablet
  • Overnight delivery is free and ships from FDA-regulated U.S. pharmacies
  • Billed month to month, so you're never locked into a contract
  • Thousands of verified Trustpilot reviews average a 4.8 out of 5

Cons

  • You'll pay cash — they don't run anything through insurance
  • Only compounded formulas here; brand-name versions aren't offered
Best For

People who want their GLP-1 in several formats — tablet, sublingual, or injection

How to Decide Between Them

There is no single winner for everyone — it comes down to what matters most to you. Match your priority to the scenarios below to see which provider fits:

You want the lowest monthly cost

Go with MEDVi at $179/month. $179 to start, then $299/mo for refills — everything bundled in.

You want the highest-rated program

SkinnyRx has the edge with a 9.1 rating.

You want comprehensive medical support

Compare their support: MEDVi offers licensed doctors reachable for unlimited visits and round-the-clock messages, while SkinnyRx provides u.s.-licensed doctors who turn around prescription reviews in 24-48 hours.

You are willing to invest more for premium care

SkinnyRx at $199/month may offer features that justify the premium.

MEDVi

Starting at $179/mo · Excellent

Visit MEDVi

SkinnyRx

Starting at $199/mo · Excellent

Visit SkinnyRx

Frequently Asked Questions

Is MEDVi better than SkinnyRx?

MEDVi has a 8.9 rating while SkinnyRx has a 9.1 rating. The better choice depends on your priorities — MEDVi is best for those wanting a cheap first month plus a choice of pill or shot compounded meds, while SkinnyRx is best for people who want their glp-1 in several formats — tablet, sublingual, or injection.

How much does MEDVi cost compared to SkinnyRx?

MEDVi starts at $179/month ($179 to start, then $299/mo for refills — everything bundled in), while SkinnyRx starts at $199/month (semaglutide runs $199/mo; tirzepatide climbs as high as $349/mo).

Do MEDVi and SkinnyRx accept insurance?

MEDVi does not accept insurance. SkinnyRx does not accept insurance.

Which GLP-1 medications does MEDVi offer vs SkinnyRx?

MEDVi offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Oral). SkinnyRx offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets).

Can I cancel MEDVi or SkinnyRx at any time?

MEDVi allows cancel anytime. SkinnyRx also allows cancel anytime.

Are MEDVi and SkinnyRx available in my state?

MEDVi is available in 49 states. SkinnyRx is available in 48 states.

Not sure MEDVi or SkinnyRx is right for you?

Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.

Take the Quiz →