SkinnyRx vs Fella Health: Which GLP-1 Program Is Better? (2026)
We put SkinnyRx and Fella Health 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.
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 6). That said, Fella Health may be the better fit if you are looking for men after a male-focused weight loss program that comes with a refund pledge.
SkinnyRx scores 9.1/10 in our independent evaluation at $199/month, while Fella Health scores 6/10 at $165/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
| Feature | SkinnyRx | Fella Health |
|---|---|---|
| Monthly Price | $199 | $165 |
| Rating | 9.1 / 10 | 6 / 10 |
| Medication Type | Compounded Only | Compounded Only |
| Insurance Accepted | No | No |
| States Available | 48 states | 35 states |
| Consultation Fee | Included | Included |
| Shipping | Free Shipping | Free Shipping |
| Cancel Anytime | Yes | Yes |
| Medical Support | U.S.-licensed doctors who turn around prescription reviews in 24-48 hours | Licensed doctors supported by health coaches and routine lab work |
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.
SkinnyRx: Detailed Look
SkinnyRx
A rapidly scaling GLP-1 service offering pills, sublinguals, and shots with Affirm financing
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
People who want their GLP-1 in several formats — tablet, sublingual, or injection
Fella Health: Detailed Look
Fella Health
A men's medication weight loss program that refunds you if six months don't deliver
Pros
- Lose under 5% of your body weight in six months and they refund you fully
- Your price holds steady even as your dose climbs
- Lab work, coaching, and medical oversight are folded into the plan cost
- Typical members report shedding 10.4% of their body weight by month six
Cons
- It hasn't reached every state, so coverage isn't nationwide
- Lately some customers cite drug shortages and slow shipping
Men after a male-focused weight loss program that comes with a refund pledge
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:
Go with Fella Health at $165/month. On the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo.
SkinnyRx has the edge with a 9.1 rating.
Compare their support: SkinnyRx offers u.s.-licensed doctors who turn around prescription reviews in 24-48 hours, while Fella Health provides licensed doctors supported by health coaches and routine lab work.
SkinnyRx at $199/month may offer features that justify the premium.
Frequently Asked Questions
Is SkinnyRx better than Fella Health?
SkinnyRx has a 9.1 rating while Fella Health has a 6 rating. The better choice depends on your priorities — SkinnyRx is best for people who want their glp-1 in several formats — tablet, sublingual, or injection, while Fella Health is best for men after a male-focused weight loss program that comes with a refund pledge.
How much does SkinnyRx cost compared to Fella Health?
SkinnyRx starts at $199/month (semaglutide runs $199/mo; tirzepatide climbs as high as $349/mo), while Fella Health starts at $165/month (on the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo).
Do SkinnyRx and Fella Health accept insurance?
SkinnyRx does not accept insurance. Fella Health does not accept insurance.
Which GLP-1 medications does SkinnyRx offer vs Fella Health?
SkinnyRx offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets). Fella Health offers Compounded Semaglutide, Compounded Tirzepatide.
Can I cancel SkinnyRx or Fella Health at any time?
SkinnyRx allows cancel anytime. Fella Health also allows cancel anytime.
Are SkinnyRx and Fella Health available in my state?
SkinnyRx is available in 48 states. Fella Health is available in 35 states.
Not sure SkinnyRx or Fella Health is right for you?
Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.