SkinnyRx vs Novi: Which GLP-1 Program Is Better? (2026)
We put SkinnyRx and Novi 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 7.3). That said, Novi may be the better fit if you are looking for people who want glp-1 care they can leave anytime, backed by plenty of clinician support.
SkinnyRx scores 9.1/10 in our independent evaluation at $199/month, while Novi scores 7.3/10 at $199/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 | Novi |
|---|---|---|
| Monthly Price | $199 | $199 |
| Rating | 9.1 / 10 | 7.3 / 10 |
| Medication Type | Compounded Only | Brand & Compounded |
| Insurance Accepted | No | No |
| States Available | 48 states | 45 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 physicians you can reach without limits, plus nutritionist-designed meal plans |
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
Novi: Detailed Look
Novi
Commitment-free GLP-1 care that pairs $199/mo pricing with as much clinician time as you need
Pros
- Clear bundled pricing where nothing extra gets tacked on later
- Reach a clinician as often as you like for check-ins and dose tweaks
- Pay month by month, free of contracts or any minimum stay
- Comes with meal plans put together by a nutritionist plus an online community
Cons
- Once your prescription ships, that order can't be refunded
- A fairly young service that hasn't built up a long history yet
People who want GLP-1 care they can leave anytime, backed by plenty of clinician support
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 SkinnyRx at $199/month. Semaglutide runs $199/mo; tirzepatide climbs as high as $349/mo.
SkinnyRx has the edge with a 9.1 rating.
SkinnyRx focuses on compounded medications at a lower price point.
Compare their support: SkinnyRx offers u.s.-licensed doctors who turn around prescription reviews in 24-48 hours, while Novi provides licensed physicians you can reach without limits, plus nutritionist-designed meal plans.
Frequently Asked Questions
Is SkinnyRx better than Novi?
SkinnyRx has a 9.1 rating while Novi has a 7.3 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 Novi is best for people who want glp-1 care they can leave anytime, backed by plenty of clinician support.
How much does SkinnyRx cost compared to Novi?
SkinnyRx starts at $199/month (semaglutide runs $199/mo; tirzepatide climbs as high as $349/mo), while Novi starts at $199/month (opens at $199 for the first month, with nothing locking you into a contract).
Do SkinnyRx and Novi accept insurance?
SkinnyRx does not accept insurance. Novi does not accept insurance.
Which GLP-1 medications does SkinnyRx offer vs Novi?
SkinnyRx offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets). Novi offers Compounded Semaglutide, Brand-name GLP-1s.
Can I cancel SkinnyRx or Novi at any time?
SkinnyRx allows cancel anytime. Novi also allows cancel anytime.
Are SkinnyRx and Novi available in my state?
SkinnyRx is available in 48 states. Novi is available in 45 states.
Not sure SkinnyRx or Novi is right for you?
Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.