Top GLP-1

skinnyRx vs bmiMD: which GLP-1 program is better?

TGBy the Top GLP-1 Editorial Team· Reviewed 2026-09-09· Cites FDA & NEJM· Not medical advice
21 programs compared Independent — rankings aren't for saleHow we rank →

skinnyRx and bmiMD are both telehealth GLP-1 programs, but they differ on price, medications, shipping and how you pay. Here's the side-by-side, with the numbers, so you can pick the right one.

Short answer: skinnyRx is our pick in this matchup — straightforward physician-prescribed compounded GLP-1. Consider bmiMD instead if its strength — gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory — matters more to you.

Educational, not medical advice. This page explains GLP-1 medications in general terms. Only a licensed clinician who knows your history can decide what's right for you.

Our pick
skinnyRx logo

skinnyRx is our pick in this matchup — straightforward physician-prescribed compounded GLP-1. Consider bmiMD instead if its strength — gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory — matters more to you.

View Plan: skinnyRx
skinnyRx logo
OUR PICK
8.0/10#9 of 22· Varies (not published as a flat rate)

Best for: Simple compounded access

Choose skinnyRx if…

you want skinnyRx's edge — straightforward physician-prescribed compounded GLP-1.

bmiMD logo
8.7/10#15 of 22· $119/mo (compounded semaglutide)

Best for: GLP-1 telehealth

Choose bmiMD if…

you want bmiMD's edge — gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory.

Cost breakdown

The numbers that actually decide it, side by side.

skinnyRx
bmiMD
Starting priceVaries (not published as a flat rate)$119/mo (compounded semaglutide)
SemaglutideCompounded (plan-dependent)$119/mo (compounded; list $228.60)
TirzepatideCompounded (plan-dependent)Not a featured product
OfferingCompoundedCompounded
ShippingNationwide home deliveryIncluded; 'Ready to Ship' in-stock inventory
InsuranceCashCash

On price, skinnyRx lists Compounded (plan-dependent) for compounded semaglutide and Compounded (plan-dependent) for tirzepatide, while bmiMD lists $119/mo (compounded; list $228.60) and Not a featured product. Where prices are published, bmiMD is the lower-cost option.

Both are cash-pay compounded programs, so the real decision comes down to price, shipping, pharmacy credentials and support rather than the drug itself.

Full specs, side by side

skinnyRx
bmiMD
Why choose itStraightforward physician-prescribed compounded GLP-1GLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory
Watch out forFewer published details than top-ranked programsSemaglutide starts at $119/mo — above the cheapest cash options; tirzepatide isn't featured
Starting priceVaries (not published as a flat rate)$119/mo (compounded semaglutide)
Compounded semaglutideCompounded (plan-dependent)$119/mo (compounded; list $228.60)
TirzepatideCompounded (plan-dependent)Not a featured product
GLP-1 + GIP optionYes — compounded tirzepatide (GLP-1/GIP)Not listed
Offering typeCompoundedCompounded
New-patient offerVariesSale pricing $119/mo (from $228.60)
Billing modelMonthly plansMonthly plans
What's includedPhysician evaluation, Medication, Home deliveryOnline medical evaluation, Medication, Shipping
Lab workOnline intakeOnline intake
ShippingNationwide home deliveryIncluded; 'Ready to Ship' in-stock inventory
RefillsMonthly refillsMonthly refills
StatesNationwideUS telehealth
PharmacyUS compounding pharmaciesUS compounding pharmacies
CliniciansUS-licensed physiciansUS-licensed prescribers
InsuranceCashCash
ConsultationPhysician-prescribed onlineOnline medical intake
Our rating8.0 · Good8.7 · Very Good

Medications & formulations

  • skinnyRx: compounded GLP-1. Yes — compounded tirzepatide (GLP-1/GIP)
  • bmiMD: compounded GLP-1. Not listed

New to the drugs themselves? Read our plain-language guides to semaglutide and tirzepatide.

Pros & cons

skinnyRx logo

Pros

  • Physician-prescribed compounded GLP-1
  • Both semaglutide and tirzepatide
  • Nationwide home delivery

Cons

  • Fewer published details than top-ranked programs
  • Compounded only
bmiMD logo

Pros

  • Transparent list-vs-sale pricing shown upfront
  • Ready-to-ship inventory for fast dispatch
  • One clinic for GLP-1 plus peptide and longevity therapies
  • No insurance required to start

Cons

  • Compounded semaglutide entry ($119/mo) is higher than the cheapest cash programs
  • Compounded tirzepatide isn't a featured option
  • Compounded products aren't FDA-approved finished drugs

Where each one has the edge

We don't tally a winner — that hides the trade-offs. Here's who leads on each dimension and why.

Semaglutide price
bmiMD

skinnyRx: Compounded (plan-dependent). bmiMD: $119/mo (compounded; list $228.60).

Medication range
Toss-up

skinnyRx offers compounded; bmiMD offers compounded.

Shipping
Toss-up

skinnyRx: Nationwide home delivery. bmiMD: Included; 'Ready to Ship' in-stock inventory.

Pharmacy credentials
Toss-up

Comparable pharmacy disclosures.

Insurance coordination
Toss-up

Both are primarily cash-pay for compounded GLP-1.

Match by your priority

The fastest way to decide: find your top priority, see which program we'd point you to.

If your priority is the lowest published price

bmiMDbmiMD lists the lower semaglutide price.

If your priority is the best shipping

skinnyRxFaster/cheaper shipping.

If your priority is our overall pick

skinnyRxstraightforward physician-prescribed compounded GLP-1

skinnyRx vs bmiMD: common questions

Where prices are published, bmiMD lists the lower semaglutide price ($119/mo (compounded; list $228.60)). Both may run promotions and change pricing, so confirm current rates on each site.

The bottom line

skinnyRx is our pick in this matchup — straightforward physician-prescribed compounded GLP-1. Choose bmiMD only if its strength (gLP-1 alongside a peptide and longevity menu, with ready-to-ship inventory) matters more to you than price and our overall rating.

How we compare — and how to read this

We compare programs on the factors that actually affect a patient: real price (including whether it's compounded or branded), medications and formulations offered, shipping, pharmacy accreditation and clinician model, insurance stance, and commitment. We name a top pick for most people, but we show the trade-offs in full so you can override it when your priorities or insurance point the other way. Pricing is provider-reported and changes frequently — and compounded-drug availability shifts with FDA shortage status — so always confirm the current details on the provider's own site before enrolling. Affiliate relationships do not change a program's placement. This page is educational and not medical advice; see our disclaimer.

Is skinnyRx legit? Read the full reviewIs bmiMD legit? Read the full review

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