SkinnyRx in South Dakota

Is SkinnyRx legit?

No verdict has been issued yet. This is a neutral factual record. SkinnyRx (skinnyrx.com) is a direct-to-consumer telehealth platform whose Terms and Conditions, Privacy Policy, and a February 2026 FDA warning letter all identify the operating company as Lean Rx, Inc. (d/b/a SkinnyRx and LeanRx), based at 2108 N St, Suite N, Sacramento, CA 95816. It offers compounded semaglutide and compounded tirzepatide in injectable, oral-tablet, and sublingual-tablet forms, plus a separate $49-then-$149/month membership pathway that facilitates (but does not itself fulfill) access to branded medications including Wegovy, Zepbound, Mounjaro, and the investigational once-daily pill Foundayo through third-party manufacturer programs (NovoCare Pharmacy, LillyDirect). Intake is a roughly five-minute online quiz reviewed by a U.S.-licensed, board-certified provider; patients are not charged unless the intake is completed and are refunded in 24-48 hours if a provider determines they don't qualify. SkinnyRx names no compounding or dispensing pharmacy anywhere in its own public materials. Compounded-medication offerings are explicitly not available in Alabama, Louisiana, or Mississippi per its own Terms, so all-50-state coverage is not confirmed for its core compounded product line; branded offerings are stated to "may be available in all U.S. states" without an enumerated list. SkinnyRx offers a 90-Day Money-Back Guarantee with narrow eligibility conditions (continuous 90-day paid membership, weekly self-logged weight in its app, ending weight not below starting weight, claim filed within 14 days of the guarantee period's end) and states plainly it does not accept returns or refunds on medication once other conditions aren't met; the branded-path membership fee is non-refundable once charged. Governing law is California, with mandatory individual AAA arbitration, a class-action waiver, and a one-year limitations period for disputes; non-arbitrable disputes are venued in Sacramento County, California courts. On February 20, 2026, the FDA issued a warning letter to Lean Rx, Inc. (MARCS-CMS 717989) for misbranding under FDCA sections 502(a) and 502(bb), citing website labeling that falsely implied SkinnyRx itself is the compounder and marketing claims implying FDA approval/equivalence. Separately, a federal putative class action (Freeland v. Foothills Pharmacy, Ltd. et al., No. 4:26-cv-00263, M.D. Pa., filed February 3, 2026) targets the marketing of oral tirzepatide tablets sold under several telehealth brands; SkinnyRx is not a named defendant but is described throughout as the consumer-facing storefront the named plaintiff purchased from, and the complaint separately alleges that no entity named "LeanRx" or "Lean Rx" could be located in California Secretary of State records despite the Sacramento address on SkinnyRx's own Terms, while a same-named Delaware entity is tied to an unpaid New York City tax lien filed against a residential address. SkinnyRx's BBB profile shows a B rating (not BBB-accredited) and 151 complaints over three years, concentrated in product and billing/subscription disputes. A Trustpilot profile for skinnyrx.com exists based on search-result snippets, but Trustpilot blocks direct fetch access, so its rating and review count could not be independently verified as of the access date and are not reported here.

Is SkinnyRx's pharmacy licensed in South Dakota?

Fills through Foothills, Pharmacy Innovations +2 per market data; South Dakota licenses not yet verified by us.

Does SkinnyRx ship to South Dakota?

Ship-to coverage for SkinnyRx is still in review — unknown, not excluded. Confirm South Dakota availability at the clinic's own checkout.

How much does SkinnyRx cost?

Compounded tirzepatide from $299/mo (12-mo prepay); Compounded semaglutide from $199/mo (12-mo prepay) — observed market pricing, snapshot 2026-07-20.