Ro (Body by Ro) vs SkinnyRx: Which GLP-1 Clinic Is Better in 2026?
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Short answer
Ro (Body by Ro) wins overall, scoring 7.7/10 vs 6.0/10. Mainly on transparency and clinical oversight.
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A brand-name GLP-1 service that publishes both of its bills: a Ro Body membership from $74/mo on a plan prepaid annually, and medication at the manufacturer's self-pay price from $149/mo. It is rated A+ and accredited by BBB, and its terms make the paid membership fee non-refundable.
from $74/mo membership on a plan prepaid annually, medication billed separately
Read Review →SSkinnyRx
The format buffet (compounded semaglutide and tirzepatide as a weekly injection or a daily tablet, from $99 first month on the injectables) but the ongoing rate is published nowhere, and a thin independent track record with support complaints keeps its trust score in check.
$99 first month (later months not published)
Visit →Is SkinnyRx legit?Ro (Body by Ro) vs SkinnyRx, side by side
| Feature | Ro (Body by Ro) | SkinnyRx |
|---|---|---|
| Our score | 7.7/10 | 6.0/10 |
| Starting price | $74/mo membership on a plan prepaid annually, medication billed separately | $99 first month (later months not published) |
| Medication types | Wegovy, Wegovy Pill, Zepbound, Foundayo, Ozempic | compounded semaglutide, compounded tirzepatide, daily tablets |
| Best for | — | Injection or Tablets |
| Overall ranking | #8 | #58 |
| Price & Value (25%) | not scored (counted at 7.0) | 5.5 |
| Clinical Oversight (30%) | 8.5 | 6.5 |
| Medication Options (20%) | 8.0 | 8.5 |
| Transparency (25%) | 7.0 | 4.0 |
Sources: Ro (Body by Ro) pricing verified on ro.co, SkinnyRx pricing verified on skinnyrx.com
Ro (Body by Ro) vs SkinnyRx: what a year costs
Ro (Body by Ro): no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
SkinnyRx: no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
Ro (Body by Ro): no verified non-sale 12-month tirzepatide cost with a documented billing period is recorded.
SkinnyRx: no verified non-sale 12-month tirzepatide cost with a documented billing period is recorded.
SkinnyRx: no 12-month total, because it publishes only first-month prices.
Sources: ro.co, read October 25, 2026; skinnyrx.com, read October 25, 2026.
Which states Ro (Body by Ro) and SkinnyRx treat
Ro (Body by Ro) publishes no list of states, so you have to check yours at the start of intake. SkinnyRx: Compounded medication is not available in Alabama, Louisiana or Mississippi; brand-name offerings may be available in all states.
SkinnyRx's state exclusion covers compounded medication only, and every drug Ro lists is a brand-name product; Ro's terms say some services are limited to certain states without naming them.
Sources: ro.co, read October 25, 2026; skinnyrx.com, read October 25, 2026; ro.co, read October 25, 2026.
Medications and doses: Ro (Body by Ro) vs SkinnyRx
Ro (Body by Ro) and SkinnyRx have no medication in common: Ro (Body by Ro) lists Wegovy pill (oral semaglutide), Wegovy pen, Zepbound KwikPen (2.5, 5, 7.5, 10, 12.5 and 15 mg), Foundayo (orforglipron) pill (0.8, 2.5, 5.5, 9, 14.5 and 17.2 mg) and Ozempic, and SkinnyRx lists compounded semaglutide injection, compounded tirzepatide injection, compounded semaglutide tablets and compounded tirzepatide tablets.
Sources: ro.co, read October 25, 2026; ro.co, read October 25, 2026; skinnyrx.com, read October 25, 2026; skinnyrx.com, read October 25, 2026; skinnyrx.com, read October 25, 2026.
Labs, fees and what Ro (Body by Ro) and SkinnyRx include
Ro (Body by Ro) bills a $149 monthly fee separately from the medication; SkinnyRx's plan prices include the medication.
Ro (Body by Ro) asks for labs only when the clinician needs them, and covers them; SkinnyRx does not say whether labs are required.
What the money covers differs as well. Ro's membership pays for up to 24 provider visits a year, unlimited messaging, insurance help and coaching, with the medication charged separately. SkinnyRx's first-month price comes with free overnight shipping and unlimited access to its care team, and its pages imply, without stating it, that the medication is in that price.
On insurance, Ro says its insurance concierge can handle prior authorization paperwork with your insurer if it is needed. SkinnyRx accepts no commercial health insurance, Medicare or Medicaid, though it takes HSA and FSA cards.
Sources: ro.co, read October 25, 2026; skinnyrx.com, read October 25, 2026; ro.co, read October 25, 2026; skinnyrx.com, read October 25, 2026; ro.co, read October 16, 2026; skinnyrx.com, read October 16, 2026; skinnyrx.com, read October 16, 2026.
Cancelling and refunds: Ro (Body by Ro) vs SkinnyRx
To stop the next charge, Ro (Body by Ro) needs 2 days' notice and SkinnyRx 5 days'.
If you are turned down, or cancel before a prescription is written, Ro (Body by Ro) gives a partial refund and SkinnyRx a full refund.
SkinnyRx offers a money-back guarantee tied to results (3 months, with conditions); Ro (Body by Ro) publishes none.
Ro takes a cancellation in your account or by email, SkinnyRx online, in its help center or by phone; at both, what you already paid for runs to the end of that period. After that, little comes back: Ro keeps membership fees once paid, except the $39 first month if you are not eligible, and prescription products cannot be returned, while SkinnyRx refunds no order once a provider has finished the prescription review, and an approved refund needs the unopened medication back.
Sources: ro.co, read October 25, 2026; skinnyrx.com, read October 25, 2026; skinnyrx.com, read October 25, 2026.
FDA warning letters: Ro (Body by Ro) and SkinnyRx
SkinnyRx's company has received one FDA warning letter, dated February 20, 2026, with no closeout letter posted. Ro (Body by Ro) appears in none, searched October 25, 2026.
SkinnyRx's letters: February 20, 2026, to Lean Rx, Inc. dba SkinnyRx, "False & Misleading Claims/Misbranded (Telehealth)".
We searched FDA's database for "Roman Health" and "Ro Health" (Ro (Body by Ro)) and "SkinnyRx" and "Lean Rx" (SkinnyRx).
Sources: fda.gov, read October 25, 2026; fda.gov, read October 25, 2026.
Independent review data: Ro (Body by Ro) vs SkinnyRx
On Trustpilot, SkinnyRx rates 4.7 from 5,437 reviews, against 3.9 from 7,150 for Ro (Body by Ro).
The Better Business Bureau rates Ro (Body by Ro) A+, and SkinnyRx B-, 163 complaints closed in 3 years.
Sources: trustpilot.com, read October 14, 2026; bbb.org, read October 14, 2026; trustpilot.com, read October 11, 2026; bbb.org, read October 12, 2026.
Who each one suits
Ro (Body by Ro) suits you if
- you want Wegovy pill (oral semaglutide), Wegovy pen, Zepbound KwikPen, Foundayo (orforglipron) pill and Ozempic.
- an FDA warning letter rules a clinic out for you (SkinnyRx has one FDA warning letter, Ro (Body by Ro) none).
SkinnyRx suits you if
- you want compounded semaglutide injection, compounded tirzepatide injection, compounded semaglutide tablets and compounded tirzepatide tablets.
- you want one price that includes the medication, with no separate $149 monthly fee.
- you want a 3-month money-back guarantee.
- you weigh customer ratings (Trustpilot 4.7 against 3.9).
Verdict from the data
Ro (Body by Ro) comes out ahead on medication choice and a clean FDA record. SkinnyRx comes out ahead on an all-in price, a results guarantee and customer ratings.
Pick SkinnyRx if an all-in price, a results guarantee and customer ratings matter most to you. For everyone else our overall pick is Ro (Body by Ro) (7.7/10 against 6.0), a score that also weighs clinical oversight and transparency.
Pros & cons
Ro (Body by Ro)
Pros
- + Publishes all four membership plan lengths ($74, $89, $99 and $149 a month) and the starting medication price for each drug before any intake, under the heading "Two separate charges"
- + Names its own pharmacy (Roman Health Pharmacy LLC) in its terms, with care from affiliated physician practices and ongoing check-ins, provider messaging and dose adjustments described as part of the membership
- + Brand-name Wegovy® (pen and pill), Zepbound®, Foundayo® and Ozempic®, with a free insurance check and prior-authorization help for the pens
Cons
- − Weaker on Medication Options (8.0/10 vs 8.5)
SkinnyRx
Pros
- + Five formats: semaglutide & tirzepatide as injection, sublingual or tablet
- + Needle-free daily tablets: semaglutide $149 and tirzepatide $199 for the first month (ongoing rate unpublished)
- + Clinician-guided intake, no live appointment required
Cons
- − Weaker on Transparency (4.0/10 vs 7.0)
- − Weaker on Clinical Oversight (6.5/10 vs 8.5)
The bottom line
After scoring all 61 clinics on our 4-criterion rubric (price & value, clinical oversight, medication options and transparency), Ro (Body by Ro) (7.7/10) comes out ahead of SkinnyRx (6.0/10). But the right choice still depends on what matters most to you.
Ro (Body by Ro). From $74/mo membership on a plan prepaid annually, medication billed separately.
Read Review →Choose SkinnyRx if you want injection or Tablets. $99 first month (later months not published).
Visit →Editor's overall pick
Not sold on either? Our highest-rated partner clinic outside this pair is Wellorithm (7.9/10) from $247/mo after month 1. Read the review →
Ready to start GLP-1 weight loss?
Ro (Body by Ro) scores higher on our rubric. It is not one of our partners.
Frequently asked questions
Which is better, Ro (Body by Ro) or SkinnyRx?
Ro (Body by Ro) scores higher overall (7.7/10 vs 6.0/10) on our rubric.
How much does Ro (Body by Ro) cost vs SkinnyRx?
Ro (Body by Ro) is from $74/mo membership on a plan prepaid annually, medication billed separately and SkinnyRx is $99 first month (later months not published). Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between Ro (Body by Ro) and SkinnyRx?
Ro (Body by Ro) (7.7/10, #8 of 61) and SkinnyRx (6.0/10, #58 of 61) are scored independently across our 4 criteria: price & value, clinical oversight, medication options and transparency. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does Ro (Body by Ro) or SkinnyRx take insurance?
Insurance terms differ by clinic and by drug: some clinics are cash-pay only, and some help with insurance for brand-name drugs. Each clinic's review says what it publishes. HSA and FSA funds are often eligible. Confirm at checkout.
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How we score: every clinic is rated on 4 weighted criteria from documented evidence. Prices checked weekly. See each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.