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Midi Health vs SkinnyRx: Which Is Better?

Head-to-head comparison of Midi Health and SkinnyRx based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Midi Health scores higher overall in our independent evaluation (74.8/100 vs 57.9/100), leading on trust & safety, value, product range, reputation. SkinnyRx comes out ahead on experience.

75

Insurance-billed virtual clinic for perimenopause and menopause, prescribing FDA-approved and compounded HRT, non-hormonal options, and GLP-1s through menopause-trained clinicians.

Visit Midi Health
58

Cash-pay compounded GLP-1 provider offering five dosing formats, currently facing an FDA warning letter against its parent company.

Visit SkinnyRx

Score Breakdown

DimensionMidi HealthSkinnyRx
Overall Score74.8/100 ✓57.9/100
Trust & Safety30%78/100 ✓45/100
Value25%72/100 ✓68/100
Experience20%74/10078/100 ✓
Product Range15%72/100 ✓55/100
Reputation10%78/100 ✓35/100

At a Glance

Founded2021—
HeadquartersMenlo Park, CA—
Publicly tradedNoNo
Treatment categories31
Treatments listed34
Starting price$50/mo$199/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryMidi HealthSkinnyRx
Weight Loss / GLP-1$50–$250
Branded GLP-1 Prescribing (Wegovy/Zepbound)
$199
Semaglutide Injection

Midi Health

+In-network with most major commercial PPO plans, which third-party reviewers put at roughly $50 out of pocket per visit
+Clinicians trained specifically in menopause care, prescribing both FDA-approved HRT and non-hormonal options and ordering labs and imaging
+No membership fee; self-pay is per visit ($250 first, $150 follow-up), which is cheaper than a monthly plan for patients on a stable regimen
−Billing is the dominant complaint: BBB logs 64 complaints in three years, mostly surprise balances after insurance confirmations
−Medicare, Medicaid and Medi-Cal are not accepted, excluding many women in the core menopause age group
−Compounded GLP-1 pricing is published only as a 'from $164 per 4-week supply' floor; dose-level prices require a visit
Read the full Midi Health review →

SkinnyRx

+Five dosing formats (injection, sublingual, tablet) for semaglutide/tirzepatide give patients flexibility
+Large Trustpilot volume (5,390 reviews) at a 4.8 average suggests broad satisfaction
+Reps cited by name in reviews for responsive onboarding guidance
−FDA warning letter reportedly issued to parent company Lean Rx, Inc. (February 2026) — unverified independently this cycle, needs manual confirmation
−Some patients report oral/sublingual formats were ineffective with no visible results
−A reviewer described being required to pay upfront for medication that had no effect
Read the full SkinnyRx review →

Midi Health vs SkinnyRx — FAQ

Is Midi Health better than SkinnyRx?

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Midi Health scores higher overall in our independent evaluation (74.8/100 vs 57.9/100), leading on trust & safety, value, product range, reputation. SkinnyRx comes out ahead on experience.

Is Midi Health or SkinnyRx cheaper?

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Midi Health has the lower starting price (from $50/mo vs $199/mo for SkinnyRx). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Midi Health and SkinnyRx both offer?

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Both platforms treat Weight Loss / GLP-1. Midi Health covers 3 treatment categories total and SkinnyRx covers 1.

Still deciding?

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