Pricing · Care · FlexibilityReview dates vary by provider
Belle vs. SkinnyRx: pricing, care and plan details
Compare the details
The Belle approach
Belle ★
Compounded Tirzepatide & Semaglutide
4.5 ★★★★★1,367 Trustpilot reviews
Belle leads on 7 of 9 categories below
SkinnyRx
Absorbed TOM Weight Loss, Synergy RX, Goby Meds
4.7 ★★★★★5,426 Trustpilot reviews; 4% one-star
Good to knowA $99 first month, then $249.
Pricing
Semaglutide
$199/mo
All doses · flat rate
As low as $109/mo on an annual plan
$249/mo
$99 first month, then $249 every 30 days; same price at every dose
Renews at $199/mo on a 12-month plan
Tirzepatide
$249/mo
All doses · flat rate
As low as $179/mo on an annual plan
$299/mo
$99 first month, then $299 every 30 days; same price at every dose
Renews at $225/mo on a 12-month plan
Multi-Month Plans
1-, 2-, 6- & 12-month plans
Annual plans: $109/mo semaglutide or $179/mo tirzepatide
1-, 4-, 6- and 12-month plans
Lower renewal rates require a 4- to 12-month plan
Membership Fee
None, all-in pricing
No hidden fees on top of your medication
None (for compounded)
No membership fee for compounded sema or tirz; $49/mo membership required only for brand-name GLP-1 access
Care Team & Support
Medical Team
In-house doctors & staff
The medical team is employed directly by Belle, not contracted out to a third-party network
Affiliated medical practices
Terms: Lean Rx (SkinnyRx) is not a healthcare provider; care from affiliated practices such as AyaRx
Dietitian / Nutritionist
Included in every plan
Dedicated dietitian and nutritionist access
Not included
Multiple sources confirm SkinnyRx is "not trying to be a full lifestyle clinic"; no dietitian services offered
How You Reach the Care Team
Clinical, provider & support calls
Easily accessible booking links, with same-day appointments available for all three call types.
Basic messaging; no nurse line
Basic messaging support for dose adjustments and routine questions; video/phone may be required in some states; no dedicated nurse line
Care Between Refills
Optional welcome call, plus check-ins by call or text
Book an optional welcome call when you join. After that, request a check-in call anytime, and short check-in texts ask how things are going and watch for side effects.
Reactive; no check-in schedule
"Unlimited provider access" cited but follow-up is reactive and portal-based; no structured proactive check-in schedule
Pharmacy & Flexibility
Compounding Pharmacy
Licensed 503A & 503B pharmacies
Both FDA-registered pharmacy types for quality and compliance
503A compounding pharmacies only
Partners with 503A compounding pharmacies; no 503B; specific partner names not publicly disclosed
Cancellation Policy
Cancel anytime, no hassle
No long-term lock-in, no cancellation fees, no runaround
Cancel before next shipment preparation
Renewal charges may process up to 5 days before next period begins; bundled/upfront plans are non-refundable; some cancellation friction reported in reviews
Shipment Control
Full control: pause, delay, or cancel
Manage your shipments on your schedule, no questions asked
No confirmed pause option
One source mentions pause/cancel ability but no confirmed self-service pause mechanism; cancellation must occur before fulfillment begins

Comparison notes

SkinnyRx opens with a $99 first month, then renews at $249 and $299 every 30 days, while Belle charges $199 and $249 from day one. Lower renewal rates require a 4- to 12-month plan. SkinnyRx says outright that it is not a healthcare provider, and there is no dietitian on staff. Belle has no renewal surprise in month two, and backs every plan with an in-house care team.
Start with Belle

Cancel anytime. No membership fee. In-house doctors from day one.

Sources and review status

Provider sources reviewed . Pricing, membership, medical team, plan lengths and Trustpilot rechecked from public pricing, product, FAQ and terms pages; no checkout or independent service audit. Trustpilot rating checked on the same date.

The Belle Community

Stay connected with the Belle Community.

Weekly groups, nutrition guidance and an active community to connect with between appointments.

Belle clinicians participate weekly, sharing education and answering member questions.

Explore the Belle Community

Free to join. Open to anyone 18 and older.

An educational and peer-support space. For personal medical advice, contact your care team.

Why you can trust this guide

No spin. Just sources.

Belle publishes this guide and is a provider in every comparison. This is not an independent ranking or a treatment recommendation.

Compare the same medication, formulation, dose, plan length and billing schedule. Introductory prices, annual monthly equivalents and brand-name medication plus membership are labeled separately. An unknown detail is not a missing service.

For support, compare who responds, how you book a live follow-up, and when an appointment is available. An advertised messaging channel does not establish a response time. Competitor support descriptions are labeled as provider-advertised, historical or not verified; actual service availability and response times have not been independently tested.