Lavender Sky Health vs OrderlyMeds vs SkinnyRx (2026)

On tirzepatide, the order is SkinnyRx↗ ($299) → OrderlyMeds↗ ($299) → Lavender Sky Health↗ ($352) — gaps of $0 and then $53 a month, a $636 spread across a year between first and last. All-in figures, 10 mg basis, captured 2026-08-09.

Updated 2026-08-10 · figures captured 2026-08-09 · how we verify

§ Each record, condensed

The three records, one screen

SkinnyRx: the record, condensed

Start with the load-bearing figure: $299 a month, all-in, is what SkinnyRx charges for tirzepatide at the 10 mg basis. Because pricing is flat across the ladder (2.5 → 5 → 7.5 → 10 mg (12.5 and 15 mg available)), a dose increase at SkinnyRx is a clinical event and not a billing one. Whatever your prescriber decides, the invoice does not move, which makes this one of the few programs whose headline figure you can actually plan a year around.

Nothing recurs on top: no membership, no platform fee, no “provider access” line. The $299 is the whole subscription, which makes SkinnyRx unusually easy to compare and unusually easy to leave.

To place the number: #7 of 17 verified programs, with the floor $84/month below at NexLife↗ ($215); the approved-product yardstick (Zepbound (LillyDirect↗)) sits at $449, so the compounded case here is worth $150 a month. A year at this figure: $3,588 monthly-billed.

SkinnyRx’s semaglutide program bills $199 a month once every mandatory fee is counted, measured at the 2.4 mg maintenance basis. Because pricing is flat across the ladder (0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg), a dose increase at SkinnyRx is a clinical event and not a billing one. Whatever your prescriber decides, the invoice does not move, which makes this one of the few programs whose headline figure you can actually plan a year around.

The absence worth noticing: no mandatory membership. Across this index memberships run $25–$145 a month and hide outside headline prices; here the headline is the bill.

Context for that figure: it ranks #11 of 20 in the verified semaglutide index — $66/month above the floor (Oak Longevity, $133) — and sits $150 under the brand benchmark (Wegovy (NovoCare↗), $349 at maintenance). Annualized, a monthly-billed year here runs $2,388.

Operationally at SkinnyRx: shipping included; commitment none; cancellation no membership on compounded programs; pharmacy not publicly named — ask in writing before paying; states: not published; evidence source-verified, captured 2026-08-05. The full record with source and archive links: the SkinnyRx page · visit SkinnyRx ↗

OrderlyMeds: the record, condensed

OrderlyMeds’s tirzepatide program bills $299 a month once every mandatory fee is counted, measured at the 10 mg maintenance basis. It is a flat structure: 2.5 → 5 → 7.5 → 10 mg (12.5 and 15 mg available) all bill identically. In a market where most low advertised prices quietly belong to the starter dose, a flat figure is the difference between a quote and a teaser.

Nothing recurs on top: no membership, no platform fee, no “provider access” line. The $299 is the whole subscription, which makes OrderlyMeds unusually easy to compare and unusually easy to leave.

To place the number: #8 of 17 verified programs, with the floor $84/month below at NexLife ($215); the approved-product yardstick (Zepbound (LillyDirect)) sits at $449, so the compounded case here is worth $150 a month. A year at this figure: $3,588 monthly-billed.

On semaglutide, the number that matters at OrderlyMeds is $149 a month all-in — the figure at the 2.4 mg maintenance basis this whole site ranks on. Because pricing is flat across the ladder (0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg), a dose increase at OrderlyMeds is a clinical event and not a billing one. Whatever your prescriber decides, the invoice does not move, which makes this one of the few programs whose headline figure you can actually plan a year around.

The absence worth noticing: no mandatory membership. Across this index memberships run $25–$145 a month and hide outside headline prices; here the headline is the bill.

Context for that figure: it ranks #4 of 20 in the verified semaglutide index — $16/month above the floor (Oak Longevity, $133) — and sits $200 under the brand benchmark (Wegovy (NovoCare), $349 at maintenance). Annualized, a monthly-billed year here runs $1,788.

Operationally at OrderlyMeds: shipping included; commitment none stated; cancellation not published; pharmacy not publicly named — ask in writing before paying; states: not published; evidence no public price, captured 2026-08-05. The full record with source and archive links: the OrderlyMeds page · visit OrderlyMeds ↗

Lavender Sky Health: the record, condensed

Start with the load-bearing figure: $352 a month, all-in, is what Lavender Sky Health charges for tirzepatide at the 10 mg basis. Pricing steps with the dose here: from $200 at entry to $352 at the 10 mg basis. Multiply the wrong one of those by twelve and your budget is off by $1,824 a year, which is why every ranking on this site uses the larger number.

The all-in figure already contains a compulsory $25 monthly membership. That is the honest way to quote it: a bundled price is only misleading when its parts are advertised separately, and here the medication-only $327 would be exactly that kind of mirage.

To place the number: #12 of 17 verified programs, with the floor $137/month below at NexLife ($215); the approved-product yardstick (Zepbound (LillyDirect)) sits at $449, so the compounded case here is worth $97 a month. A year at this figure: $4,224 monthly-billed.

Start with the load-bearing figure: $174 a month, all-in, is what Lavender Sky Health charges for semaglutide at the 2.4 mg basis. The figure is quoted at maintenance without a separate teaser tier, which keeps the arithmetic honest by default.

A required $25/month membership is part of the deal, and part of the figure above: $149 of medication plus $25 of platform equals the $174 that leaves your account. Judge the membership by what it includes, but compare on the total.

Context for that figure: it ranks #6 of 20 in the verified semaglutide index — $41/month above the floor (Oak Longevity, $133) — and sits $175 under the brand benchmark (Wegovy (NovoCare), $349 at maintenance). Annualized, a monthly-billed year here runs $2,088.

Operationally at Lavender Sky Health: shipping included; commitment monthly plan fee recurs; cancellation plan fee recurs until cancelled; pharmacy not publicly named — ask in writing before paying; states: not published; evidence source-verified, captured 2026-08-05. The full record with source and archive links: the Lavender Sky Health page · visit Lavender Sky Health ↗

§ The three-way read

Prices, gaps, and what sits inside them

SkinnyRx holds the low ground at $299 — dose-flat, so that figure is a ceiling with no membership attached. OrderlyMeds follows at $299 (+$0/mo, $0/yr). Lavender Sky Health tops the trio at $352 (+$53/mo over the leader, $636/yr) — note its record’s watch-out below.

The semaglutide picture reshuffles the order: OrderlyMeds $149 → Lavender Sky Health $174 → SkinnyRx $199 — a reminder that molecule choice and provider choice are separate decisions, priced separately in the semaglutide index.

§ Category winners among the three

Who wins what

Cheapest month-to-month: SkinnyRx ($299); cheapest 12-month path: SkinnyRx ($3,588); simplest billing (no membership): SkinnyRx and OrderlyMeds; dose-flat structure: SkinnyRx and OrderlyMeds; cheapest semaglutide of the three: OrderlyMeds ($149).

Every winner above is a computation, not a placement; the pairwise pages carry the full duels: SkinnyRx vs OrderlyMeds · SkinnyRx vs Lavender Sky Health (record · record) · OrderlyMeds vs Lavender Sky Health (record · record).

§ Structure, three ways

Everything besides the three prices

Memberships: SkinnyRx none; OrderlyMeds none; Lavender Sky Health $25/mo (inside its figure). Structures: SkinnyRx dose-flat; OrderlyMeds dose-flat; Lavender Sky Health step/tiered. Pharmacies: SkinnyRx not named; OrderlyMeds not named; Lavender Sky Health not named. States: SkinnyRx — not published; OrderlyMeds — not published; Lavender Sky Health — not published. Exit terms: SkinnyRx — no membership on compounded programs; OrderlyMeds — not published; Lavender Sky Health — plan fee recurs until cancelled.

The census reading: where all three match on an axis, that axis cannot break the tie and the price column rules; where they split — a membership here, an unnamed pharmacy there — the split is usually worth more than a small price gap, because structure is what you live with after month one. Evidence for all three: SkinnyRx source-verified (2026-08-05); OrderlyMeds no public price (2026-08-05); Lavender Sky Health source-verified (2026-08-05).

The trio on semaglutide, across time

3 mo: OrderlyMeds $447 vs Lavender Sky Health $522 vs SkinnyRx $597 6 mo: OrderlyMeds $894 vs Lavender Sky Health $1,044 vs SkinnyRx $1,194 12 mo: OrderlyMeds $1,788 vs Lavender Sky Health $2,088 vs SkinnyRx $2,388 — monthly-billed totals; prepaid paths where published appear on each provider page.

§ Twelve and twenty-four months

The trio, annualized

SkinnyRx: $3,588/yr monthly-billed; OrderlyMeds: $3,588/yr monthly-billed; Lavender Sky Health: $4,224/yr monthly-billed. Across two years at monthly billing the first-to-last spread widens to $1,272 — the horizon at which structure (prepaid ladders, flat pricing, membership drag) matters more than the sticker.

The elimination read

A three-way choice is really two eliminations, so run them in order. Eliminate Lavender Sky Health first unless it names its edge: at $352 it carries a $53/month premium over the floor of this trio — $636 a year, about 2.1 extra months of therapy at SkinnyRx’s rate — and a premium that size must point at a specific line in its record (the services inside its $25/mo membership) or it is decoration. Then interrogate OrderlyMeds’s middle ground: nothing structural — its case is purely situational; if that specific thing is on your personal ledger, the $0/month over the floor can be rational — if not, the middle is where budgets go to leak. What survives is SkinnyRx at $299, which wins by default rather than by argument — exactly how a price index should crown things — subject to the two checks no ranking can run for you: your state at intake, and your prescriber on the medication itself.

The same trio on best published rate: SkinnyRx $299 → OrderlyMeds $299 → Lavender Sky Health $352 — all three price month-to-month only at capture. Short-horizon totals, monthly-billed: 3 months — SkinnyRx $897, OrderlyMeds $897, Lavender Sky Health $1,056; 6 months — SkinnyRx $1,794, OrderlyMeds $1,794, Lavender Sky Health $2,112. 0 of the three publish a prepaid path below their own monthly billing; the twelve- and twenty-four-month table below carries those, labeled.

The record-quality read, scored on the five checkable disclosures this index tracks (maintenance price, named pharmacy, published states, published cancellation terms, source-verified capture): SkinnyRx 4/5, OrderlyMeds 3/5, Lavender Sky Health 4/5. SkinnyRx discloses the most and OrderlyMeds the least, and in this market disclosure predicts disclosure — the axis where a program goes quiet is reliably where its checkout surprises live. The three match on every disclosure axis, which is rare and worth noting in their favor collectively. Scores recompute from the public records like everything else here.

Read as a decision: start from SkinnyRx and make the other two argue upward. OrderlyMeds’s case is its structure; Lavender Sky Health’s case must be worth $636 a year in named features — the honest unit being months of medication (2.1 of them at the floor rate). The pairwise pages above hold each argument in full, and the calculator holds your version of it.