SkinnyRx vs Willow
Recorded prices, access and terms.
The short answer
- Cheapest to start, semaglutide: Only Willow has a recorded semaglutide monthly-plan rate ($299/mo). SkinnyRx's own line is "$99 first month, renewal not published", which is not a comparable monthly-plan rate.
- Cheapest to start, tirzepatide: Only Willow has a recorded tirzepatide monthly-plan rate ($399/mo). SkinnyRx's own line is "$99 first month, renewal not published", which is not a comparable monthly-plan rate.
- Cheapest over 12 months, semaglutide: Only Willow has enough on the record for a 12-month semaglutide figure: $3,588 on 12 months on the monthly plan.
- Cheapest over 12 months, tirzepatide: Only Willow has enough on the record for a 12-month tirzepatide figure: $4,788 on 12 months on the monthly plan.
- Broadest availability: SkinnyRx is recorded in 48 states, Willow in 38.
- Drugs: SkinnyRx lists compounded medication only; Willow lists compounded medication only.
Price lines compare recorded monthly-plan subtotals and term totals, as on our price pages. A lower recorded rate is not a complete cost: labs, dose changes and the amount due today can differ.
Decision table
The entries below are recorded provider statements unless a regulatory source is linked. A provider webpage does not independently verify its licenses or quality. SkinnyRx source · Willow source.
| Compare | SkinnyRx | Willow |
|---|---|---|
| Recorded monthly-plan price | Not recorded | $299/mo semaglutide, $399/mo tirzepatide |
| Recorded medication/program subtotal | Seller's headline: $99 first month for injections, tablets $149 or $199 first month, renewal price not published. It may require prepayment, a specific dose or introductory terms. The full required cost is not established. | Recorded medication and program subtotal: semaglutide: $299/month; tirzepatide: $399/month. Other required fees, labs, dose changes and renewal terms are not established. This is not a verified all-in treatment cost. |
| Lowest 12-month total on the record | No rate and term we can carry to 12 months | semaglutide $3,588 (12 months on the monthly plan); tirzepatide $4,788 (12 months on the monthly plan) |
| Full required monthly cost | Not established: consultation, labs, membership, dose changes and shipping must be checked | Not established: consultation, labs, membership, dose changes and shipping must be checked |
| Drug type listed | Compounded | Compounded |
| Oral option | Listed | Listed |
| Consultation | Included in the record; current conditions unconfirmed | Free in the record; current conditions unconfirmed |
| Membership or program fee | Not separately recorded; do not assume zero. | Not separately recorded; do not assume zero. |
| Shipping | Recorded as included; confirm for your address | Recorded as included; confirm for your address |
| Labs | Required tests and any lab charge are not recorded. | Required tests and any lab charge are not recorded. |
| Insurance | Self-pay on the record | Self-pay on the record |
| Pharmacy license | Not independently verified. Obtain the dispensing pharmacy name and verify its state license. | Not independently verified. Obtain the dispensing pharmacy name and verify its state license. |
| Reported states | 48; confirm eligibility and clinician licensing in your state | 38; confirm eligibility and clinician licensing in your state |
| Cancellation | Cancellation reported; notice, minimum term and refund conditions unconfirmed | Cancellation reported; notice, minimum term and refund conditions unconfirmed |
| Clinician/support as reported | Licensed U.S. physicians, 24-48hr prescription review | Licensed physicians, unlimited doctor access, 24/7 online care team |
| Trustpilot | 4.8/5 from 5,401 reviews (read Nov 5, 2026) | 4.1/5 from 386 reviews (read Nov 5, 2026) |
| Recorded provider check | 2026-11-06 | 2026-11-06 |
Price by plan and term
Each rate is a per-month amount for the plan named, from the seller's own page on the date shown. A term plan's rate needs the full term; the total under it is the rate times the months.
SkinnyRx
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline | $99 first month, renewal not published | $99 first month, renewal not published | SkinnyRx page, read Nov 6, 2026 |
Last published standing prices were $199/mo injectable semaglutide and $299/mo injectable tirzepatide (seen September 1, 2026). Since September 2 the homepage, both product pages and the FAQ show only a '$99 first month' price for each injectable (tablets $149 / $199 first month) under a '$99 GLP-1 Injections: While Supplies Last' banner, with no renewal rate anywhere, so it has no standing price on record. Plans are subscriptions with no contract, cancel anytime; the refund FAQ notes promotional discounts may be reversed if you cancel before the end of a promotional term. Re-checked September 26, 2026: still only first-month prices ($99 injections 'while supplies last', tablets $149 semaglutide / $199 tirzepatide first month). Re-read November 6, 2026: unchanged.
Willow
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Monthly plan | $299/mo | $399/mo | Willow page, read Nov 6, 2026 |
Compounded semaglutide $299/mo and tirzepatide $399/mo, billed month-to-month with no plan tiers ('one time for $299 / subscribe for $299'); the same prices apply to Willow's semaglutide and tirzepatide dissolving tablets. HSA/FSA eligible, free 2-day shipping, medical evaluation included. Read on startwillow.com product pages September 18, 2026: the previous $160 'starting price' matched nothing on the site.
What is included
SkinnyRx
Visits: consultation recorded as "Included". Care: Licensed U.S. physicians, 24-48hr prescription review.
Shipping: recorded as included.
Labs: Required tests and any lab charge are not recorded.
Dose increases: A price for each dose step is not recorded.
What SkinnyRx lists:
- Three delivery forms: injectable, sublingual, and oral tablets
- Month-to-month billing with no contracts
How it works, per SkinnyRx's page:
- Take an online assessment of your health history, goals and preferences.
- A licensed provider reviews it and decides whether prescription treatment is appropriate.
- If prescribed, fulfillment may be pharmacy pickup or direct delivery where available.
- The care team offers in-app support and progress tracking.
Willow
Visits: consultation recorded as "Free". Care: Licensed physicians, unlimited doctor access, 24/7 online care team.
Shipping: recorded as included.
Labs: Required tests and any lab charge are not recorded.
Dose increases: A price for each dose step is not recorded.
What Willow lists:
- Injectable or dissolving-tablet semaglutide and tirzepatide at the same price
- Unlimited doctor access plus a 24/7 online care team
- Free shipping; cancel anytime (full refund if you cancel before the prescription goes to the pharmacy)
States served
SkinnyRx: 48 states
Recorded as available in 48 states.
The record names no excluded state. Confirm yours at intake.
Willow: 38 states
Recorded as available in 38 states.
- Serves 38 states: not available in AL, AK, AR, DE, KS, LA, MS, ND, RI, SD, UT or WV
State-by-state costs and Medicaid notes are on the GLP-1 cost by state pages.
Drugs offered
SkinnyRx: compounded medication only
- Compounded Semaglutide (Injectable)
- Compounded Semaglutide (Sublingual)
- Compounded Tirzepatide (Injectable)
- Compounded Tirzepatide (Tablets)
An oral form is listed.
Willow: compounded medication only
- Compounded Semaglutide (Injectable)
- Compounded Tirzepatide (Injectable)
- Compounded Semaglutide (Tablets)
- Compounded Tirzepatide (Tablets)
An oral form is listed.
Compounded drugs are made by a pharmacy for a patient and are not the brand products. Compounded vs brand-name GLP-1.
Membership and other fees
- SkinnyRx: Not separately recorded; do not assume zero.
- Willow: Not separately recorded; do not assume zero.
A fee missing from the record is unknown, not zero.
Cancellation and refunds
SkinnyRx
Recorded as cancel anytime, but introductory discounts may be reversed on early cancellation. Confirm notice and refund rules.
- A full refund is available until a licensed provider completes the prescription review.
- Partially used subscription periods are not refunded as a rule, and bundled subscriptions are non-refundable.
Willow
Recorded: full refund only before prescription reaches pharmacy. Later cancellation/refund rights need confirmation.
Which should you choose?
SkinnyRx
On the record, SkinnyRx suits a reader who wants more states on the record (48 against 38).
Willow
On the record, Willow suits a reader who wants a published monthly-plan price we could record.
Ask each provider for the full cost at your prescribed dose, required labs and visits, the dispensing pharmacy, the clinician's state license, renewal charges and written refund terms. Compare those answers with your clinician.
Compounded drugs are not FDA-approved and do not undergo FDA review for safety, effectiveness or quality before marketing. FDA source and recommendations.
SkinnyRx: evidence and terms
Recorded FDA letter (2026-02-20): FDA found claims on skinnyrx.com for compounded GLP-1 products false or misleading, making the products misbranded under FD&C Act sections 502(a) and 502(bb). FDA letter.
Willow: evidence and terms
Price-only check 2026-11-06: Homepage FAQ: treatment plans start at $299 per month. The $399 tirzepatide figure is from its product pages, read September 18. Price source.
SkinnyRx vs Willow: questions
Which is cheaper, SkinnyRx or Willow?
Only Willow has a recorded semaglutide monthly-plan rate ($299/mo). SkinnyRx's own line is "$99 first month, renewal not published", which is not a comparable monthly-plan rate. Only Willow has a recorded tirzepatide monthly-plan rate ($399/mo). SkinnyRx's own line is "$99 first month, renewal not published", which is not a comparable monthly-plan rate. These are medication and recorded program-fee subtotals; labs, dose changes and other charges may be extra.
Which costs less over a year, SkinnyRx or Willow?
Only Willow has enough on the record for a 12-month semaglutide figure: $3,588 on 12 months on the monthly plan. Only Willow has enough on the record for a 12-month tirzepatide figure: $4,788 on 12 months on the monthly plan. A term plan commits you for the full term, so check its refund rules first.
Is SkinnyRx or Willow available in more states?
SkinnyRx is recorded in more states: 48 against 38. Willow: Serves 38 states: not available in AL, AK, AR, DE, KS, LA, MS, ND, RI, SD, UT or WV. Confirm your state at intake.
Do SkinnyRx and Willow offer brand-name or compounded GLP-1?
SkinnyRx lists compounded medication only (Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets)). Willow lists compounded medication only (Compounded Semaglutide (Injectable), Compounded Tirzepatide (Injectable), Compounded Semaglutide (Tablets), Compounded Tirzepatide (Tablets)). Compounded drugs are not FDA-approved.
Does SkinnyRx or Willow charge a membership fee?
SkinnyRx: Not separately recorded; do not assume zero. Willow: Not separately recorded; do not assume zero.
Can you cancel SkinnyRx or Willow at any time?
SkinnyRx: Recorded as cancel anytime, but introductory discounts may be reversed on early cancellation. Confirm notice and refund rules. Willow: Recorded: full refund only before prescription reaches pharmacy. Later cancellation/refund rights need confirmation.
Are the visit and shipping included with SkinnyRx and Willow?
SkinnyRx: consultation recorded as "Included", shipping recorded as included. Willow: consultation recorded as "Free", shipping recorded as included.
Do SkinnyRx or Willow take insurance?
Neither is recorded as accepting insurance; both are self-pay on our record.
Does SkinnyRx or Willow offer a pill or tablet?
Both list an oral option alongside injections. Check which drug and form each one prescribes for you.
Compare the full provider directory · Compare recorded price subtotals