Willow vs SkinnyRx: Which GLP-1 Program Is Better? (2026)
A detailed side-by-side comparison of Willow and SkinnyRx to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.
Quick Verdict
We recommend SkinnyRx
Between these two providers, SkinnyRx is our pick for most users. It offers a higher overall rating (8.9 vs 6.9), more affordable pricing. That said, Willow may be the better fit if you are looking for women who want a tablet option and 24/7 support and will pay a premium for it.
SkinnyRx scores 8.9/10 in our independent evaluation at $199/month, while Willow scores 6.9/10 at $299/month. Both programs include a licensed physician consultation and ship medication directly to your door. SkinnyRx also offers oral GLP-1 options for patients who prefer pills over injections. Our rating considers five factors: safety and medical oversight (30%), pricing transparency (25%), cost value (20%), clinical support quality (15%), and onboarding speed (10%). We earn affiliate commissions from some providers, disclosed on this page; no provider can pay to fake safety, licensing, or hide the downsides. Prices verified April 2026.
Side-by-Side Comparison
| Feature | Willow | SkinnyRx |
|---|---|---|
| Monthly Price | $299 | $199 |
| Rating | 6.9 / 10 | 8.9 / 10 |
| Medication Type | Compounded Only | Compounded Only |
| Insurance Accepted | No | No |
| States Available | 38 states | 48 states |
| Consultation Fee | Free | Included |
| Shipping | Free Shipping | Free Shipping |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed physicians, unlimited doctor access, 24/7 online care team | Licensed U.S. physicians, 24-48hr prescription review |
Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated April 2026.
Willow: Detailed Look
Willow
Personalized GLP-1 weight loss with ongoing clinical support
Pros
- Injectable or dissolving-tablet semaglutide and tirzepatide at the same price
- Unlimited doctor access plus a 24/7 online care team
- Displays a LegitScript certification seal; HSA/FSA eligible
- Free shipping; cancel anytime (full refund if you cancel before the prescription goes to the pharmacy)
Cons
- $299/mo semaglutide and $399/mo tirzepatide — among the most expensive compounded plans we track, with no multi-month discount
- Serves 38 states — not available in AL, AK, AR, DE, KS, LA, MS, ND, RI, SD, UT or WV
- Newer platform — fewer long-term patient reviews available
Women who want a tablet option and 24/7 support and will pay a premium for it
SkinnyRx: Detailed Look
SkinnyRx
Fastest-growing GLP-1 provider — oral, sublingual, and injectable options with Affirm financing
Pros
- Three delivery forms: injectable, sublingual, and oral tablets
- Free overnight shipping from FDA-regulated U.S. pharmacies
- Month-to-month billing with no contracts
- 4.8/5 Trustpilot rating from thousands of verified reviews
Cons
- Cash-pay only — no insurance billing
- Compounded medications only — no brand-name options
Users who want multiple delivery forms (oral, sublingual, injectable) for their GLP-1
Which Should You Choose?
The right choice depends on your specific needs and priorities. Here is a quick decision framework:
Go with SkinnyRx at $199/month. 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 SkinnyRx is excluded from our verified price ladders until a standing price is republished. 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)..
SkinnyRx has the edge with a 8.9 rating.
Compare their support: Willow offers licensed physicians, unlimited doctor access, 24/7 online care team, while SkinnyRx provides licensed u.s. physicians, 24-48hr prescription review.
Willow at $299/month may offer features that justify the premium.
Frequently Asked Questions
Is Willow better than SkinnyRx?
Willow has a 6.9 rating while SkinnyRx has a 8.9 rating. The better choice depends on your priorities — Willow is best for women who want a tablet option and 24/7 support and will pay a premium for it, while SkinnyRx is best for users who want multiple delivery forms (oral, sublingual, injectable) for their glp-1.
How much does Willow cost compared to SkinnyRx?
Willow starts at $299/month (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.), while SkinnyRx starts at $199/month (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 skinnyrx is excluded from our verified price ladders until a standing price is republished. 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).).
Do Willow and SkinnyRx accept insurance?
Willow does not accept insurance. SkinnyRx does not accept insurance.
Which GLP-1 medications does Willow offer vs SkinnyRx?
Willow offers Compounded Semaglutide (Injectable), Compounded Tirzepatide (Injectable), Compounded Semaglutide (Tablets), Compounded Tirzepatide (Tablets). SkinnyRx offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets).
Can I cancel Willow or SkinnyRx at any time?
Willow allows cancel anytime. SkinnyRx also allows cancel anytime.
Are Willow and SkinnyRx available in my state?
Willow is available in 38 states. SkinnyRx is available in 48 states.
Not sure Willow or SkinnyRx is right for you?
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