First month, ask the renewal price · checked Sep 26
Check price for SkinnyRxOn SkinnyRx's site · partner link
Comparison · updated October 25, 2026
SkinnyRx vs Willow: SkinnyRx for brand-name or compounded options, Willow for compounded medication only
SkinnyRx and Willow differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.
These two prices are different kinds of bill, so read the line under each price before you compare them.
SkinnyRx pays us a commission when you join through our links. Willow does not. That never changes a score, an order or a fact on this page. How we make money
Which should you choose, SkinnyRx or Willow?
Short answer: Choose SkinnyRx if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.
Choose SkinnyRx if
- you want brand-name medicine as an option
- you put weight on customer ratings (4.8 on Trustpilot against 3.9)
Willow is best for
Users who want comprehensive clinical support with a needle-free daily tablet option on both semaglutide and tirzepatide.
The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.
By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
SkinnyRx vs Willow side by side
| SkinnyRx | Willow | |
|---|---|---|
| Price | $99First month, ask the renewal price | from $299/mo |
| Medicine | Brand-name and compounded | Compounded only |
| Needle-free option | BothYes, a pill or other oral form | |
| Insurance | BothNo insurance listed | |
| Consultation | BothIncluded | |
| Shipping | Free (overnight on all orders) | Free |
| Where it ships | 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states | 36 states |
| Trustpilot | 4.8 / 5 across 4,100 reviews | 3.9 / 5 across 360 reviews |
| BBB rating | Not tracked | D (not accredited) |
| Our score | 5/10 Mixed | 7.6/10 Good |
| Assessment limits | BothChecked Oct 16, 2026; a rating claim didn't match Trustpilot. | |
What SkinnyRx and Willow plans cost
SkinnyRx
A four-product compounded menu with separate injection and dissolving-tablet pages for semaglutide and tirzepatide. Compare the exact formulation, introductory bill and renewal terms; the different routes are not established as clinically equivalent.
- Compounded Semaglutide (injectable)$99Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
- Compounded Semaglutide (tablets)$149Oral dissolving tablet, quoted at $149 for the first month. Confirm the exact dispensing directions and later bill; merchant guidance differs on placement.
- Compounded Tirzepatide (injectable)$99Once-weekly tirzepatide injection, a GLP-1 and GIP dual agonist, quoted at $99 for the first month on its product page.
All 4 SkinnyRx plans
- Compounded Tirzepatide (tablets)$199Oral dissolving tablet, quoted at $199 for the first month. Confirm the exact dispensing directions and later bill; this is not an FDA-approved oral tirzepatide product.
How SkinnyRx bills
$99 is a first month rate quoted on the compounded semaglutide and tirzepatide injection product pages. SkinnyRx does not publish a month two price; its terms say the renewal rate is described during checkout.
We checked SkinnyRx's prices on September 26, 2026.
Willow
A compounded program with separate semaglutide and tirzepatide dissolving tablets, plus a combination tablet. The format choice may suit a reader who wants to discuss needle-free treatment with a clinician; it does not establish equivalence to an approved pill or injection.
- Compounded Semaglutide (injectable)$299Covers medication, consultations, shipping and dose adjustments. $299/mo holds to 3.5 mg, then $399/mo at 7 mg on the help center pricing article, verified 2026-09-03
- Compounded Semaglutide (oral tablet, daily)$299Compounded daily dissolving tablet, $299/mo for all listed dosages in Willow's current help center price schedule. This is distinct from the injection's dose ladder and is not FDA-approved Wegovy. Price checked September 26, 2026.
- Compounded Tirzepatide (injectable)$399Dual-pathway GIP + GLP-1 injectable with the same clinical support. $399/mo through 6.375 mg, then $499/mo at 8.5 and 11 mg, $524/mo at 13.5 mg and $549/mo at 17 mg, verified 2026-09-03
All 5 Willow plans
- Compounded Tirzepatide (oral tablet, daily)$399Daily needle-free tirzepatide tablet at the injection's starting price, no refrigeration needed. $399/mo at 6 and 10 mg, $459/mo at 20 mg, verified 2026-09-03
- Compounded Semaglutide and Tirzepatide combination tablet (daily)$399Daily dissolving tablet carrying both molecules, $399/mo at 12 mg semaglutide with 10 mg tirzepatide and $459/mo at 24 mg with 20 mg, verified 2026-09-03
How Willow bills
$299/mo is a starting program price, not one rate for every product. Willow's current help center pricing article lists compounded semaglutide injections at $299/mo up to 3.5 mg and $399/mo at 7 mg, tirzepatide injections at $399/mo through 6.375 mg then $499/mo at 8.5 and 11 mg, $524/mo at 13.5 mg and $549/mo at 17 mg, semaglutide tablets at $299/mo for all listed dosages, and tirzepatide tablets at $399/mo at 6 and 10 mg and $459/mo at 20 mg. Public price schedule checked September 26, 2026; confirm the prescribed product and current quote.
We checked Willow's prices on September 26, 2026.
What to watch for with SkinnyRx and Willow
SkinnyRx
- Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
- SkinnyRx names its medical director, Sajad Zalzala, M.D., and names AyaRx as the telemedicine partner behind its medical services, but it does not name the compounding pharmacy that fills prescriptions and it publishes no founders or executive team.
SkinnyRx's strengths, cautions and terms
Strengths
- Four product-specific options to discuss with a clinician: semaglutide or tirzepatide, each as an injection or a dissolving tablet
- $99 for the first month on both the compounded semaglutide and the compounded tirzepatide injection, quoted on each product page, among the lowest entry rates in the compounded segment
- Fast onboarding: a short online intake, a prescription within 24 hours where no video visit is required, and free overnight shipping on all orders with tracking within 2 business days
- A public Trustpilot profile provides service feedback to read alongside the FDA record and the written billing terms; those reviews do not establish tablet effectiveness
More to watch for
- Cash-pay only, does not bill commercial insurance, Medicare, or Medicaid. HSA/FSA payments are accepted, which is the main way to soften the cost.
- Independent reviews flag inconsistent customer-service responsiveness, a real consideration since titration support and dose adjustments run through chat
- FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded GLP-1s. It is a labeling/marketing record, not an unsafe-medication finding
- Medicines listed
- Semaglutide (compounded, injectable)
- Wegovy Pill (brand-name oral semaglutide, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Foundayo Pill (brand-name orforglipron, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Semaglutide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Tirzepatide (compounded, injectable)
- Tirzepatide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free (overnight on all orders)
- States
- 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states
- Cancellation
- The September 22 terms allow renewal processing up to five days before the next period and require cancellation at least five days before the applicable renewal-processing date. They include non-refundable fees, return-before-refund conditions and possible reversal of promotional discounts. Product FAQs use simpler cancellation/refund wording. Ask support for the exact deadline, refund eligibility and any return requirement in writing before paying; canceling is not a guaranteed refund.
Willow
- The reviewed catalogue lists compounded products; a current brand-name Wegovy or Zepbound offer did not appear there
- Both headline prices are starting prices. Tirzepatide starts at $399/mo against $299 for semaglutide, and on the help center pricing article maintenance tirzepatide injections run $499/mo from 8.5 mg, $524/mo at 13.5 mg and $549/mo at 17 mg (checked 2026-09-03)
Willow's strengths, cautions and terms
Strengths
- Unlimited messaging with your Willow physician and 24/7 Care Team support are included, per Willow's FAQ
- Compounded daily dissolving tablets for semaglutide and tirzepatide, offering a needle-free format to discuss with the prescriber
- $299/mo covers compounded semaglutide at the starting doses, injectable or tablet, with physician access and no separate consultation fee
- A US licensed doctor reviews and confirms the prescription the same day, and two-day shipping is free, both stated on the product pages (verified 2026-09-03)
More to watch for
- Willow does not bill insurance and says HSA/FSA cards are accepted. Its help center discusses submitting receipts for reimbursement, but its terms and consent say users will not submit insurance claims. Those statements conflict; get written clarification before relying on reimbursement (sources accessed October 8, 2026)
- The program auto-renews. Its FAQ and policies differ between two business days before processing and two calendar days before processing or shipping. Refunds also depend on whether the prescription has reached the pharmacy. Confirm the applicable deadline and current-order limits in writing (sources accessed October 8, 2026)
- Medicines listed
- Semaglutide (compounded injectable)
- Semaglutide (compounded oral tablet, daily)
- Tirzepatide (compounded injectable)
- Tirzepatide (compounded oral tablet, daily)
- Semaglutide with tirzepatide (compounded combination oral tablet, daily)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free
- States
- 36 states. Willow's FAQ names Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, Wisconsin and Wyoming. The about page runs a notify-me waitlist for twelve states it does not serve: Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, North Dakota, Rhode Island, South Dakota, Utah and West Virginia (verified 2026-09-03)
- Cancellation
- Request cancellation through the care team. The FAQ and policies differ between two business days before processing and two calendar days before processing or shipping. The FAQ offers a refund before the prescription reaches the pharmacy; later orders have narrower limits. Confirm the applicable cutoff, any charges and refund eligibility in writing before paying (sources accessed October 8, 2026).
Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.
SkinnyRx vs Willow: common questions
Is SkinnyRx or Willow cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- SkinnyRx$99first month, ask the renewal price
- Willowfrom $299/mostarting price
Which is better, SkinnyRx or Willow?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
SkinnyRx lists brand-name and compounded medication, and Willow lists compounded medication only.
Do SkinnyRx and Willow offer brand-name medication?
SkinnyRx lists brand-name and compounded medication, and Willow lists compounded medication only.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do SkinnyRx and Willow take insurance?
Neither SkinnyRx nor Willow lists insurance support.
Where these facts come from
SkinnyRx:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our SkinnyRx review
Willow:prices checked September 26, 2026, score evidence assessed October 16, 2026.Willow pricing and sources
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- Compare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.
- Compare complete recurring program costsSee which prices include medication, clinical care and shipping, and which headline amounts require another fee or commitment.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
Before you sign up, read our trust check: is SkinnyRx legit.
SkinnyRx reviewWillow prices and sourcesAll comparisonsFind your match