SkinnyRx vs Willow
SkinnyRx costs $149.75 less a month, and both sell semaglutide and tirzepatide.
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Willow
Best for: seeing what it charges before you answer any medical questions
Visit Willow →If you are choosing between SkinnyRx and Willow, the first difference is cost: SkinnyRx is $149.75 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Willow leads our six-part score, 6.6 to 5.9. One of the two has an FDA warning letter on record, covered below.
SkinnyRx vs Willow price
SkinnyRx is the cheaper way in: $149.25 a month against $299 a month at Willow. That is $149.75 less each month (50% lower), or about $1,797 over a year of treatment.
Drug by drug: Semaglutide is cheaper at SkinnyRx ($149.25 a month vs $299 a month); tirzepatide is cheaper at SkinnyRx ($224.25 a month vs $399 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, SkinnyRx prices compounded injections and an oral option, while Willow prices compounded injections.
Where each one treats patients
Neither SkinnyRx nor Willow publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
SkinnyRx
'As low as $149.25/mo*' — plan-length/promo dependent (matches the sitewide '25% lower prices' promo, $199 x 0.75); standard single-month rate not published pre-intake. Microdose available; free overnight shipping.
'As low as $199/mo*' on /products/semaglutide-oral; once-daily.
'As low as $249/mo*' on /products/semaglutide-tablets.
'As low as $224.25/mo*' and 'Starting at $224.25/mo with free overnight shipping'; microdose available; once-weekly.
'As low as $224.25/mo*' on /products/tirzepatide-tablets; once-daily.
'$1,400/mo*' — '*Price shown applies to Monthly plan paid upfront or with buy now, pay later programs.' 'No membership fees. Same price at every dose.'
'$1,400/mo*' on /products/wegovy-injectable. Wegovy PILL is listed 'Unavailable' ('available via SkinnyRx Membership', fee not published).
'$1,400/mo*' on /products/mounjaro.
'$1,400/mo*' on /products/zepbound. Foundayo (orforglipron) pill also listed but 'Unavailable' — price not published.
Willow
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
SkinnyRx is silent on lab work and coaching.
Willow is silent on lab work and coaching.
SkinnyRx
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Willow
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Willow scores 6.6 and SkinnyRx 5.9 out of 10.
SkinnyRx is stronger on value (6.5 vs 3.0).
Willow is stronger on user experience (8.0 vs 3.0) and trust & safety (6.5 vs 1.0).
Effectiveness, accessibility and support are within half a point.
SkinnyRx
5.9/10
Willow
6.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent SkinnyRx a warning letter dated February 20, 2026 (letter 717989), and it is still open.
Willow has no FDA warning letter on record with us.
Features & Coverage
| Feature | SkinnyRx | Willow |
|---|---|---|
| Starting Price | ✓$149.25/mo | $299/mo |
| Features | 3 features | 3 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About SkinnyRx
SkinnyRx sells compounded semaglutide and tirzepatide as injectables, with a microdosing option, prescribed by licensed US clinicians. The consult and free overnight shipping are bundled into a single monthly cash price.
Read our full SkinnyRx review →About Willow
Tablets and injections are both on offer at Willow, a telehealth seller of compounded GLP-1 medications.
Read our full Willow review →Pros & Cons
SkinnyRx
What we like
- Semaglutide costs $149.25 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $224.25 a month, 10% below the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price includes the medication, clinician visits and shipping
- Offers both oral and injectable options, so the format is your choice
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued SkinnyRx a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Willow
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Willow
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Willow wins this one, 6.6 to 5.9, above all for seeing what it charges before you answer any medical questions. SkinnyRx undercuts it by $149.75 a month, so if the monthly bill is what decides it, SkinnyRx is the pick. SkinnyRx fits better if starting below a standard dose, with microdose tiers is your priority.
Choose SkinnyRx if…
You want starting below a standard dose, with microdose tiers and an opening price near $149.25 a month.
Choose Willow if…
You want seeing what it charges before you answer any medical questions and an opening price near $299 a month.
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Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →SkinnyRx vs Willow: FAQ
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