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Velvet Rx vs Willow

Velvet Rx and Willow both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Velvet Rx logo

Velvet Rx

6.5
★★★☆☆3.3/5

Best for: an oral route if you will not self-inject

Visit Velvet Rx →
VS
Willow logo

Willow

7.3
★★★★☆3.7/5

Best for: seeing what it charges before you answer any medical questions

Visit Willow →

If you are choosing between Velvet Rx and Willow, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Willow leads our six-part score, 7.3 to 6.5.

Velvet Rx vs Willow price

Velvet Rx and Willow start at the same figure, $299 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $299 a month; tirzepatide is cheaper at Velvet Rx ($359 a month vs $399 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Velvet Rx does not publish where it ships, and Willow lists 35 states.

Pricing

Velvet Rx

Compounded semaglutide injection (first month promo)Compounded
$139/mo
semaglutide
Compounded semaglutide injection (regular monthly)Compounded
$299/mo
semaglutide
Compounded tirzepatide injection (first month promo)Compounded
$199/mo
tirzepatide
Compounded tirzepatide injection (regular monthly)Compounded
$359/mo
tirzepatide
Oral GLP-1 (specific drug not named) (first month promo)Compounded
$189/mo
semaglutide
Oral GLP-1 (specific drug not named) (regular monthly)Compounded
$349/mo
semaglutide

Willow

StartingCompounded
$299/mo
semaglutide
StartingCompounded
$399/mo
tirzepatide

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Velvet Rx is silent on lab work and coaching.

Willow is silent on lab work and coaching.

Velvet Rx

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 7.3 and Velvet Rx 6.5 out of 10.

Willow is stronger on value (3.0 vs 2.4), trust & safety (9.0 vs 6.5) and accessibility (7.6 vs 5.0).

Effectiveness, user experience and support are within half a point.

How we score

Velvet Rx

6.5/10

Overall

Willow

7.3/10

Value25%

2.4A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
9.0

Accessibility10%

5.0A
vs
B
7.6

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Velvet Rx nor Willow has an FDA warning letter on record with us.

Features & Coverage

FeatureVelvet RxWillow
Starting Price$299/mo$299/mo
Features✓6 features3 features
States AvailableNot disclosed35
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes—
FDA Warning LettersNoneNone

About Velvet Rx

Three SKUs are listed openly on Velvet Rx's site: an oral GLP-1, compounded tirzepatide and compounded semaglutide. The 'today' prices of $139 to $199 are a first-month promotion; regular monthly rates are $299, $359 and $349. Each plan takes in a doctor consult, the written prescription, 4 weeks of drug, shipping free in 1-2 days and a medical team reachable at any hour. Cash is the only tender, and FSA/HSA qualify.

Read our full Velvet Rx 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

Velvet Rx

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to Velvet Rx

Watch-outs

  • Semaglutide costs $299 a month, 62% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $359 a month, 44% above the $250 median for compounded tirzepatide across the sellers we compare
  • 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

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
  • Names 5 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Willow

Watch-outs

  • Serves only 35 states, so check that yours is one of them
  • 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

Winner: Willow

Willow wins this one, 7.3 to 6.5, above all for seeing what it charges before you answer any medical questions. Velvet Rx fits better if an oral route if you will not self-inject is your priority.

Choose Velvet Rx if…

You want an oral route if you will not self-inject and an opening price near $299 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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Velvet Rx vs Willow: FAQ

Neither on the entry price: Velvet Rx and Willow both start at about $299 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Velvet Rx does not publish where it ships; Willow lists 35 states. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Velvet Rx has none. Willow has none.
Willow pays us a commission on sign-ups through our links; Velvet Rx does not. Scores are computed the same way for both.

Or see the full category ranking.