SkinnyRx vs Willow
In our scoring, SkinnyRx edges ahead overall (7.6 vs 7.2 out of 10), and SkinnyRx costs less for compounded semaglutide (about $1,797 a year less).
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Key differences
- Price
- SkinnyRx $149.25/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,797 a year less with SkinnyRx)
- Coverage
- Willow 36 states (SkinnyRx doesn't publish a state list)
- Included
- SkinnyRx: medication, clinician visits, shipping; Willow: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: SkinnyRx 1, Willow none

SkinnyRx
Affiliate partnerBest for compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
semaglutide
$149.25
Our score 7.6/10
Willow
Affiliate partnerBest for needle-free compounded semaglutide or tirzepatide tablets
semaglutide
$299
Our score 7.2/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
SkinnyRx
Willow
Price
Semaglutide / month
Better on this row: $149.25/mo
$299/mo
Semaglutide / year (modeled)
Better on this row: $1,791
$3,588
Tirzepatide / month
Better on this row: $224.25/mo
$399/mo
Tirzepatide / year (modeled)
Better on this row: $2,691
$4,788
Oral semaglutide / month
Better on this row: $199/mo
$299/mo
Oral semaglutide / year (modeled)
Better on this row: $2,388
$3,588
Oral tirzepatide / month
Not listed
$399/mo
Brand Wegovy / Ozempic / month
$1,400/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,400/mo
Not listed
Coverage
State availability
List not published
36 states
Oral option listed
Yes
Yes
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
FSA/HSA accepted
Not listed
Yes
Terms & safety
Price shown
Plan quoted after intake; a price is published
Before intake
Cancel anytime
Not disclosed
Yes
Minimum commitment
Not disclosed
Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'
Refunds
90-day money-back guarantee
'If you cancel before your prescription is sent to the pharmacy, you'll receive a full refund within 5-10 business days.' Terms: 'charges are non-refundable once incurred' and prescription products 'are not returnable'.
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
August 2026
October 2026
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.

Choose SkinnyRx if…
- About $1,797 a year less than Willow for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Willow doesn't price
- Licensed US clinicians on every prescription
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Choose Willow if…
- Lists oral compounded tirzepatide, which SkinnyRx doesn't price
- Publishes its full state list (36 states)
- No FDA warning letters on record (SkinnyRx has 1)
What to weigh up
- About $1,797 a year more than SkinnyRx for compounded semaglutide
- Pricier than many compounded programs: $299/mo for semaglutide and $399/mo for tirzepatide
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
SkinnyRx
7.6/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Read full review →From $169/mo
Get started →GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →SkinnyRx vs Willow: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.