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Head-to-Head

SkinnyRX vs Willow

SkinnyRX and Willow both have a female-forward feel, but SkinnyRX offers more treatment options, microdosing, brand-name access, and broader state coverage. Willow is the better fit if you want simple month-to-month pricing, oral GLP-1 tablets, or a provider that is more open about lower-BMI access.

S

SkinnyRx

General Adults

General Adults
4.85,224 · Trustpilot

Starting price

From $149.25/mo

Compounded GLP-1s
Brand-name GLP-1s
Microdose option
Oral option
Not in AL, LA, MS
VS
W

Willow

General Adults

General AdultsWomen 35+
3.8341 · Trustpilot

Starting price

From $299/mo

Compounded GLP-1s
Brand-name GLP-1s
Microdose option
Oral option
Not in AL, AK, AR, DE, KS, LA, MS, NM, ND, RI, SD, UT, VT, WV
Last verified: June 2026This site uses affiliate links. If you choose a provider through our links, you may receive a discount, and we may earn compensation at no extra cost to you.

Quick Verdict

Best Fit at a Glance

Best if you want
S

SkinnyRx

  • Offers more treatment options, including microdosing, standard compounded injectables, and brand-name medication access.
  • Covers more states, with availability in 47 U.S. states compared to Willow’s 36.
  • Has a companion app for tracking injections, weight loss, orders, and treatment progress.
Best if you want
W

Willow

  • Has simple, upfront month-to-month pricing with no longer-term package math to decode.
  • Offers compounded semaglutide ODT for people who want an oral GLP-1 option.
  • May be a better fit for lower-BMI patients who only have a smaller amount of weight to lose.
Not sure?
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Still deciding

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What matters most to you?

Feature

S

SkinnyRx

W

Willow

Best fit

General Adults
General Adults

Offers compounded GLP-1s

Lowest semaglutide price

$149.25/mo
$299/mo

Lowest tirzepatide price

$224.25/mo
$399/mo

Lowest orforglipron price

$49/mo
Not offered

Lowest microdose price

$171.75/mo
Not offered

Consultation included

Insurance support

Coaching included

Provider messaging

State coverage

Not in AL, LA, MS
Not in AL, AK, AR, DE, KS, LA, MS, NM, ND, RI, SD, UT, VT, WV

Pricing and features may vary by plan, dose, and state. Verify directly with each provider.

Want the full pricing breakdown? Compare both inside the tool →

Medications

What You Can Actually Get

SkinnyRx

6 medication options shown

Compounded semaglutide vial offered by SkinnyRx

Compounded semaglutide

Compounded tirzepatide vial offered by SkinnyRx

Compounded tirzepatide

Microdose GLP-1 vial offered by SkinnyRx

Microdose

Oral compounded GLP-1 tablet offered by SkinnyRx

Oral compounded

Wegovy injection pen offered by SkinnyRx

Wegovy

Foundayo (orforglipron) tablet offered by SkinnyRx

Foundayo

Willow

3 medication options shown

Compounded semaglutide vial offered by Willow

Compounded semaglutide

Compounded tirzepatide vial offered by Willow

Compounded tirzepatide

Oral compounded GLP-1 tablet offered by Willow

Oral compounded

Product images are illustrative. Available medications, formats, and eligibility depend on the provider and your consultation.

How It Works

The Care Pathway, Side by Side

S

SkinnyRx

  1. 1

    Fill out intake

    A short online health questionnaire, about 10 minutes.

  2. 2

    Provider review

    A licensed clinician reviews your intake and prescribes if appropriate.

  3. 3

    Shipped to your home

    Medication arrives discreetly, typically within a few days.

  4. 4

    Ongoing support

    Message your care team with questions along the way.

  5. 5

    Adjustments if needed

    Dose changes and refills handled without the hassle.

W

Willow

  1. 1

    Fill out intake

    A short online health questionnaire, about 10 minutes.

  2. 2

    Provider review

    A licensed clinician reviews your intake and prescribes if appropriate.

  3. 3

    Shipped to your home

    Medication arrives discreetly, typically within a few days.

  4. 4

    Ongoing support

    Message your care team with questions along the way.

  5. 5

    Adjustments if needed

    Dose changes and refills handled without the hassle.

Who It's For

Find Yourself Here

Age 42

I want the lowest starting price with the most medication choices.

Better fit →SSkinnyRx
Age 47

I've reached my goal and want to maintain on a microdose.

Better fit →SSkinnyRx
Age 39

I only have about 10 pounds to lose.

Better fit →WWillow
Age 50

I want brand-name Wegovy through a single program.

Better fit →SSkinnyRx
Age 46

I'd prefer oral semaglutide specifically.

Better fit →WWillow

FAQ

Common Questions

Is SkinnyRx or Willow cheaper?
SkinnyRx starts from $149.25/mo and Willow from $299/mo. Compare the specific plan and dose, since pricing may vary by plan, medication, dose, and state.
Which offers more medication options?
SkinnyRx offers compounded semaglutide, tirzepatide, oral tirzepatide, and microdose plans, plus brand-name Wegovy and Foundayo through its membership. Willow offers compounded semaglutide, tirzepatide, and oral semaglutide.
Which offers microdosing?
SkinnyRx offers compounded microdose options. Willow does not list a microdose plan. Whether microdosing is appropriate depends on your situation, so ask a licensed healthcare provider.
Which offers oral options?
SkinnyRx offers oral tirzepatide, and Willow offers oral semaglutide. The oral molecule differs between them, so compare which one you want. Format availability depends on the provider and your eligibility.
Do both ship to my state?
SkinnyRx is available in 47 states and does not serve Alabama, Louisiana, or Mississippi. Willow is available in 36 states with a longer excluded list. Availability is confirmed during intake.
Does either take insurance?
Both SkinnyRx and Willow are cash-pay telehealth programs and do not bill insurance for the medication. Check directly with each provider for current details.

Our Take

Comparing SkinnyRx vs Willow

Alex Smith

Alex Smith

Founder, GLP Compared

Connect on LinkedIn

Two commonly compared GLP-1 providers are SkinnyRX and Willow. Both of these companies offer compounded GLP-1s and have a female-forward marketing strategy, but they also have quite a few differences that you’d want to examine before making a buying decision.

If you’ve narrowed down your decision to SkinnyRX and Willow, I’m going to share my feedback on how these two companies are similar, where they differ, and which one might be the best fit for your needs. After spending considerable time researching both brands, I have a lot to report, so let’s get into it.

What’s Different?

Let’s start with the differences between SkinnyRX and Willow, because there are a lot of them, and these differences will undoubtedly play a role in your buying decision. First, when you land on SkinnyRX’s website, you’ll see that the headline reads “obesity medication delivered overnight.” The term “obesity is the keyword here, as this indicates a huge difference in the marketing strategy between these two companies.

Willow is notorious for advertising access to GLP-1s without BMI restrictions. They are very open about the fact that they are supportive of patients who only have a few pounds to lose using these medications. While this felt rather scandalous when they first started advertising this, the truth is, many more companies are reducing and/or removing barriers to medication access. Willow just so happens to be one of the most vocal about it.

But that’s not to say that SkinnyRX isn’t offering their injectable GLP-1s to only those who meet the overweight or obese category BMI. In fact, I went through their intake and discovered that they will only place a stop on your intake process if your BMI is lower than 22. This information is important if you’re someone who has a lower BMI.

Another major difference between Willow and SkinnyRX is their product offerings. Willow is very basic and straightforward, offering compounded semaglutide in both injectable and oral forms and compounded tirzepatide in injectable form. SkinnyRX has a more robust offering, which includes the compounded semaglutide and tirzepatide injections in both regular dosing and microdosing, as well as access to name-brand medications (Wegovy, Foundayo). The fact that SkinnyRX is offering microdosing is a huge difference, as many patients are seeking microdosing, and considering Willow doesn’t have it at the moment, it could be a reason to choose SkinnyRX over Willow.

Pricing also presents some differences. Again, willow is very straightforward with its pricing, offering compounded semaglutide (injections and oral tablets) for $299/month, and compounded tirzepatide (injections) for $399/month. Willow does not offer a first-month discount and doesn’t have a confusing pricing model, which is very common with GLP-1 providers. Willow also doesn’t offer longer-term commitments with disconnect pricing (i.e., a 3, 6, or 12-month package) - all Willow orders are done on a month-to-month basis.

SkinnyRX isn’t as upfront with its pricing, offering “starting as low as” messaging that many of us know to be a bit wary of. From what I can tell, SkinnyRX offers a lower introductory rate for the first month and then charges more for subsequent months. The monthly price you pay will be determined by the length of your package (3, 6, or 12 months), the type of medication you choose, and your dosage.

SkinnyRX offers its customers a companion app to track their injections, weight loss, orders, etc. Willow does not have a dedicated app; instead, patients utilize the online patient portal for customer service and order tracking.

Finally, the last major difference between SkinnyRX and Willow is access. Willow is only available currently in 36 out of 50 U.S. states. SkinnyRX is currently available in 47 states. It’s very important to check your state’s eligibility with both providers to make sure your state is covered (I recommend doing that first to avoid wasting time on any other eligibility requirements).

What’s the Same?

When it comes to Willow and SkinnyRX, while there certainly are several important differences, there are a handful of things that are quite similar as well.

Immediately upon pulling up both websites side-by-side, you’ll notice that the “vibe” is pretty similar. Both brands feature women as their client avatar. I don’t believe that either company exclusively serves women; men are welcome, too, but they both make their websites very female-friendly.

Both Willow and SkinnyRX offer compounded semaglutide and compounded tirzepatide at lower costs than most brand-name medications. SkinnyRX and Willow have very similar intake processes, requiring you to fill out a short questionnaire that pre-qualifies you for treatment. With both providers, once your intake information is submitted, it gets reviewed by one of their licensed doctors, who gives the ultimate approval and writes the prescription.

Willow and SkinnyRX both work with licensed compounding pharmacies to deliver your medication safely and securely to your doorstep.

My Feedback and Recommendations

I’ve been familiar with both Willow and SkinnyRX for years, and while both providers have made some changes and innovations, there are still some very clear lines that I can draw between the two.

First, Willow was always one of the most controversial compounded GLP-1 providers on the market, blatantly marketing to women who aren’t overweight and only have a few pounds to lose. While this was shocking a couple of years ago, it’s more or less lost its edge as more research is released on potential benefits outside of just weight loss. One thing that I find very interesting is that Willow has yet to offer a microdosed version of its product, continuing to approve full dosages to those who might be better suited for microdosing. So if you’re interested in exploring microdosing, Willow isn’t going to be your best fit as they aren’t offering it (yet). On that same note, if you’re someone with a lower BMI, there’s a good chance you’ll be approved with Willow because they don’t have strict restrictions when it comes to BMI.

SkinnyRX stands out for its lower pricing model; however, I’m not a big fan of companies that use terminology like “starting at” as I’ve seen and heard too many horror stories about providers really jacking up the prices for month two and beyond. Do your due diligence, ask questions about pricing, and make sure you’re comfortable with it before consenting to the next delivery. Willow’s pricing is a bit higher, but I appreciate their upfront pricing model.

If you wanted to explore brand-name options, SkinnyRX will be your best choice, as Willow only offers compounded medications. Neither Willow nor SkinnyRX accepts insurance, so whether you go for the name-brand medication or the compounded version, you’ll be required to pay out of pocket. The good news is that both providers take HSA and FSA funds.

If you were to look at online reviews of both brands, you’d find feedback that was much of the same; some people love the service, and others are disappointed. This is pretty commonplace in this industry and can be highly unreliable from a decision-making point of view. In my opinion, you should choose the company that’s offering what you’re seeking (i.e., microdose, no BMI requirement, oral pills, etc.) and go from there. Your customer service experience will be pretty similar with both options, so it really just comes down to deciding which of these brands is offering the product you want at the price that makes sense for you.

Compare side by side in the tool →