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altRx vs Willow

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

altRx vs Willow: Overview

Choosing between altRx and Willow for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

altRx offers both semaglutide and tirzepatide at $149/month with a rating of 6.5/10. Willow also provides both semaglutide and tirzepatide at $299/month with a 7.4/10 rating.

The price difference of $150/month is significant - altRx is the more budget-friendly option, while Willow positions itself as a premium service.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$150/mo

Rating Difference

0.9

Winner

Willow

Best For

Quality

altRx

View full altRx review →

Rating

6.5/10

Monthly Price

$149Cheaper

Medications

semaglutidetirzepatide

Pros

✓Flat pricing across doses is promised in the banner: "SAME PRICE EVERY MONTH"
✓Promotional rates published up front - GLP-1 from $89/month and GLP-1 + GIP from $149/month
✓24/7 support advertised, and no insurance required

Cons

✗The FDA has formally told altRx that its labelling and its "clinically proven" claims misrepresented its compounded products - see the warning letter above
✗The medication is compounded and therefore not FDA-approved - the agency has not reviewed it for safety, effectiveness or manufacturing quality
✗Compounded GLP-1 pricing in this tier is cheap partly because the product carries none of the trial programme, patent or distribution costs of the approved drug - and none of its regulatory review either
✗The headline rates are a dated summer promotion ("OFFER ENDS AUGUST 5TH AT MIDNIGHT") against a standing price of $199/month, so the advertised figure is not the ongoing one
✗No phone number, refund policy or pharmacy named on the site

Willow

View full Willow review →

Rating

7.4/10Better

Monthly Price

$299

Medications

semaglutidetirzepatide

Pros

✓Flat published pricing: $299/mo for compounded semaglutide as a weekly injection or a daily tablet, and $399/mo for compounded tirzepatide (checked July 26, 2026)
✓One fee covers the medical evaluation, the medication, unlimited doctor messaging and free discreet shipping, with no separate consultation charge
✓Names its partner pharmacies in its terms - Red Rock Home Pharmacy (Springville, UT), Epiq Pharmacy / Epiq Scripts (Richardson, TX) and The Pharmacy Hub (Miami, FL) - which most compounded GLP-1 sellers do not do
✓Publishes a Florida telehealth provider registration number (TPME1718) and names the exact states it is licensed to serve
✓The 'compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA' disclaimer sits on the homepage itself, not buried in a footer
✓Full refund if you cancel before the prescription is submitted to the pharmacy, processed within 5-10 business days
✓Needle-free daily tablets available for both semaglutide and tirzepatide, and the program is HSA/FSA eligible
✓Same-day prescription review claimed, with support from a named care team

Cons

✗In December 2025 the National Advertising Division found Willow had not substantiated its weight-loss and efficacy claims for compounded semaglutide, Willow declined to comply, and NAD referred it to state attorneys general and ad platforms. That is the most serious independent mark against any provider on this site
✗At $299-$399 a month this is one of the more expensive compounded GLP-1 programs; several competitors advertise $149-$199
✗The flat rate is not locked. The terms state your subscription fee 'may be increased or decreased if your prescription changes, such as by a dosage increase or frequency of refills', so titrating up can raise your bill
✗The site advertises '4.9/5 (2200 + 5 star reviews)' with no source named. Trustpilot, the one public platform we could find, showed 3.8 from 351 reviews on July 26, 2026
✗Cancellation must be received two full calendar days before your next shipping date, or the next order ships and bills
✗The terms tell you to cancel at startwillow.com/contact/ - that URL returned a 404 when we checked, as did the site's /contact and /help-center pages
✗No customer phone number or support email is published anywhere on the public site
✗The published terms are dated November 24, 2021, well before the current product line and pricing
✗Not available nationwide: Willow's terms limit service to 36 states, and this offer in particular is not available in Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Maine, Massachusetts, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Tennessee, Utah, Vermont, West Virginia or Wyoming
✗No insurance billing, and the terms confirm Medicare and Medicaid do not cover the service

Feature-by-feature comparison

Feature	altRx	Willow
Monthly Price	$149	$299
Rating	6.5/10	7.4/10
Medications	semaglutide, tirzepatide	semaglutide, tirzepatide
Insurance Accepted	No	No
Support Hours	Not published	24/7 online support claimed
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Not published	Not published; same-day prescription review claimed
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Not published	Unlimited doctor messaging and free follow-ups claimed
Money-back Guarantee	None published	Full refund only if you cancel before the prescription reaches the pharmacy; no returns on medication once dispensed
Cancellation Policy	Not published	Cancel anytime, but the request must arrive two full calendar days before your next shipping date

Which should you choose?

Choose altRx if you:

→Want to save $150/month with a more affordable option
→Value: flat pricing across doses is promised in the banner: "same price every month"

Get started with altRx

Choose Willow if you:

→Prefer a higher-rated service (7.4/10 vs 6.5/10)
→Value: flat published pricing: $299/mo for compounded semaglutide as a weekly injection or a daily tablet, and $399/mo for compounded tirzepatide (checked july 26, 2026)

Get started with Willow

Website previews

altRx

altRx website

Willow

Willow website

Our recommendation

Willow comes out ahead with a higher rating of 7.4/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Willow

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