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WeighLab

Willow vs altRX

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Willow

Affiliate partner

Shoppers who want an oral-tablet GLP-1 at the same price as the injectable, with no annual commitment.

Semaglutide / month
$299/moCompounded, month to month
Tirzepatide / month
$399/moCompounded, month to month
Index 68/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Willow pricing Read review

altRX

Provider comparison

Shoppers who want one compounded price that stays the same at every dose.

Semaglutide / month
$89/moAll doses, compounded
Tirzepatide / month
$149/moAll doses, compounded
Index 70/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check altRX pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

altRX has the higher Cost-Efficiency Index: 70/100 versus 68/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Willow
35 states + Puerto Rico
altRX
Coverage not published

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Willow

altRX

Semaglutide / month
Willow: $299/moCompounded, month to month
altRX: $89/moAll doses, compounded
Tirzepatide / month
Willow: $399/moCompounded, month to month
altRX: $149/moAll doses, compounded
Semaglutide / year (modeled)
Willow: $3,588
altRX: $1,068
Tirzepatide / year (modeled)
Willow: $4,788
altRX: $1,788
State availability
Willow: 35 states + Puerto Rico
altRX: Coverage not published
Oral / sublingual option listed
Willow: Yes
altRX: Not listed
Brand-name access listed
Willow: Not confirmed
altRX: Yes
Provider facts checked
Willow: October 2026
altRX: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Willow

Shoppers who want an oral-tablet GLP-1 at the same price as the injectable, with no annual commitment.

Reasons to consider it

  • Oral tablet formulations of both semaglutide and tirzepatide, priced the same as the injections, $299 and $399 a month
  • Month-to-month billing with no prepay or annual term required to get the advertised rate
  • Named physician team publicly listed, including Chief Medical Officer Dr. Michael Green, MD, plus 11+ other credentialed MDs/DOs

What to weigh up

  • Only 35 states and Puerto Rico are served, so residents of the other 15 states and DC can't sign up
  • Site states medication cost 'varies by dosage and prescription' but never discloses what a higher maintenance dose actually costs beyond the $299/$399 starting figures
  • Compounding pharmacy name and state are not disclosed anywhere on the site

Compounded drugs are not FDA-approved. Understand the medication options.

Check Willow pricing Read the full Willow review

altRX

Shoppers who want one compounded price that stays the same at every dose.

Reasons to consider it

  • Same price at every dose — titrating up does not raise the monthly cost, unlike per-mg-tiered competitors
  • No membership fee, no insurance required; price stated to be all-in (consultation, dosing plan, medication, free delivery, clinician support)
  • LegitScript certified

What to weigh up

  • The site runs countdown banners saying the price is about to rise, but $89 and $149 have stayed in place past each deadline, so don't rush a decision on account of the clock
  • No compounding pharmacy is individually named, only '503A compounding pharmacies within the altRx network'
  • No states-served list is published; the only geographic detail is special handling for California residents

Regulatory note: the FDA issued a warning letter to Trinity HealthCare Supply, LLC dba altRx in June 2026. We still list and link to altRX; you should know the letter is on the public record before you decide.

Compounded drugs are not FDA-approved. Understand the medication options.

Check altRX pricing Read the full altRX review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

WillowaltRX
Normalized Cost/Month
Willow:
50/100
altRX:
88/100
Price Transparency
Willow:
86/100
altRX:
94/100
Nationwide Access
Willow:
66/100
altRX:
24/100
Formulation Options
Willow:
77/100
altRX:
79/100
Clinical Oversight
Willow:
79/100
altRX:
70/100
Contract Flexibility
Willow:
55/100
altRX:
55/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.