Flat-price compounded GLP-1s with shipping included
Starting price
$299/mo
Key feature
All-inclusive monthly price with same-day approval
Willow suits people who want one flat monthly price with shipping and follow-ups included, or a needle-free sublingual option. It costs more than several compounded rivals, and the Wegovy pill now starts at $149 a month as an FDA-approved alternative.
Prices can change. Check the official site for current details. Last checked September 21, 2026.
Pros and cons
Pros
One flat monthly price with shipping and follow-ups included
Needle-free sublingual semaglutide option
Clear, direct disclaimer that its medications are not FDA-approved
Same-day doctor approval
Cons
Compounded medications only, which are not FDA-approved
Costs more per month than several compounded rivals and some brand-name cash prices
Tirzepatide reportedly costs more at higher doses
Not available in every state
Features
Licensed doctor evaluationU.S.-licensed doctor reviews each patient
Medication includedFlat monthly price includes medication
Free shippingFree 2-day shipping
Follow-upsFree follow-ups and doctor messaging
Needle-free optionSublingual semaglutide tablets
Insurance billingCash pay only
FDA-approved medicationCompounded medications are not FDA-approved
Specifications
Willow GLP-1 Program specifications
Service type
Telehealth GLP-1 weight loss, cash pay
Medications
Compounded semaglutide (injection and sublingual tablet), compounded tirzepatide injection
Membership fee
None; one flat monthly price
Price includes
Doctor oversight, prescription, medication, free 2-day shipping, messaging and follow-ups
Approval speed
Same-day doctor approval (per Willow)
Insurance
Not required; not billed
Payment
HSA and FSA reported accepted
States
About 34 states (reported March 2026; not independently verified)
Trustpilot
3.9 / 5 from 354 reviews on Trustpilot (checked September 22, 2026)
Data status
Semaglutide and tirzepatide base prices confirmed by reviews citing startwillow.com, September 2026
Full review
Price checked 47 days ago
Our score
6.1/10
All-in from
$299/mo
Medication type
Compounded (not FDA-approved)
Membership
None (price includes care)
Willow at a glance
Willow is a physician-led U.S. telehealth company at startwillow.com that prescribes compounded GLP-1 weight-loss medication. One flat monthly price covers the doctor visit, prescription, medication, free 2-day shipping and follow-ups. As of September 21, 2026, compounded semaglutide costs $299 a month and compounded tirzepatide starts at $399 a month.
What Willow offers
Willow offers compounded semaglutide as a weekly injection with vitamin B12 or as a daily tablet dissolved under the tongue, and compounded tirzepatide as a weekly injection. Its medication is prepared by U.S. pharmacy partners. Willow focuses on weight loss only.
How Willow works
You complete a health assessment and a U.S.-licensed doctor reviews it, with same-day approval when appropriate. Medication ships free in discreet packaging, and your plan includes doctor messaging, free follow-ups, video guides and a peer community. Insurance is not required.
What Willow costs
Compounded semaglutide injections and tablets are $299 a month, and compounded tirzepatide is $399 a month at standard doses. An independent review in March 2026 reported higher tirzepatide doses at $499 and $524 a month, so confirm your dose price at checkout. There is no separate membership fee.
Is Willow legit and safe?
Willow’s own disclaimer says its compounded medications are not FDA-approved, have not undergone clinical trials for safety or effectiveness, and are not substitutes for FDA-approved Wegovy, Ozempic, Mounjaro or Zepbound. There are no published trials of compounded sublingual semaglutide for weight loss. Independent reviews in 2026 reported a Trustpilot rating of 3.7 out of 5 from 313 reviews and availability in about 34 states.
Who Willow is best for
Willow suits people who want a simple flat price with shipping and follow-ups included, or a needle-free option. Price-focused shoppers should compare it with cheaper compounded programs and with brand-name cash prices, which now start at $149 a month for the Wegovy pill.
Our verdict
Willow suits people who want one flat monthly price with shipping and follow-ups included, or a needle-free sublingual option. It costs more than several compounded rivals, and the Wegovy pill now starts at $149 a month as an FDA-approved alternative. This review is based on research of Willow’s public pages and independent sources on September 21, 2026, not hands-on testing, and follows our methodology. TirzaSema has no affiliate relationship with Willow.
PRODUCTS & SERVICES
What Willow offers
Explore the products and care options described on the brand’s official site. Availability, eligibility and total cost can vary.
W
Weight loss
Willow GLP-1 Program
Willow is a physician-led U.S. telehealth company at startwillow.com that prescribes compounded GLP-1 weight-loss medication. One flat monthly price covers the doctor visit, prescription, medication, free 2-day shipping and follow-ups. As of September 21, 2026, compounded semaglutide costs $299 a month and compounded tirzepatide starts at $399 a month.
Ro Body pairs FDA-approved brand-name GLP-1s at manufacturer-matched prices with a separate membership. All-in cost is $298 to $598 a month month-to-month, or from…
MinuteClinic offers a $29 weight-loss consultation without a subscription and can prescribe FDA-approved options when clinically appropriate. Medicine and labs are separate, availability varies…
$297.9/10
Frequently asked questions
Compounded semaglutide is $299 a month and compounded tirzepatide starts at $399 a month, as checked on September 21, 2026.
No. Willow states its compounded medications are not approved by the FDA.
No. Willow does not require insurance and does not bill it.
Yes. It offers compounded semaglutide tablets dissolved under the tongue, at the same $299 monthly price.
This methodology explains how TirzaSema scores GLP-1 telehealth providers and programs. Scores are a weighted average of five categories, and every review shows the full breakdown. Affiliate relationships and commission rates are not part of the methodology.
Cost and price transparency (30%): total monthly cost at common doses, including membership, consultation and shipping fees, and how clearly this is shown before payment.
Medication options and sourcing (20%): FDA-approved brand-name and/or compounded options, how clearly compounded products are labeled, and dispensing-pharmacy information.
Medical care and safety (20%): eligibility assessment, licensed-clinician review, dose and side-effect monitoring, and follow-up care.
Ease of use and access (15%): sign-up process, time to treatment, states served, and insurance support.
Customer support and policies (15%): responsiveness, cancellation and refund terms, auto-renewal clarity, and patterns in public customer feedback.
We research prices using provider and manufacturer public pages. Where published, we separate medication, membership, consultation and shipping charges, note dose or term differences, and label introductory offers. Each review states when its sources were checked. We have not enrolled in or bought a service unless that specific review explicitly describes hands-on testing. Confirm current terms and eligibility with the provider.
FDA-approved medications are reference entries with their labeled uses and official manufacturer information; our provider ratings do not measure a treatment’s clinical effectiveness.
Some links on TirzaSema are affiliate links. Commissions never affect scores, rankings, pros and cons, or medical and regulatory information. See our Affiliate Disclosure.
Willow suits people who want one flat monthly price with shipping and follow-ups included, or a needle-free sublingual option. It costs more than several compounded rivals, and the Wegovy pill now starts at $149 a month as an FDA-approved alternative.
The TirzaSema Editorial Team researches U.S. GLP-1 prices and telehealth programs using official manufacturer, FDA and provider sources. Every review states whether it is based on hands-on testing or on research of public information,…
Shed offers online weight-loss, hair and wellness treatments, with compounded and FDA-approved medication options. See current starting prices, what FDA approval means, Trustpilot feedback,…
Men’s health clinic with compounded GLP-1s: semaglutide about $165/month, tirzepatide $315+. Sold in bundles, with limited refunds. Checked Oct 1, 2026.