Short answer: Willow sells compounded semaglutide for $299 a month all-in, and Hims sells FDA-approved GLP-1s from $298 a month all-in. For…
September 22, 2026
Willow Review 2026: Real Cost, Medications and Safety
Compounded semaglutide from $299/month and tirzepatide from $399/month, all-inclusive with free shipping and follow-ups. Checked Sept 21, 2026.
Quick verdict
Independent review of
Willow startwillow.com
- Official prices checked September 21, 2026
- No affiliate relationship
- Compounded medication: not FDA-approved
6.1/10 our score
Official site ↗- Best for
- 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.
Our rating
Pricing
Compounded semaglutide injection (with B12)
$299/mo
- Weekly injection
- Includes prescription, medication, free 2-day shipping and follow-ups
Compounded sublingual semaglutide tablets
$299/mo
- Daily tablet dissolved under the tongue
- No published trials for compounded sublingual semaglutide
Compounded tirzepatide injection
$399/mo
- Standard doses
- Higher doses reported at $499 (10 to 12.5 mg) and $524 (15 mg); confirm at checkout
Prices can change. Check the provider’s site for current pricing. 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
| 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 | 3.7 / 5 from 313 reviews (reported March 2026) |
| Data status | Semaglutide and tirzepatide base prices confirmed by reviews citing startwillow.com, September 2026 |
Full review
- 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.
How it compares
Short answer: both mainly sell compounded GLP-1s, which are not FDA-approved. Mochi Health is cheaper at low doses, from $139 a month…
September 22, 2026
N
Short answer: Hims and Noom are different kinds of programs. Hims sells FDA-approved brand-name GLP-1s with a $149 membership, from $298 a…
September 22, 2026
Alternatives
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…
$298/mo
8.1/10
FDA-approved GLP-1s through Amazon Pharmacy: pills from $149/month cash ($25 with insurance), injections from $299. Visit fees extra. Checked Sept 21, 2026.
$149/mo
7.6/10
Mochi Health offers the lowest all-in GLP-1 prices we have checked ($139 to $278 a month) with board-certified providers and dietitians. The trade-off: its…
$139/mo
7.6/10
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.
Sources
- Willow homepage Willow · checked September 21, 2026
- Willow Semaglutide Review 2026 Med Consumer Watch · checked September 21, 2026
- Willow Reviews 2026 PeptidesExplorer · checked September 21, 2026
User reviews
No user reviews yet.
How we test
TirzaSema GLP-1 Provider Scoring Methodology
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.
- Features · 25%
- Performance · 25%
- Ease of use · 15%
- Value for money · 20%
- Customer support · 15%
Prices are collected from each provider's public pricing pages and, where possible, confirmed during sign-up. Medication and membership costs are recorded separately, prices are shown by dose where published, introductory offers are labeled, and every price carries the date it was checked. When a review is based on hands-on testing we describe exactly what we did; when it is based on public information only, we say so.
FDA-approved medications themselves are not scored. They are listed as reference entries with their FDA-labeled uses and official manufacturer prices.
Some links on TirzaSema are affiliate links. Commissions never affect scores, rankings, pros and cons, or medical and regulatory information. See our Affiliate Disclosure.
Final 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.
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Visit Willow Willow GLP-1 Program
$299/mo
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Written by
TirzaSema Editorial Team
Research and editorial team
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,…