Comparison · updated October 16, 2026

Sprout Health vs Willow: Costs, care and treatment fit

Sprout Health and Willow differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.

Both are starting prices, so the plans below show what you would actually pay.

Compare plans and terms

Sprout Health and Willow pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money

Which should you choose, Sprout Health or Willow?

Short answer: Choose Willow if you want a pill or another option without needles. If that doesn't matter to you, compare their plans below.

Sprout Health is best for

Users who want a low compounded rate with the price locked as the dose rises, and who will judge service quality in month one.

Choose Willow if

  • you want a pill or another option without needles

The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Sprout Health vs Willow side by side

Sprout Health and Willow compared fact by fact
Sprout HealthWillow
Pricefrom $99/mofrom $299/mo
MedicineBothCompounded only
Needle-free optionNot listedYes, a pill or other oral form
InsuranceBothNo insurance listed
ConsultationBothIncluded
ShippingBothFree
Where it ships44 states (excludes AL, AR, CA, LA, MS, ND)36 states
TrustpilotNot tracked3.9 / 5 across 360 reviews
BBB ratingF (not accredited)D (not accredited)
Our score7.1/10 Good7.6/10 Good
Assessment limitsBothChecked Oct 16, 2026; a rating claim didn't match Trustpilot.

What Sprout Health and Willow plans cost

Sprout Health

Assigned-clinician messaging and advertised dose-flat compounded pricing, with annual prepayment or shorter plans billed in four-week intervals.

All 8 Sprout Health plans

Checked October 5, 2026.

How Sprout Health bills

12-month compounded semaglutide plan: $1,188 billed every 12 months. The shortest plan is $149 every 4 weeks; plans renew until cancelled

We checked Sprout Health's prices on October 5, 2026.

Willow

A compounded program with separate semaglutide and tirzepatide dissolving tablets, plus a combination tablet. The format choice may suit a reader who wants to discuss needle-free treatment with a clinician; it does not establish equivalence to an approved pill or injection.

  • Compounded Semaglutide (injectable)$299Covers medication, consultations, shipping and dose adjustments. $299/mo holds to 3.5 mg, then $399/mo at 7 mg on the help center pricing article, verified 2026-09-03
  • Compounded Semaglutide (oral tablet, daily)$299Compounded daily dissolving tablet, $299/mo for all listed dosages in Willow's current help center price schedule. This is distinct from the injection's dose ladder and is not FDA-approved Wegovy. Price checked September 26, 2026.
  • Compounded Tirzepatide (injectable)$399Dual-pathway GIP + GLP-1 injectable with the same clinical support. $399/mo through 6.375 mg, then $499/mo at 8.5 and 11 mg, $524/mo at 13.5 mg and $549/mo at 17 mg, verified 2026-09-03
All 5 Willow plans
How Willow bills

$299/mo is a starting program price, not one rate for every product. Willow's current help center pricing article lists compounded semaglutide injections at $299/mo up to 3.5 mg and $399/mo at 7 mg, tirzepatide injections at $399/mo through 6.375 mg then $499/mo at 8.5 and 11 mg, $524/mo at 13.5 mg and $549/mo at 17 mg, semaglutide tablets at $299/mo for all listed dosages, and tirzepatide tablets at $399/mo at 6 and 10 mg and $459/mo at 20 mg. Public price schedule checked September 26, 2026; confirm the prescribed product and current quote.

We checked Willow's prices on September 26, 2026.

What to watch for with Sprout Health and Willow

Sprout Health

  • The $99/mo semaglutide rate requires $1,188 upfront for 12 months; the shorter $149 plan bills every 4 weeks, not once per calendar month
  • No insurance accepted or billed, and no HSA, FSA or superbill information is shown on the site's product, FAQ, terms or refund pages (rendered check 2026-09-03)
Sprout Health's strengths, cautions and terms

Strengths

  • Publishes the upfront amount and renewal interval for annual and shorter compounded plans
  • Each patient gets an assigned licensed clinician, with clinical messaging inside the account and a short check in before every refill
  • The advertised compounded-plan price does not rise as the prescribed dose does, and provider review, medication, shipping and telehealth support are included
Medicines listed
  • Semaglutide (compounded)
  • Tirzepatide (compounded)
Insurance
No insurance support listed
Consultation
Included
Shipping
Free
States
44 states (excludes AL, AR, CA, LA, MS, ND)
Cancellation
Give 48 hours' notice before renewal. The July 26, 2026 policy allows a full refund before clinical review, deducts $50 after review but before pharmacy fulfillment, and excludes prescriptions sent to the pharmacy. Section 7 separately provides proportional refunds for unshipped prepaid months. Confirm which remaining shipments qualify.

Willow

  • The reviewed catalogue lists compounded products; a current brand-name Wegovy or Zepbound offer did not appear there
  • Both headline prices are starting prices. Tirzepatide starts at $399/mo against $299 for semaglutide, and on the help center pricing article maintenance tirzepatide injections run $499/mo from 8.5 mg, $524/mo at 13.5 mg and $549/mo at 17 mg (checked 2026-09-03)
Willow's strengths, cautions and terms

Strengths

  • Includes monthly provider check-ins and dose adjustments at no extra cost
  • Compounded daily dissolving tablets for semaglutide and tirzepatide, offering a needle-free format to discuss with the prescriber
  • $299/mo covers compounded semaglutide at the starting doses, injectable or tablet, with monthly provider support and no separate consultation fee
  • A US licensed doctor reviews and confirms the prescription the same day, and two-day shipping is free, both stated on the product pages (verified 2026-09-03)

More to watch for

  • Willow does not bill insurance and says HSA/FSA cards are accepted. Its help center discusses submitting receipts for reimbursement, but its terms and consent say users will not submit insurance claims. Those statements conflict; get written clarification before relying on reimbursement (sources accessed October 8, 2026)
  • The program auto-renews. Its FAQ and policies differ between two business days before processing and two calendar days before processing or shipping. Refunds also depend on whether the prescription has reached the pharmacy. Confirm the applicable deadline and current-order limits in writing (sources accessed October 8, 2026)
Medicines listed
  • Semaglutide (compounded injectable)
  • Semaglutide (compounded oral tablet, daily)
  • Tirzepatide (compounded injectable)
  • Tirzepatide (compounded oral tablet, daily)
  • Semaglutide with tirzepatide (compounded combination oral tablet, daily)
Insurance
No insurance support listed
Consultation
Included
Shipping
Free
States
36 states. Willow's FAQ names Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, Wisconsin and Wyoming. The about page runs a notify-me waitlist for twelve states it does not serve: Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, North Dakota, Rhode Island, South Dakota, Utah and West Virginia (verified 2026-09-03)
Cancellation
Request cancellation through the care team. The FAQ and policies differ between two business days before processing and two calendar days before processing or shipping. The FAQ offers a refund before the prescription reaches the pharmacy; later orders have narrower limits. Confirm the applicable cutoff, any charges and refund eligibility in writing before paying (sources accessed October 8, 2026).

Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.

Sprout Health vs Willow: common questions

Is Sprout Health or Willow cheaper?

At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.

  • Sprout Healthfrom $99/mostarting price
  • Willowfrom $299/mostarting price

Which is better, Sprout Health or Willow?

Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.

Do Sprout Health and Willow offer brand-name medication?

Sprout Health and Willow both list compounded medication.

Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.

Do Sprout Health and Willow take insurance?

Neither Sprout Health nor Willow lists insurance support.

Where these facts come from

Sprout Health:prices checked October 5, 2026, score evidence assessed October 16, 2026.Read our Sprout Health review

Willow:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our Willow review

We score on a published methodology, and partnership never changes a score or a fact here.

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