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Willow GLP-1 Reviews (2026): $299/mo Compounded Semaglutide, Scored 7.5/10
About Willow
Personalized GLP-1 weight loss with ongoing clinical support. The catalogue is compounded semaglutide, compounded tirzepatide and a compounded combination tablet carrying both, with no brand-name Wegovy or Zepbound page anywhere on the site. Daily oral dissolving tablets exist for BOTH molecules alongside the injectables, level with the corresponding injection at the starting doses. Willow serves 36 states, not all 50.
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The price
Price checked 2026-09-26Covers 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
View this plan$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.
Plans & payment terms
View treatment options at Willow. Confirm the latest price and availability there.
Show all 5 plans and payment terms
What they offer
Why consider it
- 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
Worth knowing
- Compounded-only, no brand-name Wegovy or Zepbound through the platform
- Both headline prices are floors. 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)
- Cash-pay only. Willow does not bill insurance. You pay with an HSA or FSA card at checkout, or pay out of pocket and submit receipts to your insurer yourself, with reimbursement depending on your plan and deductible (checked 2026-09-03)
What customers say
Willow (startwillow.com) has a polarized Trustpilot footprint: a TrustScore around 3.7/5 with roughly 56% five-star and 34% one-star reviews. Fans praise fast doctor responses and simple flat-rate pricing, but recurring criticism centers on shipping delays, orders arriving without medication, difficulty getting refunds, and generic/AI-feeling support replies. It is NOT BBB accredited and carries a low D- BBB grade (5 complaints, including one unanswered), plus third-party reporting that some marketing testimonials were fabricated.
Read customer evidence →Coverage & care
- Availability
- 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)
- Insurance
- Not accepted
- Consultation
- included
- Shipping
- free
Cancel anytime by messaging the care team, with no cancellation fee, but the program auto-renews and a request must land at least two business days before the next processing date to stop the next charge. A full refund applies only if you cancel before the prescription is sent to the pharmacy, and the informed consent page states orders cannot be cancelled, returned or refunded once shipped (verified 2026-09-03)
Independent research, not medical advice. Read our safety checks and sources.
All plans, payment and cancellation terms
- Consultation
- Included
- Shipping
- Free
- Insurance
- Not accepted
- Availability
- 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 and refunds: Cancel anytime by messaging the care team, with no cancellation fee, but the program auto-renews and a request must land at least two business days before the next processing date to stop the next charge. A full refund applies only if you cancel before the prescription is sent to the pharmacy, and the informed consent page states orders cannot be cancelled, returned or refunded once shipped (verified 2026-09-03)
Want the standalone record? Willow pricing, every tier with verification dates and detected promotions.
All pricing tiers
Compounded Semaglutide (injectable)
$299 View details ↗Covers 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)
$299 View details ↗Compounded 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)
$399 View details ↗Dual-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
Compounded Tirzepatide (oral tablet, daily)
$399 View details ↗Daily needle-free tirzepatide tablet at the injection's starting price, no refrigeration needed. $399/mo at 6 and 10 mg, $459/mo at 20 mg, verified 2026-09-03
Compounded Semaglutide and Tirzepatide combination tablet (daily)
$399 View details ↗Daily dissolving tablet carrying both molecules, $399/mo at 12 mg semaglutide with 10 mg tirzepatide and $459/mo at 24 mg with 20 mg, verified 2026-09-03
Why we reached this verdict
Willow delivers strong clinical support with a compounded-only GLP-1 program. Compounded semaglutide starts at $299/mo and compounded tirzepatide at $399/mo, which puts the entry price mid-tier, and you're paying for monthly provider consultations, dose titration, and the option to go needle-free on either molecule: daily dissolving tablets exist for both at the injection's starting price. Those are floors. The help center pricing article dated July 9, 2026 puts maintenance tirzepatide injections between $499 and $549/mo and steps semaglutide to $399/mo at 7 mg, so budget for the dose you titrate to rather than the one you start on. Willow serves 36 states and runs a waitlist for twelve more. For FDA-approved brand-name medication, see our Wegovy guide and Zepbound guide. For cash-pay patients in a served state who value the oral route and ongoing clinical oversight, Willow remains a solid pick.
What makes it different: 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.
Willow Pros and Cons
What We Like
What We Like
- +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)
What Could Be Better
What Could Be Better
- −Compounded-only, no brand-name Wegovy or Zepbound through the platform
- −Both headline prices are floors. 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)
- −Cash-pay only. Willow does not bill insurance. You pay with an HSA or FSA card at checkout, or pay out of pocket and submit receipts to your insurer yourself, with reimbursement depending on your plan and deductible (checked 2026-09-03)
- −The program auto-renews, and a cancellation has to reach the care team at least two business days before the next processing date to stop a charge. A full refund only applies if you cancel before the prescription goes to the pharmacy, and the informed consent page says orders cannot be cancelled, returned or refunded once shipped (checked 2026-09-03)
Is Willow legit? Pharmacy, prescribers and safety checks
Willow is a real, operating telehealth company, but that fact alone does not make it a low-risk choice. Its third-party record contains material complaints. It holds 3.7 out of 5 across 294 Trustpilot reviews, while its BBB profile reads D- (not accredited). It scores 7.5/10 on our methodology; the six signals below are how we checked.
Six trust signals, the evidence behind them, and what remains unverified.
Verification record for Willow
Price checked .
Read individual claims alongside their dates and source links. A dated price check does not establish that every review detail was checked on the same day. Our editorial methodology explains the criteria.
Clinical evidence: 20.9% average body-weight reduction at 72 weeks in SURMOUNT-1 (NEJM, 2022). Individual results vary; compounded GLP-1s are not FDA-approved.
What the doctors say about GLP-1 medications
Independent, sourced clinical context on the medication class, not a comment on this provider.
“For more than a million people at high risk of heart attack and stroke, this treatment on the NHS could be life-changing: offering a powerful new way to protect their hearts and improve their health.”
“So-called 'weight loss drugs' like semaglutide have proven benefits beyond reducing the number on the scales. They are now considered important medicines for preventing deadly heart attacks and strokes. Today's guidance will no doubt help save lives as cardiovascular disease is still one of the country's biggest killers.”
Quotes are general medical commentary about GLP-1 medications, independently sourced and not solicited by GLP-1 Picks. They are not an endorsement of any provider, our provider scores are set solely by our published methodology.
Willow reviews: what customers say
Recorded third-party ratings and source links for Willow. “Not verified” means this review has no confirmed figure; it does not establish that no profile exists.
Willow (startwillow.com) has a polarized Trustpilot footprint: a TrustScore around 3.7/5 with roughly 56% five-star and 34% one-star reviews. Fans praise fast doctor responses and simple flat-rate pricing, but recurring criticism centers on shipping delays, orders arriving without medication, difficulty getting refunds, and generic/AI-feeling support replies. It is NOT BBB accredited and carries a low D- BBB grade (5 complaints, including one unanswered), plus third-party reporting that some marketing testimonials were fabricated.
Reddit: Real weight-loss results reported (12 lbs in 7 weeks, 29 lbs in 5 months) alongside complaints of shipping delays, unresponsive support, and a notable concern that some Willow ad testimonials (e.g. 'Jenna Walsh') were fabricated/AI-generated influencers.
How Willow works
Complete Your Health Profile
Fill out a 10-minute online questionnaire covering your medical history, current medications, and weight loss goals. No video call required for initial intake.
Provider Review & Prescription
A US licensed doctor reviews and confirms your prescription the same day, per Willow's product pages, determines the right medication and starting dose, and sends the prescription to the pharmacy.
Medication Delivered + Ongoing Support
Pharmacy processing takes 2 to 4 business days and delivery another 2 to 3 days by FedEx or UPS, free, per Willow's FAQ. Monthly check-ins with your provider cover dose titration and progress tracking.
Medications available
Common questions
How much does Willow GLP-1 treatment cost?+
Can I use my HSA/FSA to pay for Willow?+
Does Willow offer brand-name Wegovy or Zepbound?+
More questions (5)
What's the difference between the oral and injectable compounded semaglutide?+
Is there a long-term commitment or contract?+
What do verified reviews say about Willow?+
Can I cancel Willow, and what are the terms?+
Does Willow take insurance?+
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Helpful Tools
Or jump to a specific program
Willow's daily oral tablet at the same price as the injection. The needle-free route without changing molecule or platform.
The dual-pathway (GIP + GLP-1) molecule with the same monthly provider check-ins, for readers stepping up from semaglutide.