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Our Score
7.5/10
Headline pricefrom $299/mo
TypeCompounded
InsuranceNo
Rank#20 of 54
CompoundedUpdated August 14, 2026
By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Researched against FDA labeling, published clinical-trial data (STEP-1 / SURMOUNT-1), and Willow's live pages, not a paid placement.

Willow logo

Willow GLP-1 Reviews (2026): $299/mo Compounded Semaglutide, Scored 7.5/10

Personalized GLP-1 weight loss with ongoing clinical support. Compounded semaglutide and tirzepatide only, Willow explicitly does not prescribe brand-name Wegovy or Zepbound. Added oral compounded semaglutide tablets as a non-injectable option.

Bottom line

Willow is a solid mid-tier compounded-only GLP-1 platform. Full verdict ↓

Independently researched. Every statistic links to a primary source (NEJM, JAMA, FDA, CMS, or the provider's official disclosures). Affiliate status never changes a provider's score; featured picks are affiliate partners, disclosed. Last verified May 17, 2026.

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.

Summarize this article with

Willow scores 7.5/10 in our independent review. Its headline semaglutide offer is from $299/mo. Willow delivers strong clinical support with a compounded-only GLP-1 program. At $299/mo for compounded semaglutide or $399/mo for compounded tirzepatide, pricing sits in the mid-tier, you're paying for monthly provider consultations, dose titration, and the option to switch between injectable and the newer oral semaglutide tablet.

What makes it different: One of the few compounded-only platforms offering both injectable and daily oral semaglutide tablets, useful for users who want a non-injectable option without leaving the GLP-1 compounded category.

At a glance

Get Willow if
  • Cash-pay patients who want compounded GLP-1 with ongoing clinical support
  • Users who want a non-injectable oral compounded semaglutide option
  • First-time GLP-1 users who value monthly provider check-ins
Skip if
  • Users who need brand-name Wegovy or Zepbound (Willow does not prescribe these)
  • Users who need insurance billing to afford treatment
  • Those seeking the absolute lowest monthly cost

Willow Pros and Cons

What We Like
  • +Includes monthly provider check-ins and dose adjustments at no extra cost
  • +Offers both injectable AND oral compounded semaglutide, one of few platforms with a daily oral tablet option
  • +$299/mo all-in for compounded semaglutide with monthly provider support
  • +90%+ patient retention rate after 3 months per their published outcomes data
What Could Be Better
  • Compounded-only, no brand-name Wegovy or Zepbound through the platform
  • Tirzepatide pricing reaches $499-$524 at higher doses, starting dose is $399/mo
  • Cash-pay only, no insurance billing, though they provide superbills for FSA/HSA
  • Founded in 2024, less track record than Ro or Hims, though growth has been fast

What it costs

Headline pricing, full-year math, and how Willow compares to the closest alternatives.

Quick facts

Monthly Cost
Consultation
Included
Availability
All 50 States
Insurance
Not Accepted
Shipping
Free
Cancellation
Cancel anytime, no cancellat...

All pricing tiers

Compounded Semaglutide (injectable)

$299/mo

All-inclusive flat rate: medication, consultations, shipping, dose adjustments

Compounded Semaglutide (oral tablet, daily)

$299/mo

Oral daily tablet alternative to injection, same monthly price

Compounded Tirzepatide (starting dose)

$399/mo

Starting dose compounded tirzepatide with full clinical support

Compounded Tirzepatide (higher doses)

$524/mo

Higher-dose tirzepatide reaches $499-$524/mo depending on titration stage

Cancellation policy: Cancel anytime, no cancellation fee

Willow reviews: what customers say

What third-party review aggregators say about Willow. Cards show the verified primary metric only, “Not found” means no public profile surfaced in our verification pass.

Trustpilot
3.7★
294 verified reviews
How we verified this →
BBB
D- (not accredited)
How we verified this →
Reddit
Mixed sentiment
Aggregated from public threads
Provider claim
None disclosed
Our reading

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.

What people actually say

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.

Trustpilot: Verified June 19, 2026, external-reviews verification pass.

How Willow works

1

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.

2

Provider Review & Prescription

A licensed provider reviews your profile within 24 hours, determines the right medication and starting dose, and sends the prescription to the pharmacy.

3

Medication Delivered + Ongoing Support

Your medication ships free to your door within 3-5 business days. Monthly check-ins with your provider ensure proper dose titration and progress tracking.

Medications available

Semaglutide (compounded injectable)Semaglutide (compounded oral tablet, daily)Tirzepatide (compounded injectable)

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Willow pharmacy, prescribers and safety checks

Six trust signals, how we checked them, and what's been updated since the last review.

Is Willow legit? Read the full verification for the Trustpilot record, the named pharmacy, and the specific complaints we could and could not substantiate.

Independent Clinical Perspective

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.
Helen Williams, Consultant pharmacist; National Clinical Director for Cardiovascular Disease Prevention
NHS England
NHS England announcing semaglutide (Wegovy) availability to cut heart attack and stroke risk.
NHS England · Apr 2026
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.
Sonya Babu-Narayan, Consultant cardiologist; Clinical Director, British Heart Foundation
British Heart Foundation
British Heart Foundation reacting to NICE recommending semaglutide for cardiovascular event prevention.

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.

Common questions

Questions readers ask about Willow, similar providers to compare, and quick tools.

Frequently Asked Questions

Can I use my HSA/FSA to pay for Willow?+
Yes. While Willow doesn't bill insurance directly, they provide superbills that you can submit to your HSA/FSA provider for reimbursement. Most patients report successful reimbursement.
Does Willow offer brand-name Wegovy or Zepbound?+
No. Willow is a compounded-only platform; it does not prescribe FDA-approved brand-name Wegovy, Zepbound, Ozempic, or Mounjaro. For brand-name access, Hims and Hers list Wegovy pill medication from $149 and the pen from $199, plus a required $39 first-month/$149 ongoing membership; the lowest all-in path is $188 initially and $298/mo ongoing.
What's the difference between the oral and injectable compounded semaglutide?+
Both are $299/mo. The oral daily tablet is a non-injectable alternative, taken once daily, while the injectable is the traditional once-weekly subcutaneous injection. Efficacy expectations favor the injectable, but oral works well for users with needle aversion.
Is there a long-term commitment or contract?+
No. Willow is month-to-month with no contract. You can cancel anytime without penalty or cancellation fees.
What do verified reviews say about Willow?+
Willow holds Trustpilot: 3.7 across 294 reviews; BBB: D- (not accredited). We re-check these against the platforms directly rather than taking a provider's own marketing figure, and where the platforms disagree we show all of them. Our own score for Willow is 7.5/10, set by a published methodology that a provider cannot pay to change.
Can I cancel Willow, and what are the terms?+
Willow states: Cancel anytime, no cancellation fee. Cancel before your next billing date rather than on it, and keep written confirmation.
Does Willow take insurance?+
No. Willow is cash pay only, so nothing is billed to a plan. On the listed price: consultation included, shipping free.

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Featured Partners

Four affiliate partners we feature, we may earn a commission.

Embody

7.3/10
from $69/mo·Compounded

Gala

7.2/10
from $149/mo·Brand & Compounded

Yucca Health

7.7/10
from $146/mo·Compounded

Affiliate links, we earn a commission at no extra cost to you. These are featured partners, prioritized by our affiliate economics, not an editorial "best" ranking. The objective ranking (by methodology score) and full methodology are at glp1picks.com/best.