Willow GLP-1 Review (2026): What It Costs and Who It Suits
Willow is a simple, cash-pay way to get compounded semaglutide or tirzepatide in 36 states, with no membership fee. Semaglutide keeps one price as your dose rises, but tirzepatide costs more at higher doses.
Medically reviewed by Jill Garnier, MDWillow is a simple, LegitScript-certified way to get compounded GLP-1s in 36 states, with no membership fee on top. Semaglutide stays at one price across the usual doses. Tirzepatide costs more as your dose rises, and no labs are included, so it suits women whose own doctor already tracks their bloodwork.
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What you will actually pay
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Lowest price, the same at every dose up to 3.5 mg
Get startedDual GIP and GLP-1 action. $399 up to 6.375 mg, then $499, $524 and $549 at the top doses
Get startedNeedle-free daily tablet that dissolves under the tongue. $459 at the highest dose
Get startedEstimated all-in cost: ~$3,588/yr (semaglutide up to 3.5 mg) or ~$4,788–$5,863/yr (tirzepatide shot, by the dose you settle on)
- ✓ Semaglutide costs the same at every dose up to 3.5 mg, shot or tablet
- ✓ LegitScript certified, an independent check of legal and safety compliance
- ✓ Licensed US physicians from Willow's affiliated medical practice, usually the same doctor throughout
- ✓ HSA and FSA cards accepted at checkout
- ✓ Needle-free tablets for both semaglutide and tirzepatide
- ✓ No membership or visit fee on top of the monthly price, with free two-day shipping
- ✓ Texas company, Willow Health Services, Inc., that publishes its address and names its partner pharmacies
- ⚑ Available in only 36 states, not nationwide
- ⚑ Tirzepatide costs more as your dose rises, up to $549/mo at the top dose
- ⚑ No labs included, so you arrange monitoring yourself
- ⚑ No insurance billing; cash-pay only, with HSA or FSA
- ⚑ Does not accept patients with diabetes
- ⚑ Compounded GLP-1s face changing FDA rules in 2026
- ⚑ Industry watchdog NAD referred Willow to the FTC and state attorneys general in Dec 2025 over weight-loss claims; Willow dropped them in July 2026
- ⚑ No live video visits, which can feel impersonal
What is Willow?
Willow is a cash-pay telehealth company from Texas. It treats weight only, with compounded GLP-1 medicines. Compounded means a licensed pharmacy mixes the drug for you. The FDA does not review these versions for safety or quality. Willow does not offer brand-name Ozempic, Wegovy or Zepbound.
Licensed US physicians from Willow's affiliated medical practice write the prescriptions. State-licensed compounding pharmacies fill them, one patient at a time. Willow names four partner pharmacies in its terms, in Utah, Texas and Florida.
Willow holds LegitScript certification. LegitScript is an independent company that checks telehealth services against pharmacy and prescription laws. That seal matters in a market crowded with sellers nobody has checked.
Willow serves 36 states. It is not available in DC or the other 14 states. Check the list on Willow's site before you spend time on the intake form.
How much does Willow cost?
Willow charges one monthly price that covers the medicine, the doctor and shipping. There is no membership fee and no visit fee. The price depends on the medicine you take. For tirzepatide, it also depends on your dose.
- Compounded semaglutide, shot or tablet: about $300 a month · Same price at every dose up to 3.5 mg
- Compounded tirzepatide shot: about $400 a month at the starting doses · About $500 at 8.5–11 mg · About $525 at 13.5 mg · About $550 at 17 mg
- Tirzepatide tablet or combo tablet: about $400 a month · About $460 at the highest dose
- Payment: no insurance · HSA and FSA cards accepted
A year of semaglutide comes to about $3,590. Tirzepatide depends on where your dose settles. If you stay on the starting doses, a year costs about $4,790. If you climb to 13.5 mg over six months, expect about $5,865.
Willow's product pages show only the starting price. Its FAQ says medication costs vary by dosage. Ask the care team for the price at your expected dose before you pay.
You can cancel anytime by messaging the care team. Do it at least 2 business days before your next charge. You get a full refund only if you cancel before your prescription goes to the pharmacy.
Semaglutide, tirzepatide or a tablet: which Willow option fits?
Semaglutide is the medicine in Ozempic and Wegovy. It copies one gut hormone, GLP-1, which curbs appetite. At Willow it is the cheapest option. Its price stays put as your dose goes up.
Tirzepatide is the medicine in Mounjaro and Zepbound. It acts on two hormones, GLP-1 and GIP. At Willow it starts about $100 a month above semaglutide. The gap grows as your dose rises.
Willow also sells both medicines as a daily tablet that dissolves under your tongue. That suits you if needles put you off. No FDA-approved version of either drug works this way, so these tablets are compounded too.
Willow also sells a tablet that mixes semaglutide and tirzepatide. No FDA-approved product combines the two.
Is Willow legit, and is compounded GLP-1 still legal?
Willow is a real, certified company. It holds LegitScript certification, publishes its Texas address and names its partner pharmacies. The bigger questions are the rules around compounded GLP-1s and Willow's past ads.
The FDA declared the semaglutide shortage over in February 2025. That ended the easy path for pharmacies to copy the brand-name drug. A pharmacy may still compound it when the prescriber notes a change that matters for that patient, such as an added ingredient.
In April 2026, the FDA proposed keeping semaglutide, tirzepatide and liraglutide off the 503B bulk list. That list says what large outsourcing facilities may compound from raw ingredients. The proposal does not target the state-licensed 503A pharmacies Willow uses. Still, the rules are moving fast.
Separately, an industry watchdog questioned Willow's ads. The National Advertising Division, or NAD, reviewed them after a challenge from Novo Nordisk, the maker of Wegovy. In December 2025, it referred Willow to the FTC and state attorneys general. The ads had applied brand-name trial results to Willow's compounded semaglutide.
On July 24, 2026, Willow dropped those claims for good. No enforcement action followed. Still, read any compounded provider's weight-loss promises with care.
Eli Lilly, the maker of Zepbound, also sued Willow in 2025 over how it marketed compounded tirzepatide. A federal judge in California dismissed the case on February 3, 2026. The court found Lilly had not shown that Willow's ads cost it sales. Lilly has appealed to the Ninth Circuit.
How Willow works, step by step
You start with an online form about your weight history, health and current medicines. You also upload a photo ID, which US law requires for prescriptions. A licensed physician reviews your answers, usually the same day. There is no live video call.
If you qualify, the doctor writes a prescription. The pharmacy takes 2–4 business days to prepare it. Delivery then takes about 2–3 days, and shipping is free.
Your dose goes up in steps over the first months. You message your doctor to adjust it, without booking a visit. Your plan renews on its own each month.
- Visits: by message, with no scheduled video call
- Your doctor: usually the same physician throughout
- Delivery: free two-day shipping from a partner pharmacy
- Labs: not included, so you arrange bloodwork with your own doctor
- Insurance: not billed; HSA and FSA cards work at checkout
Who Willow is for, and who should skip it
Willow suits women in a covered state who want one all-in monthly bill. It works best if your own doctor already tracks your labs. Semaglutide users get the most predictable price.
Willow is a weaker fit if you want hands-on care, insurance billing or brand-name medicine. It also does not accept people with diabetes. Prediabetes and high blood pressure are fine.
- Good fit: you live in one of the 36 covered states
- Good fit: your primary care doctor will track your labs
- Good fit: you want to pay with HSA or FSA money
- Good fit: you would rather take a tablet than a weekly shot
- Not a fit: you have diabetes
- Not a fit: you want video visits or labs included
- Not a fit: you want FDA-approved brand-name medicine
- Not a fit: you expect a high tirzepatide dose and want the lowest price
Is Willow worth it?
For semaglutide, Willow is a simple, credible choice at about $300 a month. The price stays the same as your dose rises, and nothing is added on top. LegitScript certification and named partner pharmacies add trust.
For tirzepatide, the case is weaker. The price climbs to about $550 a month at the top dose. Compare it with other providers on our compounded tirzepatide price page first.
The limits are real. Only 36 states are covered, and no labs are included. The rules for compounded GLP-1s are also shifting. Confirm your state, and make sure your own doctor is on board with your monitoring.
Frequently asked questions
Is Willow available in my state?+–
Willow serves 36 states, not the whole country. It is not available in DC. Check the state list on Willow's FAQ page before you start the intake form.
Does Willow's price go up as my dose increases?+–
For semaglutide, mostly no. It costs about $300 a month at every dose up to 3.5 mg, shot or tablet. Only the rare 7 mg shot costs more, about $400. For tirzepatide, yes. The shot starts at about $400 a month and climbs to about $500, $525 and $550 at the higher doses. The tirzepatide tablet costs about $460 at its highest dose.
Does Willow accept insurance or Medicare?+–
No. Willow does not bill insurance or Medicare. You can pay with an HSA or FSA card at checkout. Those are pre-tax health accounts many employers offer.
Are labs included with a Willow membership?+–
No. Willow does not include lab work. You arrange your starting and follow-up bloodwork with your own doctor or a lab service.
Is Willow's medication FDA-approved?+–
No. Everything Willow sells is compounded, which means a pharmacy mixes it for you. State-licensed compounding pharmacies make it under state board oversight. The FDA does not review compounded drugs for safety or quality. Brand-name Ozempic, Wegovy and Zepbound are not available through Willow.
Who writes my prescription at Willow?+–
A licensed US physician from Willow's affiliated medical practice writes it. You fill in an online form, and the doctor reviews it the same day. There is no live video call. You can message your doctor anytime, and you usually keep the same one.
What is LegitScript certification and why does it matter?+–
LegitScript is an independent company that checks whether a pharmacy or telehealth service follows the law and prescription rules. Willow shows an active LegitScript seal. That matters in a market where many sellers are never checked.
What is the regulatory risk with compounded GLP-1 medications?+–
The FDA declared the semaglutide shortage over in February 2025. In April 2026, it proposed keeping semaglutide, tirzepatide and liraglutide off the list that lets large outsourcing facilities compound from bulk ingredients. That proposal targets 503B facilities, not the state-licensed pharmacies Willow uses. Still, the rules are changing, and a future FDA action could affect supply.