Willow Cost: What Semaglutide and Tirzepatide Actually Run Per Month

How much does Willow actually cost per month?

Willow charges one monthly price. There is no second charge for a membership. What you pay depends on the medicine. For tirzepatide, it also depends on your dose. Willow's help center lists every price.

Semaglutide and tirzepatide are weight-loss medicines from the GLP-1 family. Willow sells compounded versions. That means a licensed pharmacy mixes them for you. The FDA does not review compounded drugs for safety or quality.

• Compounded semaglutide, shot or tablet: about $300/mo · Same price at every dose up to 3.5 mg
• Compounded tirzepatide shot: about $400/mo 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 semaglutide-tirzepatide combo tablet: about $400/mo · About $460 at the highest dose
• Fees: no enrollment, visit or membership fee · Free two-day shipping

That's simpler than most rivals. Many bill a membership fee and a medicine fee as two separate charges. At Willow, one charge renews each month.

Does Willow's price go up as my dose increases?

For semaglutide, mostly no. The shot and the tablet cost about $300 a month at every dose up to 3.5 mg. Only a rare 7 mg shot costs more, about $400.

For tirzepatide, yes. The product page shows only the $399 starting price. Willow's help center lists the full ladder, up to about $550 at the 17 mg top dose. Its FAQ also says medication costs vary by dosage. Your maintenance dose is the one you stay on long term. If you expect it to be high, plan your budget on the higher tiers.

What's actually included in Willow's monthly price, and what's not?

The monthly price covers more than the medicine, as the list below shows. Licensed US physicians from Willow's affiliated medical practice write the prescriptions. Care happens by message. You fill in an online health form, and a doctor reviews it. There is no live video call.

• Included: medicine, medical review, unlimited physician access by message, 24/7 care team support, free shipping
• Not included: lab work or bloodwork of any kind
• Not included: live video visits, since care happens by message
• Not included: insurance billing

One policy detail matters more than it looks. You can cancel anytime by messaging Willow's care team. Send the request at least 2 business days before your next processing date. If you cancel before your prescription goes to the pharmacy, you get a full refund. A request after the cutoff applies to the following cycle. Willow's terms add that compounded medicine cannot be returned.

Does Willow take insurance, or can I use an HSA or FSA card?

Willow is cash-pay only. It takes no insurance, Medicare or Medicaid. You can pay with an HSA or FSA card at checkout, though. These are health savings and flexible spending accounts, which many employers offer. They hold pre-tax money, so for many people they are the most practical discount.

What will labs and monitoring cost on top of the Willow price?

Labs are not part of any Willow plan. Ro's membership, by contrast, covers a metabolic lab test at Quest when your provider orders it. At Willow, you arrange your own bloodwork, before you start and along the way. Your primary care provider can order it. You can also use a direct-pay lab, where you book and pay for the test yourself.

At Quest's direct-pay site, a metabolic panel and a cholesterol panel cost about $110 together, plus a small physician fee. The metabolic panel checks blood sugar, kidneys and liver. A broader midlife panel costs more. It can add estrogen, FSH, thyroid and HbA1c. FSH is a hormone that rises around menopause, and HbA1c is a three-month blood sugar average. Since Willow care happens by message, having your own numbers in hand also makes dose talks more concrete.

How much does Willow cost per year?

• Semaglutide: about $3,590 a year at every dose up to 3.5 mg
• Tirzepatide, staying on the starting doses: about $4,790 a year
• Tirzepatide, climbing to 13.5 mg over six months: about $5,865 a year
• Labs: add a little over $110 for each metabolic and cholesterol check you pay for yourself

Semaglutide is the easy one to budget. For tirzepatide, the dose you settle on decides the year.

Willow vs Mochi Health, Henry Meds, Ro and Hers: who's actually cheaper?

Willow's single charge makes it easy to compare. The honest answer depends on which medicine you need and how high your dose ends up. Here is the short version.

• Cheapest: Mochi Health, on both medicines
• Simplest bill: Willow, one charge with no membership
• If you have insurance: Ro, which helps you seek coverage for Wegovy or Zepbound

Mochi Health: cheaper on both medicines, but with a two-part bill

Mochi charges a $79 monthly membership plus a medicine fee that rises with your dose.

• Semaglutide, all-in: about $140–$270/mo by dose
• Tirzepatide, all-in: about $170–$280/mo by dose
• First month: membership free for new members, not in every state

Even at its top dose, Mochi's semaglutide costs about $30 less than Willow's. Its highest tirzepatide price is still about $120 under Willow's starting price. The tradeoff is billing. Mochi's membership and medicine are two separate subscriptions. Each one renews and cancels on its own. Full breakdown in the Mochi Health cost guide.

Henry Meds: cheaper on semaglutide, tirzepatide as a tablet only

Like Willow, Henry Meds adds no separate membership fee. Its price depends on the medicine and the format.

• Semaglutide tablet: about $250/mo · About $50 under Willow's semaglutide
• Semaglutide shot: about $300/mo, close to Willow · About $200/mo on a 12-month prepay
• Tirzepatide tablet: about $350/mo · Billed as one charge for each 3-month supply

Henry also sells 6- and 12-month prepaid plans, which Willow does not. Henry publishes only its starting prices. So compare the two at your maintenance dose. See the Henry Meds cost breakdown.

Ro: brand-name medicine at a higher price

Ro offers no compounded medicine at all. Its menu is FDA-approved brand-name drugs such as Wegovy and Zepbound. You pay for the medicine plus a Ro Body membership.

• Membership: $149/mo · First month $39 · About $75–$100/mo if you prepay
• All-in on the monthly plan: about $300–$600/mo, by drug and dose

That is above Willow's prices at most doses. The extra money buys FDA-approved drugs and a metabolic lab test when your provider orders it. Ro also helps with insurance. If your plan covers Wegovy or Zepbound, that help can cut your cost sharply. See the Ro cost breakdown.

Hers: also brand-name, and pricier at higher doses

Hers now sells only brand-name GLP-1s. Its membership is billed apart from the medicine.

• Membership: $149/mo · First month $39
• Wegovy pill, all-in: about $300–$450/mo by dose
• Wegovy pen, all-in: about $350 for the first two fills · Then about $500/mo
• Zepbound, all-in: from about $450/mo, rising with the dose

At its starting dose, the Wegovy pill costs about the same as Willow's semaglutide. At higher doses, Hers costs more. Its Zepbound starts in the same range as Willow's tirzepatide. Like Ro, Hers offers FDA-approved drugs instead of compounded ones. Full numbers in the Hers cost breakdown.

Here is the pattern. Willow beats Ro and Hers at most doses. It trades places with Henry Meds, depending on the medicine and format. Mochi Health's two-part bill is cheaper on both medicines. Where Willow wins clearly is simplicity: one price, one charge, no second subscription to cancel.

Is there a Willow coupon, discount, or way to lower the price?

Willow shows no promo code or referral discount on its site, FAQ or terms. It has no multi-month prepay discount either. Mochi, Henry Meds and Ro all sell prepaid plans that Willow lacks. Some cashback portals pay a small reward on new Willow sign-ups. That reward comes from a third-party program, not from Willow, and its terms change often.

The most dependable lever is paying with an HSA or FSA card, since that money is pre-tax. Switching format does not help on semaglutide, which costs about $300 as a shot or a tablet. For tirzepatide, the tablet tops out at about $460, below the top shot price of about $550. So ask your doctor whether the tablet suits you.

Is Willow's price worth it for you?

For semaglutide, Willow's single price at every usual dose is a real advantage over rivals that charge more as your dose climbs. For tirzepatide, that advantage is gone, because the price rises with the dose. Compare it at your expected maintenance dose. Willow holds LegitScript certification, an independent check of legal and safety compliance. HSA and FSA cards work at checkout.

Know the limits too. Willow works in 36 states, not nationwide, so confirm yours before you start intake. Labs are not included, so budget for them if no other doctor orders your bloodwork. Care happens by message, not live video, which suits some women and not others. Willow also does not accept people with diabetes, though prediabetes is fine. In December 2025, the National Advertising Division, an industry watchdog for ads, found Willow had not backed up certain weight-loss claims for its compounded semaglutide. It then referred Willow to the FTC and state attorneys general. In July 2026, Willow told the watchdog it had permanently dropped those claims. On Trustpilot, Willow scores 3.9 out of 5 from about 360 reviews.

Willow fits best if one simple monthly charge matters more to you than bundled labs or brand-name medicine, and you live in a state it serves. Its semaglutide holds up well against the field. Its tirzepatide is easier to beat at higher doses. If you want labs included, insurance help or FDA-approved brand-name drugs, look at a different platform and a different price.