Willow Cost: What Semaglutide and Tirzepatide Actually Run Per Month

How much does Willow actually cost per month?

Willow's pricing collapses to two numbers, and neither one carries a second line item. Compounded semaglutide runs $299 a month. Compounded tirzepatide runs $399. Both figures come directly from Willow's own product pages.

• Compounded semaglutide: $299/mo, available as an injection or an oral tablet at the same price
• Compounded tirzepatide: $399/mo, injection
• No enrollment fee, no visit fee, no membership charge added to either number
• Shipping: included free on every order

That's a meaningfully simpler bill than most of this category, where a membership fee and a medication fee show up as two separate charges on your statement. At Willow, what you see is what renews.

Is Willow's flat rate real — does the price go up as my dose increases?

Based on Willow's own pages, yes. The tirzepatide product page lists a single $399 figure with no dose-tiered pricing table attached to it, and the FAQ describes the plan as all-inclusive with no hidden fees, language that only makes sense if the price genuinely holds as your provider titrates you upward. That's a real structural difference from platforms like Ro, where Zepbound climbs from a lower starter-dose price to a higher one at maintenance, or Hers, where medication cost itself rises once you're past the entry tier. No higher figure appears anywhere on Willow's own site; if you expect to titrate to a high maintenance dose, it's still worth asking directly during intake whether your specific dose changes the monthly rate before you commit.

What's actually included in the $299-$399 — and what's not?

The monthly price covers the medication itself in your prescribed format, an initial medical evaluation, unlimited messaging with your prescribing physician, 24/7 patient support, and free shipping on every shipment. Prescriptions are issued by licensed physicians affiliated with Willow Medical of California, P.C., and most of that clinical relationship happens asynchronously, you complete an intake form and a provider reviews it, rather than booking a live video call.

• Included: medication, medical evaluation, physician messaging, 24/7 support, shipping
• Not included: lab work or bloodwork of any kind
• Not included: live video visits — care is primarily asynchronous
• Not included: insurance billing

One policy detail that matters more than it looks: you can cancel anytime from your account page, but the request has to land at least two full calendar days before your next shipping date. Cancel before your prescription has actually been sent to the pharmacy, and you get a full refund. Cancel after it's already been sent, and that month's payment stays non-refundable, the cancellation itself still takes effect for the following billing cycle, but you won't get that month's charge back.

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

No insurance, and no Medicare or Medicaid coordination, Willow is entirely cash-pay. HSA and FSA cards are accepted directly at checkout, though, and a letter of medical necessity is available in the patient portal to support reimbursement if your plan administrator requires documentation. For a lot of patients, that HSA/FSA acceptance is the most practical discount available, since it effectively lowers the real cost by your marginal tax rate.

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

Labs aren't bundled into either plan, which puts Willow behind a competitor like Ro, which folds testing into its membership when a provider deems it clinically necessary. At Willow, you're responsible for arranging your own baseline and follow-up bloodwork, through a primary care provider, if you have one, or an independent direct-pay lab.

A basic metabolic and lipid panel typically runs somewhere in the $40-$100 range per draw at a direct-pay lab. For perimenopausal and menopausal women specifically, a broader hormonal and metabolic baseline, estrogen, FSH, thyroid, HbA1c, lipids, commonly runs $150 to $300 depending on the panel. Since Willow's consultations are asynchronous rather than live video visits, having your own numbers in hand before you message your provider can also make dose-adjustment conversations more concrete.

How much does Willow cost per year?

• Semaglutide: $299/mo x 12 = $3,588/yr
• Tirzepatide: $399/mo x 12 = $4,788/yr
• Add roughly $100-$400/yr if you're paying out of pocket for baseline and follow-up labs rather than routing them through a primary care provider

Those two numbers are the real floor and ceiling of a full year at Willow, assuming the flat rate holds as advertised, which, per Willow's own pages, it should.

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

Willow's flat-rate structure makes it easy to compare, but the honest answer depends on which molecule you need and how high your maintenance dose ends up being.

Mochi Health — cheaper on both molecules, but with a two-part bill

Mochi charges $79/mo membership plus $99/mo for semaglutide or $199/mo for tirzepatide, $178/mo and $278/mo all-in, also flat-rate at every dose. That undercuts Willow by roughly $121/mo on both molecules. The tradeoff is billing complexity: Mochi's membership and medication are two separate subscriptions that renew and cancel independently, while Willow's single monthly charge is simpler to manage. Full breakdown in the Mochi Health cost guide.

Henry Meds — cheaper on semaglutide, more expensive on injectable tirzepatide

Henry Meds' oral semaglutide runs $249/mo all-in, undercutting Willow's $299/mo semaglutide by $50. Its injectable semaglutide, at $297/mo, lands close to Willow's rate. On tirzepatide, Henry Meds' oral option ($349/mo) is cheaper than Willow's $399/mo, but its injectable tirzepatide ($449/mo) runs $50 more than Willow's flat rate. Both platforms share the same core pitch, no membership fee, no dose-based price hikes, so the deciding factor often comes down to format and molecule rather than a clear overall winner. See the Henry Meds cost breakdown.

Ro — brand-name medication, a real cost premium

Ro doesn't offer compounded semaglutide or tirzepatide at all; everything on its menu is FDA-approved brand-name medication, Wegovy, Zepbound, dispensed through manufacturer direct-pricing programs on top of a $145/mo Ro Body membership. Cash-paying Ro patients typically land between roughly $294 and $594 a month all-in once membership is added to dose-tiered medication pricing, well above Willow's flat rates. The gap buys something real, though: FDA-approved drugs, bundled labs, and an insurance concierge that can bring costs down sharply for patients whose plans cover Wegovy or Zepbound. See the Ro cost breakdown.

Hers — also brand-name, also pricier at every tier

Hers centers on brand-name Wegovy and Zepbound rather than compounded medication, and its $149/mo membership sits on top of dose-tiered medication pricing. All-in, most Hers members pay $298 to $448 a month for semaglutide options and more for Zepbound, consistently above Willow's flat $299 and $399 rates. Hers' advantage is the same one Ro offers: FDA-approved drugs rather than compounded versions. Full numbers in the Hers cost breakdown.

The pattern across all four: Willow beats the brand-name platforms (Ro, Hers) on price outright, trades places with Henry Meds depending on molecule and format, and loses to Mochi Health's cheaper two-part bill on both molecules. Where Willow wins clearly is billing simplicity, one number, one charge, no second subscription to remember to cancel.

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

No active promo code or referral discount appears on startwillow.com or in its FAQ as of this writing, and there's no multi-month prepay tier either, unlike Mochi's bulk membership rates or Ro's annual prepay option. A few cashback portals list a modest cash-back offer on new Willow sign-ups, but that runs through a third-party affiliate program rather than a Willow-issued discount, and terms shift often enough that it's worth confirming before you count on it.

The most dependable lever is paying with an HSA or FSA card, which lowers your real cost by your marginal tax rate without requiring a coupon at all. Because the price is flat regardless of format, there's no format-switching trick here the way there is at competitors that charge less for oral versus injectable, Willow's semaglutide costs the same $299 whether you choose the injection or the tablet.

Is Willow's price worth it for you?

For a patient who expects to titrate to a higher maintenance dose, Willow's flat rate is a genuine financial advantage over any competitor that charges more as your dose climbs. LegitScript certification adds an independent layer of verification in a market where plenty of operators go unvetted, and HSA/FSA acceptance with a ready letter of medical necessity makes reimbursement more straightforward than at some competitors.

The honest limits: Willow operates in a limited set of states, not nationwide, so availability is worth confirming before you start intake. Labs aren't included, so budget for that separately if you don't already have a primary care provider ordering bloodwork. Care is asynchronous rather than live video, which suits some patients and not others. And in December 2025, the National Advertising Division referred Willow to state regulatory authorities after finding the company hadn't substantiated certain weight-loss claims for its compounded product, Willow disputed the finding and did not agree to change its advertising at the time. None of that changes the math on what you'd actually pay, but it's a fair thing to know going in, alongside a Trustpilot rating that sits in mixed territory, with injectable users reporting more consistent satisfaction than oral users.

If predictable, flat monthly pricing matters more to you than bundled labs or brand-name medication, and you're in one of Willow's supported states, the price holds up well against the field. If you want labs included, insurance coordination, or FDA-approved brand-name drugs, that's a different platform and a different price point entirely.