Willow review
Pill priced like the shot
The daily tablet and the weekly injection cost the same $299, and the terms allow the price to move when the dose does.
Our verdict
Willow prices by molecule, not by route. Compounded semaglutide is $299 a month as a weekly injection and $299 a month as a daily sublingual tablet; tirzepatide is $399 either way. That is unusual and it is the reason to read the page: almost everywhere else the oral line is sold as the cheaper option, and here it is a preference rather than a saving. The pricing FAQ answers "Are there any additional fees?" with "No." Two answers further down, the same page says medication costs vary by dosage and prescription, and the terms of service say the subscription fee may be increased if the prescription changes, such as by a dosage increase. The printed $299 is therefore a starting figure, not a rate held across the ladder, and the seller publishes no milligram strength anywhere to say where it stops.
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At a glance
- Category
- GLP-1 pricing
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection · Oral
- States
- 36
- From
- $299/mo
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Named
- Labs
- Not stated
- Availability
- 36 states
- Updated
- September 2026
What it is
Willow Health Services, a Houston telehealth company selling compounded semaglutide and tirzepatide as weekly injections and as daily sublingual tablets, with injectable NAD+ alongside, on an auto-renewing monthly subscription.
How it works
A short online health-history form goes to a licensed physician who writes the plan the same day if the patient is eligible. Willow says the patient keeps the same physician rather than a rotating pool, and messages them through a portal. The program is sold in 36 named states, and the prescription can be routed to an outside pharmacy, in which case the medication is paid to that pharmacy and a platform fee still applies. Diabetes is an exclusion; pre-diabetes and hypertension are not.
Pricing transparency
$299 a month for semaglutide and $399 for tirzepatide, each quoted identically on the injection page and the tablet page. The figure is stated to cover the medication, the evaluation and treatment plan, unlimited physician access, 24/7 support and shipping, and the FAQ says there are no additional fees. The qualifier is in the same section: "Medication costs vary by dosage and prescription." Section 5 of the terms is blunter — the subscription fee may be increased or decreased if the prescription changes, such as by a dosage increase, with the new amount disclosed before it is charged. No dose ladder is published, so how far $299 travels is not knowable from the site. Billing renews automatically and canceling requires two business days' notice before the next processing date.
Branded vs compounded
Compounded semaglutide and compounded tirzepatide, each offered as a once-weekly injection and as a daily sublingual tablet, plus compounded NAD+. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality before dispensing, and Willow carries that wording in its own site footer. The dispensing pharmacies are named in the terms of service: Red Rock Home Pharmacy in Springville, Utah, and Epiq Pharmacy (Epiq Scripts LLC) in Richardson, Texas, both with street addresses and phone numbers.
Pros and watch-outs
What we like
- Both pharmacies are named, with addresses, in the terms of service
- The same price covers the injection and the needle-free tablet
- One price is stated to include medication, care, support and shipping
- 36 states are listed by name rather than described as "most"
- Prescribing physicians are listed individually with their own pages
Watch-outs
- "No additional fees" sits beside "medication costs vary by dosage"
- The terms allow the subscription to be re-priced on a dose increase
- No milligram strength is published for either molecule
- The oral route carries no saving over the injection
- Renewal is automatic, with a two-business-day cancellation cutoff
Best for
Readers choosing between a daily tablet and a weekly shot on something other than price.
Who should look elsewhere
Anyone who needs the price at the top of the dose ladder before they start.
How Willow compares
A few alternatives worth a look, depending on what you’re optimizing for.
- SkinnyRx
A tirzepatide price you can check
See SkinnyRx → - Shed
Compounded pricing without a membership
See Shed → - Bodybuilding Health+
A headline that is the monthly rate
See Bodybuilding Health+ →
More GLP-1 sellers by price reviews: HealthOnHealthSourceHeliMedsHenry MedsHersHims
Editor · Reviewed and last verified September 2026
How we assessed this. This review reflects GLP Loss’s own read of Willow’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- Does Willow cost $299 a month?
- $299 is what the semaglutide pages print, for the injection and for the tablet alike, and tirzepatide is $399 on both. The pricing FAQ adds that medication costs vary by dosage and prescription, and section 5 of the terms says the subscription fee may be increased if the prescription changes. So $299 is where it starts.
- Is the tablet cheaper than the injection?
- No. Semaglutide is $299 a month in either form and tirzepatide is $399 in either form. The choice between them is about needles, refrigeration and daily versus weekly dosing rather than cost.
- Are there fees on top of the price?
- The FAQ says no, and lists the medication, the medical evaluation, unlimited physician access, 24/7 support and shipping as included. One exception is stated elsewhere: routing the prescription to a pharmacy outside Willow's own means paying that pharmacy for the drug directly while a platform fee still applies.
- Does Willow say which pharmacy fills the prescription?
- Yes, in the terms of service rather than on the product pages. Two partner pharmacies are listed with full addresses: Red Rock Home Pharmacy in Springville, Utah, and Epiq Pharmacy, trading as Epiq Scripts LLC, in Richardson, Texas.
- Where is Willow available?
- 36 states, named individually in the FAQ rather than summarized. The fourteen it does not name are Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont and West Virginia.
- Is Willow legit?
- Willow is a GLP-1 sellers by price service. Its stated availability: 36 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is Willow expensive compared with other GLP-1 sellers by price providers?
- Willow publishes a starting figure of $299/mo. Across the 333 GLP-1 sellers by price providers we review that publish a single monthly figure, those run $76 to $449 with a median of $179, which puts Willow above the median. The other 23 GLP-1 sellers by price providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.