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Willow semaglutide cost & review

By Published

One price for every semaglutide dose through 3.5 mg, billed a month at a time.

$299/moConsult includedNo labs needed

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Is Willow worth it? The short answer

Our verdict

If you have ever watched a GLP-1 bill climb with your dose, Willow is the fix: semaglutide costs the same each month up to 3.5 mg, with no prepay and no vanishing intro price. Doctor messaging and two-day shipping are included. Before you sign up, check your state against both of its lists, and know the refund window is short.

  • Good for: You want to know what the higher doses will cost before you start, so a dose increase never surprises you
  • Look elsewhere if: You live in New Mexico or Vermont, which neither of its state lists includes, so look at another service

Willow at a glance

  • Price, as published

    $299/mo

    $299 a month for the compounded semaglutide injection at every dose up to 3.5 mg, and $399 a month at 7 mg, month to month with the medication, physician access and shipping included.

    Full pricing details

    No multi-month plan and no first-month rate is published. A semaglutide tablet that dissolves under the tongue is $299 a month on the price sheet, while the tablet guide gives a $299 to $399 range for it.

  • Pricing model

    Varies by dose or plan

  • Consult

    Included

  • Labs

    Not required

  • Dietitian

    Not included

  • Pharmacy

    5 pharmacies named

  • Medication

    Compounded

Who makes your medication

5 pharmacies named · class not stated
  • Red Rock Home Pharmacy

    Springville, UT

  • Epiq Pharmacy

    Richardson, TX

  • Absolute Pharmacy

    Lutz, FL

  • The Pharmacy Hub

    Miami, FL

  • Empower Pharmacy

    Houston, TX

Willow doesn't say which of these fills your order, so ask the care team before you pay.

Where this comes from →

Thinking about Willow?

See today’s price and whether it serves your state.

What it does well, and what to watch

What we like

  • You can see what every dose will cost before you start: one price sheet lists a monthly figure for each dose of each product, and semaglutide holds one figure through 3.5 mg
  • Names five partner compounding pharmacies in its terms, each with a street address and a phone number
  • Month to month with nothing prepaid: no multi-month plan to commit to and no first-month rate that changes later
  • Names its operating company and the medical practice its physicians work through, and the physicians page lists each doctor by name

What to watch

  • It names five partner pharmacies but never says which one fills a given order, and no 503A or 503B class is stated for any of them. If that matters to you, ask the care team before your first order
  • Its own pages list slightly different states: the FAQ includes Wyoming but not Puerto Rico, the help center does the reverse, and neither includes New Mexico or Vermont. Check your state against both before you start the assessment
  • Refund terms come in two versions: the help center refunds you if you cancel before the prescription reaches the pharmacy, while the informed-consent page limits a full refund to 24 hours after ordering. Decide before you check out, not after
  • The semaglutide tablet carries one price on the price sheet and a range in the tablet guide, so confirm the figure for your dose before paying

Who Willow suits, and who should look elsewhere

A good fit if

  • You want to know what the higher doses will cost before you start, so a dose increase never surprises you
  • You would rather pay one month at a time than lock in a three- or six-month plan to get a fair price
  • Needles are a sticking point for you, since it offers a daily tablet that dissolves under the tongue as well as the weekly shot
  • You like being able to look up the pharmacies that might fill your prescription

Look elsewhere if

  • You live in New Mexico or Vermont, which neither of its state lists includes, so look at another service
  • You have diabetes, which it says it cannot accept, so you will need a different provider
  • You need to know exactly which pharmacy fills your order before you pay; ask the care team first, because the site does not say
  • You want brand-name Wegovy or Ozempic, since everything it sells is compounded

How Willow works, start to finish

Willow Health Services, Inc., based in Houston, runs a telehealth platform; its terms say it is not a healthcare provider, and the physicians work through Willow Medical of California, P.C.

More about how it works

It sells compounded semaglutide and tirzepatide as a weekly injection or a daily tablet that dissolves under the tongue, plus an NAD+ injection, on a monthly subscription that renews until you cancel. One help-center price sheet lists a monthly figure for every dose of every product, and the semaglutide page also offers a version blended with vitamin B12. The terms name five partner compounding pharmacies, each with a street address. The subscription covers the medication, unlimited physician messaging, follow-ups, 24/7 care-team support and free two-day shipping.

  1. Take the free online assessment; Willow says most people finish in 10 to 15 minutes.
  2. If you qualify, choose semaglutide or tirzepatide, as a weekly shot or a dissolving tablet.
  3. Upload a government-issued photo ID.
  4. A U.S.-licensed physician reviews you, usually within 24 hours, and prescribes if it suits you.
  5. A partner pharmacy prepares it in two to four business days.
  6. It ships free with tracking; most patients have it about a week after approval.

What Willow includes in the price

  • The medication, with no separate consultation fee
  • Unlimited messaging, usually with the same doctor
  • Free follow-ups and dose changes
  • Care Team chat and email around the clock
  • Free two-day shipping, replaced if it overheats
  • Video guides and a patient community

If you want to cancel or get a refund

Renews monthlyTwo full days' noticeNothing ever prepaidNo refund once compounded

Cancel by messaging the Care Team at least two full days before processing, or it rolls to the next cycle. Canceling before your prescription reaches the pharmacy gets a full refund, though one Willow page limits full refunds to 24 hours after ordering. To be safe, decide within that first day.

What customers say about Willow

Based on public customer reviews.

Customers praise

  • Quick replies from doctors and the Care Team
  • Careful packaging
  • On-time delivery

Customers complain about

  • Tablets working more slowly than shots
  • Dose or prescription mix-ups
  • Billing and refund disputes

Source: Trustpilot, October 2026

Questions people ask about Willow

Will my Willow price go up when my dose does?

Not for semaglutide injections until the very top: every dose up to 3.5 mg costs the same, and only 7 mg steps up. Tirzepatide rises in steps, so check the price sheet for your target dose.

Is there a cheaper first month at Willow?

No. Willow publishes no intro rate and no multi-month plans. The price sheet figure for your dose is what you pay each month.

Who makes Willow's medication?

One of five compounding pharmacies named in its terms. Willow does not say which fills your order, or whether each is 503A or 503B, so ask the Care Team before your first order.

Can I use insurance or my own pharmacy?

Willow does not bill insurance, but FSA and HSA cards work. You can send the prescription elsewhere, but Willow then adds a monthly platform fee and you pay that pharmacy separately.

Is Willow available in my state?

Probably, but check first. Its two state lists agree except for Wyoming and Puerto Rico, and neither includes New Mexico or Vermont. In Wyoming or Puerto Rico, message the Care Team before the assessment.

If Willow isn't the right fit

Close to Willow, but each does better on the thing Willow does least well.

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Before you pay for anything

Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as Wegovy or Ozempic. Go into your visit with real numbers and these reads:

How Willow stacks up against the others

Two minutes of comparing could save you money, or confirm Willow is the right pick.

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Some providers are partners and we may earn a commission. How we make money
Semaglutide is prescription-only, and compounded semaglutide is not the FDA-approved brand product, so decide with a clinician. Prices are as each provider published them; confirm current terms before you buy.