Willow reviews
Willow (Willow Health Services, Inc., Houston) sells compounded semaglutide at $299 a month and compounded tirzepatide at $399, as a weekly injection or a daily sublingual tablet, with the medication, the clinician and shipping in one flat price and no membership fee. It is dearer than most compounded sellers and says so, arguing the physician access is what you are paying for.
What Willow costs
Normalised to a monthly price and captured from Willow's own pages on September 16, 2026. Introductory offers are noted, never used as the price.
| Plan | Medication | Per month | What's included | Captured |
|---|---|---|---|---|
| Compounded semaglutide — weekly injectionOne flat price at every dose — Willow shows the same $299 for a one-time order and a subscription. A third-party blog reports dose-tiered tirzepatide pricing; no dose tiers appear on Willow's own pages. | Compounded semaglutideCompounded semaglutide | $299/mo | medication · clinician visits · unlimited provider messaging · shipping | September 16, 2026 |
| Compounded semaglutide — daily sublingual tabletsSame price as the injection. Reviewers report the tablets feel less effective than the injection; there is no published evidence comparing the two forms. | Compounded oral semaglutide (daily sublingual tablet)Oral GLP-1s | $299/mo | medication · clinician visits · unlimited provider messaging · shipping | September 16, 2026 |
| Compounded tirzepatide — weekly injectionFlat at every dose. For comparison, brand-name Zepbound is $299 a month at its starting dose direct from LillyDirect. | Compounded tirzepatideCompounded tirzepatide | $399/mo | medication · clinician visits · unlimited provider messaging · shipping | September 16, 2026 |
| Compounded tirzepatide — daily sublingual tablets | Compounded oral tirzepatide (daily sublingual tablet)Oral GLP-1s | $399/mo | medication · clinician visits · unlimited provider messaging · shipping | September 16, 2026 |
medication · clinician visits · unlimited provider messaging · shipping · captured September 16, 2026
One flat price at every dose — Willow shows the same $299 for a one-time order and a subscription. A third-party blog reports dose-tiered tirzepatide pricing; no dose tiers appear on Willow's own pages.
medication · clinician visits · unlimited provider messaging · shipping · captured September 16, 2026
Same price as the injection. Reviewers report the tablets feel less effective than the injection; there is no published evidence comparing the two forms.
medication · clinician visits · unlimited provider messaging · shipping · captured September 16, 2026
Flat at every dose. For comparison, brand-name Zepbound is $299 a month at its starting dose direct from LillyDirect.
medication · clinician visits · unlimited provider messaging · shipping · captured September 16, 2026
Willow charges one price per medication with no membership layered on top and no dose tiers, which is unusual in this lane — most compounded sellers raise the price as you titrate up. What that buys, per its FAQ, is the medication, the medical evaluation, unlimited access to the prescribing doctor, 24/7 support and shipping. It is also roughly twice what the cheapest compounded providers charge, and at $399 the tirzepatide plan costs more than brand-name Zepbound bought direct from LillyDirect at its starting dose. Willow sells no FDA-approved brand medication at all.
Is Willow legit?
Willow Health Services, Inc. is a Houston, Texas telehealth company selling only compounded GLP-1s, prescribed by independent US-licensed physicians and dispensed by unnamed state-licensed compounding pharmacies. It is unusually direct about what compounding means, carrying a site-wide notice that compounded medications are not FDA-approved, not brand-equivalent, and not made by Willow itself. It has no BBB profile. Eli Lilly sued it in 2025 over its advertising and the case was dismissed on procedural grounds; a separate advertising-standards review ended with Willow dropping the claims in question.
- Company:
- Willow Health Services, Inc., 8080 Westpark Drive STE 42292, Houston, TX 77063
- Pharmacy partner:
- Not named. Willow refers to "trusted U.S. pharmacy partners" and "state-licensed compounding pharmacies", and states plainly that it is not itself the compounding pharmacy or manufacturer.
- Clinicians:
- Care is provided by independent, US-licensed physicians. Willow names no medical-group entity and publishes no clinician credentials.
- States served:
- 33 states, listed in Willow's own FAQ: Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, Wisconsin and Wyoming.
- Cancellation:
- Message the Patient Care Team at least two business days before your next processing date, or cancel from your account page. Cancel before the prescription goes to the pharmacy and the month is refunded; after that the cancellation applies to the following cycle. There is no multi-month prepaid commitment to unwind.
- Refunds:
- Willow's FAQ offers a full refund within 5 to 10 business days if you cancel before the prescription reaches the pharmacy; after that the current month is not refunded. Its terms state that charges are non-refundable once incurred and that compounded medications cannot be returned. The subscription policy page the terms point to was not reachable when we checked.
- Public record · 2026-07-24After a challenge brought by Novo Nordisk, the National Advertising Division of BBB National Programs found in December 2025 that Willow had not substantiated health, weight-loss and superiority claims for its compounded semaglutide. Willow initially declined to comply and NAD referred the matter to the FTC, state attorneys general and advertising platforms; the case was reopened and on 24 July 2026 Willow voluntarily discontinued the challenged claims. Source
- Lawsuit · 2025-04Eli Lilly sued Willow Health Services in the Central District of California (2:25-cv-03570) under the Lanham Act, alleging its compounded tirzepatide marketing was false. The amended complaint was dismissed with prejudice on 3 February 2026 on proximate-cause grounds — the court held prescription drugs are not bought directly by consumers — without ruling on whether the advertising was actually false. Source
Safety of what they sell: Is compounded semaglutide safe? · Is compounded tirzepatide safe?
What patients say
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Be First to ReviewWhat people report elsewhere
Trustpilot rates Willow 3.9 out of 5 across 354 reviews — a modest but genuine corpus. The majority are positive and unusually specific about the clinical relationship: doctors and support staff who reply at weekends, fast shipping, and several reviewers who say the attention justifies paying more than the cheaper compounded sellers charge. The complaints fall into three groups: people who found the sublingual tablets less effective than the injection, dosing and account mix-ups where the information on file did not match what had been prescribed, and price — though several of the same reviewers conclude the service is worth it. Willow has no BBB profile at all, so there is no complaints-channel counterweight to read alongside the Trustpilot picture.
Rate GLP-1 has no verified reviews of Willow yet; the paragraph above summarises public platforms and never quotes them.
Pros
- ＋ Transparent flat monthly pricing starting at $299
- ＋ Same-day doctor approval and fast, discreet shipping
- ＋ Responsive customer service and clinician support reported by many reviewers
Cons
- － Oral semaglutide tablets criticized by some users as ineffective
- － Some reviewers report mixed weight-loss results and inconsistent efficacy
- － Marketing criticized for unrealistic before/after imagery
Medications & eligibility
Medications
- • Compounded semaglutide
- • Compounded semaglutide (oral tablet)
- • Compounded tirzepatide
- • NAD+
Eligibility & insurance
Eighteen or over, and not pregnant or breastfeeding. A doctor reviews your health history, goals and individual needs. Willow publishes no numeric BMI threshold.
Insurance: not accepted (cash pay)
How Willow works
- 1Complete a free online assessment covering your health history and goals; Willow says this is reviewed the same day.
- 2Choose a treatment option, which a US-licensed physician reviews and confirms — also same-day, according to Willow.
- 3If prescribed, a state-licensed compounding pharmacy prepares the medication and it ships free in discreet packaging.
- 4Continue with unlimited messaging to your doctor and 24/7 care-team support for as long as the plan runs.
Alternatives to Willow
Providers in the same lane and price band, plus the comparison pages that include this one.
Defy Medical7.8/10Compounded tirzepatideCompounded semaglutideHigher overall score: 7.8/10Pricing not listedRead review →
Agile Telehealth7.0/10Compounded semaglutideCompounded tirzepatideHigher overall score: 7.0/10Pricing not listedRead review →
QueenRX7.0/10Compounded semaglutideCompounded tirzepatideHigher overall score: 7.0/10from $299/moRead review →Willow FAQ
How much does Willow cost per month?
Compounded semaglutide is $299 a month and compounded tirzepatide is $399, whether you take the weekly injection or the daily sublingual tablets. There is no membership fee and no dose tiers — the price is the same at every dose, and it includes the medication, the medical evaluation, unlimited access to your doctor and shipping.
Is Willow legit?
It is a real Houston telehealth company, Willow Health Services, Inc., prescribing through independent US-licensed physicians, and it states clearly on every page that its compounded medications are not FDA-approved. Eli Lilly sued it in 2025 over its advertising and the case was dismissed on procedural grounds in February 2026, and an advertising-standards review ended with Willow dropping the claims in question in July 2026.
Does Willow sell brand-name Wegovy or Zepbound?
No. Willow's entire line is compounded semaglutide and tirzepatide, which are made by a pharmacy and are not FDA-approved. If you want the brand-name drug, its own $399 tirzepatide plan costs more than Zepbound bought direct from LillyDirect at the starting dose.
Are the Willow tablets as good as the injection?
There is no published evidence comparing them, and Willow charges the same price for both. Reviewers who tried the sublingual tablets are noticeably more likely to report disappointing results than those on the weekly injection, which is worth weighing before choosing the tablet form.
How do I cancel Willow?
Message the Patient Care Team at least two business days before your next processing date, or cancel from your account page. If you cancel before the prescription reaches the pharmacy you get a full refund in 5 to 10 business days; after that point the cancellation takes effect from the following cycle and the current month is not refunded.
Which states does Willow serve?
Thirty-three, listed in its own FAQ — including California, Texas, Florida, New York, Illinois and Pennsylvania, but not Alaska, Alabama, Arkansas, Delaware, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont or West Virginia.
Rate GLP-1 editorial team
Researches provider pricing, licensing and public ratings from primary sources and re-verifies every profile on a published schedule.
September 16, 2026
Prices, ratings and policies re-checked against the sources below. Report an error
- Willow compounded semaglutide plan and price — accessed September 16, 2026
- Willow compounded tirzepatide plan and price — accessed September 16, 2026
- Willow semaglutide tablets — accessed September 16, 2026
- Willow FAQ (states served, cancellation, what the price includes) — accessed September 16, 2026
- Willow Terms of Service (entity, refunds) — accessed September 16, 2026
- Trustpilot: startwillow.com — accessed September 16, 2026
- NAD decision: Willow Health (BBB National Programs) — accessed September 16, 2026
- Willow voluntarily discontinues compounded semaglutide claims (2026-07-24) — accessed September 16, 2026
- Eli Lilly v. Willow Health Services — dismissal (2026-02-03) — accessed September 16, 2026