Willow Review: Is It Legit?

Willow is an online weight-loss program that sells compounded GLP-1 medication on a monthly subscription. Its terms describe it as "a technology platform to connect registered users of the Services with Physicians and pharmacies".

Here is how it goes. You "share your health, lifestyle, and medical history in a short online form." A US-licensed physician reviews your assessment, "usually within 24 hours." If treatment fits, the physician confirms your prescription and a partner pharmacy prepares it. The medication ships free, in 2 days. Refills continue on the same subscription, usually with the same physician.

The menu has two drugs, each in two forms. Semaglutide and tirzepatide both come as a weekly injection or a daily tablet. There is no brand-name option. For what these drugs are, read our pages on semaglutide and tirzepatide.

Willow ships to 36 states, from Arizona to Wyoming. It does not serve the rest, so check your state before you start.

Willow costs $299 a month for compounded semaglutide, all in. That price covers the medication, the medical evaluation, physician messaging and free shipping.

Every plan is month to month, with no promo rate and no prepay discount. Each product page price held when we read the pages again. The consultation fee and the shipping fee are each $0. Willow does not state a separate membership fee, and none appears on the product pages.

The price depends on your dose. The product pages show one price each, but Willow's help center lists a price per dose: semaglutide injections cost $299 a month up to 3.5 mg and $399 at 7 mg, and tirzepatide injections run from $399 a month at the lowest doses to $549 at 17 mg. The terms say your subscription fee "may be increased or decreased if your prescription changes, such as by a dosage increase or frequency of refills".

Willow does not bill insurance. Its FAQ says "no insurance is required." Three months of semaglutide at $299 total $897.

One more cost to know about. Willow will send your prescription to another pharmacy if you ask, but "A platform fee will apply". Its help center puts that fee at $150 a month, charged if you have your prescription filled outside Willow's partner pharmacies. If you use your own pharmacy, you pay Willow $150 a month and pay that pharmacy for the medication yourself.

On month-to-month prices, Willow ranks 20 of the 20 compounded programs in its group. The median there is $168 a month. For scale, a pharmacy pays $871.12 for a Wegovy 1.7 mg pen package, effective September 23, 2026. That is an acquisition cost for the brand-name drug, not what a patient pays.

Compounded semaglutide costs $299 a month at Willow, as a weekly injection or as a daily tablet. It includes the physician, the messaging and free 2-day shipping, with no consultation or shipping fee. The product pages show one monthly price, and it held when we read them again. The help center lists the price per dose: the tablet is $299 at every dose, and the injection is $299 up to 3.5 mg and $399 at 7 mg. There is no prepay plan. Three months at $299 cost $897. Willow states that "Compounded semaglutide tablets are not approved by the FDA". For what semaglutide is, see our semaglutide page.

Compounded tirzepatide starts at $399 a month at Willow, as a weekly injection or as a daily tablet. That is more than semaglutide. The help center lists higher prices at higher doses: the injection is $399 up to 6.375 mg, $499 at 8.5 mg and 11 mg, $524 at 13.5 mg and $549 at 17 mg; the tablet is $399 at 6 mg and 10 mg and $459 at 20 mg. The price includes the physician, messaging and free shipping, with no consultation or shipping fee. Like semaglutide, it bills month to month with no prepay rate, and the product page price held when we read it again. Willow describes tirzepatide as a blend "targeting both GLP-1 and GIP." That is the brand's wording. For what tirzepatide is, see our tirzepatide page.

Willow publishes no public discount code on the pages we read. It shows no promo price, no first-month rate and no prepay plan either. Every product bills at its standing monthly price, from $299 for semaglutide and from $399 for tirzepatide. There is no longer-plan discount. The one discount Willow describes is a referral program: a friend who signs up through a member's link gets $100 off, applied at checkout. Codes posted on coupon sites are not on Willow's own pages, so check the total at checkout before you pay. If price is your main concern, compare the programs in the ranking.

Yes. Willow uses US-licensed physicians, names its medical lead, prices every product in public and says plainly that its drugs are compounded. It has no FDA warning letter.

The gap is the pharmacy. Willow names no partner pharmacy on any page we read, and does not state the pharmacy type. So there is nothing to match against the FDA register. The terms say only that a compounded prescription "must be prepared by a licensed compounding pharmacy that is able to fill that prescription." That matters with a compounded drug, because the pharmacy makes the product itself.

Each product page names the molecule and the form.

Yes. Willow sells compounded semaglutide tablets for $299 a month and compounded tirzepatide tablets from $399 a month. The FAQ says "Injectable options are taken once weekly, while Semaglutide Tablets and Tirzepatide Tablets offer needle-free daily alternatives." The tablets start at the same price as the injections.

These tablets are compounded, not brand-name. Willow's tablet page says "Compounded semaglutide tablets are not approved by the FDA, and the FDA does not review compounded medications for safety, effectiveness, or quality." Willow sells no brand-name pill. Your physician helps you choose between a tablet and an injection.

The care runs through a US-licensed physician and online messaging, usually with the same physician throughout. You get unlimited physician messaging, free follow-ups, a 24/7 Care Team, video guides and a peer community.

Speed is stated. Willow promises a same-day assessment and same-day prescriptions. Pharmacy processing takes 2 to 4 business days, and delivery by FedEx or UPS takes 2 to 3 days after that.

The Chief Medical Officer is named on the about page. He introduces himself: "I’m Doctor Michael Green. I’m a dual board-certified physician with over 30 years of experience, and Willow’s Chief Medical Officer."

One thing Willow does not state is whether it asks for labs.

Willow has no FDA warning letter and no open flag on its record. There is nothing against a pharmacy either, because none is named.

The bigger question with any compounded program is the drug itself. Compounded GLP-1s are prepared by a pharmacy to a prescription. They are not FDA-approved: the FDA doesn't review their safety, effectiveness or quality before they're sold, and they are not the same as Wegovy or Zepbound. Formulas can differ from one pharmacy to the next, and some add ingredients such as vitamin B12. Compounding pharmacies are licensed and inspected by state boards of pharmacy; outsourcing facilities (503B) also register with the FDA and are inspected by it. The FDA can issue warning letters when either breaks rules on safety or sterility. Willow puts it plainly on its reviews page: compounded medications "are not approved by the FDA, and the FDA does not review compounded medications for safety, effectiveness, or quality."

For side effects, doses and who should not take these drugs, read our semaglutide and tirzepatide pages, which quote the FDA labels.

You can cancel Willow at any time, and no plan carries a minimum term. Every plan bills one month at a time and renews automatically. The FAQ says you cancel by messaging the Patient Care Team; the terms also say you can cancel from your account page. To avoid your next charge, the FAQ says to "submit requests at least 2 business days before your next processing date". A request after that cutoff applies to the next cycle.

The refund rule turns on one moment. If you cancel before your prescription is sent to the pharmacy, you get a full refund within 5-10 business days. Once the medication has been compounded, Willow says it "cannot be returned, cancelled, or refunded". The terms add that charges are non-refundable once incurred, except as stated in Willow's return policy or required by law. Willow says prescriptions are written the same day.

If you have doubts, cancel before your prescription is sent to the pharmacy, not after.

Willow publishes 12 short testimonial passages across its pages. Many talk about hunger and confidence: patients who feel the drug fits their routine.

A few say more about the service. One patient on maintenance was surprised Willow took the request at all, after other sites turned it away. Another had a tablet missing from an early order, and the client services team got the pharmacy to send it within days.

These are the reviews Willow chose to publish; this site collects no independent reviews. Two on the semaglutide page mention price: one patient finds Willow "a bit more expensive than other sites for GLP", and another thinks its pricing matches its quality. Read the cost section above for what you will pay.

Our score combines seven checks. Each one counts for a fixed share of the total, listed below. Commission is not an input.

• Price transparency: 9/10 (counts for 20% of the total score). Every price is public and held on re-read; the FAQ says there are no additional fees, but our record holds no membership fee either way.
• Cost and value: 1/10 (counts for 15% of the total score). Rank 20 of 20 on month-to-month prices.
• Medication and pharmacy traceability: 5.8/10 (counts for 15% of the total score). No pharmacy named, no pharmacy type stated.
• Clinical access and oversight: 8.6/10 (counts for 15% of the total score). A named medical lead and a stated wait time, no lab policy.
• Safety and enforcement: 10/10 (counts for 20% of the total score). no FDA warning letter and no open flag.
• Terms, commitment and refunds: 10/10 (counts for 10% of the total score). Cancel anytime, refund rule stated.
• Availability and fulfilment: 9.16/10 (counts for 5% of the total score). Free 2-day shipping, but 36 states.

Since our last check, price transparency rose from 8.83 to 9. We rescored Willow on October 10, and the total rose from 7.5 to 7.6. On October 16 its group grew to 20 programs; Willow still ranks last, and no score changed. The method is on our methodology page.