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MyStart Health vs Willow: Price, Yearly Cost & Cancellation

Researched by GLPHunter · Prices verified September 25, 2026 · Sources · We may earn a commission

The short version

On the most flexible semaglutide plans, both cost $3,588 a year. On the most flexible tirzepatide plans, MyStart Health costs $1,200 less over a year ($3,588 vs $4,788). MyStart Health charges no membership fee; Willow charges no membership fee. Prices verified September 25, 2026.

Side by side

	MyStart Health	Willow
Semaglutide, most flexible plan	$299/mo	$299/mo
Tirzepatide, most flexible plan	$299/mo	$399/mo
Semaglutide, lowest rate	$299/mo (monthly (4-week supply) or 3-month (12-week supply) plan)	$299/mo (monthly subscription)
Tirzepatide, lowest rate	$299/mo (monthly (4-week supply) or 3-month (12-week supply) plan)	$399/mo (monthly subscription)
Semaglutide, first year	$3,588	$3,588
Tirzepatide, first year	$3,588	$4,788
Membership fee	None	None
Higher doses	None per FAQ price-lock ('will never increase from your base plan amount, EVEN if your dosage increases'); first-time discount excluded.	Possible: terms say the Subscription Fee may be increased or decreased if the prescription changes, 'such as by a dosage increase', with disclosure and consent before charging.
Consultation	Online intake quiz reviewed by a licensed clinician; video consult or prescription within 24 hours, same-day video available. Unlimited clinician messaging at no added cost; refill intake form required every 3 months.	Online assessment reviewed by physicians of Willow's affiliated medical practice; same-day prescriptions advertised; unlimited physician access and 24/7 care team. Visit format not specified.
States	All 50 states	Not published
How to cancel	Email support with 'CANCEL' in the subject line, or call 888-828-5816 (Mon-Fri 9am-7pm, Sat 10am-4pm ET).	FAQ: message the Patient Care Team; terms: log into the account page at StartWillow.com.
Refunds	Full refund if not medically eligible or if canceled before the pharmacy processes and ships the order. No refunds once shipped or once a prescription is written, and none for completed or partially completed membership periods; medication cannot be returned.	Full refund within 5-10 business days if canceled before the prescription is sent to the pharmacy; otherwise charges are non-refundable once incurred (per terms, subject to the Subscription and Return Policies).
Trustpilot	4.1 (326 reviews)	3.9 (356 reviews)
Regulatory notes	FDA warning letter to MyStart Health LLC (Sept 9, 2025) for false or misleading claims about compounded semaglutide, including 'Generic brand-name semaglutide' wording that implied equivalence to FDA-approved drugs.	Eli Lilly sued Willow Health Services (April 2025) alleging false claims about compounded tirzepatide, including marketing a 'cosmetic' GLP-1; a federal judge dismissed the suit in September 2025, finding Lilly had not shown patients or physicians switched to the compounded product.; News coverage of the Lilly lawsuit naming Willow Health.

First-year cost uses each provider's most flexible plan (month-to-month where offered), including any intro month and membership fee. Prepaid plans cost less per month but are harder to exit.

Choose MyStart Health if…

you want the lower yearly cost for tirzepatide ($3,588 vs $4,788 on their most flexible plans)
you're willing to prepay for the lowest tirzepatide rate ($299/mo on its monthly (4-week supply) or 3-month (12-week supply) plan plan)
a higher Trustpilot score matters to you (4.1 vs 3.9)
you prefer a provider with fewer regulatory notes on record
you need coverage in every state

Check MyStart Health's price →