Willow Review 2026: Pricing, Yearly Cost & Cancellation
Willow charges $299/month for compounded semaglutide and $399/month for tirzepatide, including medication, physician access and shipping, with no membership fee. Its terms allow the price to change with your dose. Eli Lilly sued Willow in April 2025; the case was dismissed in September 2025.
At a glance
| Pricing model | All-inclusive monthly subscription (medication, physician, support, shipping). If you use your own pharmacy, a platform fee applies and you pay the pharmacy directly (fee amount not published). |
|---|---|
| Membership fee | None |
| Higher doses | 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 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. |
| Pharmacy | Named in terms: Red Rock Home Pharmacy (Springville, UT), Epiq Pharmacy / Epiq Scripts LLC (Richardson, TX), The Pharmacy Hub. State-licensed compounding pharmacies meeting USP standards; 503A/503B not stated. Patients may choose their own pharmacy. |
| LegitScript | Certified (per provider) |
| States | Varies |
| Trustpilot | 3.9 · 356 reviews |
Willow pricing
| Medication | Plan | Per month | Billing |
|---|---|---|---|
| Compounded semaglutide (injectable, with B12) | Monthly subscription | $299/mo | 299 monthly Product page and FAQ: '$299/mo'; includes medication, medical evaluation, unlimited physician access and 24/7 care team support. |
| Compounded semaglutide tablets (sublingual) | Monthly subscription | $299/mo | 299 monthly |
| Compounded tirzepatide (injectable) | Monthly subscription | $399/mo | 399 monthly |
| Compounded tirzepatide tablets | Monthly subscription | $399/mo | 399 monthly |
What a year costs
What a year costs on the most flexible plan Willow offers. Prepaid multi-month plans are usually cheaper per month but harder to exit.
- Semaglutide: $299 × 12 = $3,588/year
- Tirzepatide: $399 × 12 = $4,788/year
brand-name semaglutide or brand-name tirzepatide at retail runs roughly $1,000–$1,350/month without insurance.
Who it's a good fit for
People who prioritize physician access and support over the lowest price.
What customers say
Common praise
- Doctors and staff described as helpful, with quick and thorough answers
- Smooth shipping and responsive support
Common complaints
- Several found the oral tablets less effective than injections
- Some saw little change over several weeks on alternative dosage forms
- Occasional account or dosing record mix-ups
Themes summarized from recent Trustpilot reviews (see all 356).
Good to know
- HSA/FSA accepted at checkout
- Free 2-day shipping; pharmacy processing 2-4 business days
- Can send prescription to a pharmacy of your choice (platform fee applies)
- Also offers NAD+
- Contradiction: FAQ says cancel by messaging the Patient Care Team; terms say cancel by logging into the account page
Regulatory notes
- 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. Source
- News coverage of the Lilly lawsuit naming Willow Health. Source
How to cancel Willow
FAQ: message the Patient Care Team; terms: log into the account page at StartWillow.com.
Refunds: 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).
Before you sign up
- Confirm the price after any intro month, and whether medication is billed separately.
- Ask whether the price changes at higher doses.
- Read the cancellation and refund terms before prepaying for multiple months.
Willow vs the alternatives
The best Willow alternatives, ranked →
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FAQ
How much does Willow cost per month?
Compounded semaglutide starts at $299/month (monthly subscription plan); compounded tirzepatide starts at $399/month (monthly subscription plan). Prices verified September 25, 2026.
Does Willow charge a membership fee?
No separate membership fee is listed; the published price includes the provider visit and medication.
Does the price go up at higher doses?
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.
How do I cancel Willow?
FAQ: message the Patient Care Team; terms: log into the account page at StartWillow.com. Refunds: 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).
Is Willow legit?
Willow has a 3.9 TrustScore from 356 Trustpilot reviews (checked September 25, 2026). It states it is LegitScript certified. See the regulatory notes on this page before signing up.
Is Willow available in my state?
State availability varies. Terms: services available only where the medical practice, physician and pharmacy are authorized; no list published.
Sources
- Homepage
- Compounded semaglutide
- Compounded tirzepatide
- Semaglutide tablets
- Tirzepatide tablets
- FAQs (pricing, cancellation, refunds)
- Terms of service (pharmacies, fee changes, cancellation)
- FDA warning letter database search (no match for Willow)
- Trustpilot
- Willow on Trustpilot
Compounded medications are not FDA-approved finished drug products. This page is not medical advice.