Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our NAD+ provider ranking, above Willow at #23.
Read the Care Bare Rx review →
Provider review
Willow cost: $399/mo tirzepatide
A flat price — but its own FAQ misleads on needle-free tirzepatide.
$399/mo for compounded tirzepatide, identical on the injectable and tablet pages, with no separate fee found stacked underneath it — but the FAQ tells a needle-averse reader no oral tirzepatide exists, when Willow's own catalog sells one.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
3 of 4 disclosed openly
What Willow discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Disclosed
The advertised price is the ongoing price — no prepay or auto-refill required to unlock it.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
On this page
What it actually costs
- Tirzepatide$399/mo
- Semaglutide$299/mo
- NAD+$199/mo
What this price covers
Medication
Included
Provider visits
Included
Shipping
Not confirmed
Lab work
Not disclosed
Coaching
Not disclosed
Prices read from Willow's own site · August 2026
What they advertise
Willow's own tirzepatide and tirzepatide-tablets pages both state "$399/mo" in the hero, with no dose tiers and no asterisk, confirmed identically in each page's own Product/Offer structured product data ("price": "399", "priceCurrency": "USD", "unitText": "month").
What you actually pay
$399/month, standing. Willow's own Terms and Conditions describe one all-in "Subscription Fee" that "covers the cost of Physician medical consultations, prescriptions filled by the Pharmacy, shipping and handling costs of products distributed by the Pharmacy, a Website platform fee, and sales or similar taxes" — everything bundled into the one advertised number. The word "membership" does not appear anywhere on the site (homepage, both compound pages, both tablet pages, FAQ, or any legal page — zero matches), and no second recurring charge appears anywhere. The other two lines are cheaper on the same all-in terms: semaglutide $299 a month and NAD+ $199.
Money you will meet later
- Willow's own FAQ states you may fill a prescription at your own pharmacy instead of its named partners, but "A platform fee will apply" and you "cover medication costs directly" in that case — a real, disclosed alternative cost, not a hidden one.
- Cancellation requires notice "at least two (2) full calendar days" before the next processing date, per its own Terms, or the charge and shipment for that cycle proceed as scheduled.
The bottom line
Willow (Willow Health Services Inc., Austin, TX) is a telehealth platform at startwillow.com selling compounded tirzepatide, compounded semaglutide, and NAD+, each in injectable and (for tirzepatide and semaglutide) sublingual-tablet form. Its own Terms and Conditions name three partner pharmacies with full addresses, and its $399/mo tirzepatide price is genuinely flat, published identically across its injectable and tablet pages, with no membership or platform fee found stacked underneath it anywhere on the site — a cleaner pricing story than several peers here. Set against that: its own FAQ, answering "Needles make me nervous — do I have to take injections?", states that oral (needle-free) dosing is "Semaglutide only" — but that exact same FAQ page's own footer navigation links a live "Tirzepatide tablets" product, and Willow's own tirzepatide tablets page sells a genuine daily, sublingual, needle-free tirzepatide tablet at the identical $399/mo price. A reader who trusts the FAQ answer would wrongly rule out an option Willow actually sells.
Willow appears on our tirzepatide provider ranking, our semaglutide provider ranking, our NAD+ provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want the headline price to be the real price — Willow's $399/mo tirzepatide has no prepay gate, no membership fee, and no dose tiers found anywhere on the site.
- You want a provider that names its partner pharmacies with full addresses, and named individual physicians (including a Chief Medical Officer) rather than an anonymous clinical team.
- You already know you want an injection — the FAQ's misleading needle-free answer doesn't affect you if you weren't asking about oral dosing in the first place.
Look elsewhere if
- You're needle-averse and are relying on Willow's own FAQ to tell you your options — it wrongly states oral dosing is semaglutide-only when Willow itself sells an oral tirzepatide tablet at the same price.
- You live in one of the 14 states absent from Willow's own published coverage list (Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia).
- You want a stated federal regulatory category for your pharmacy — Willow names three partner pharmacies but states no 503A/503B category for any of them anywhere on the site.
What Willow offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Willow does not name the pharmacy that fills your prescription.
What its own site says
Named more specifically than most rows here: Willow's own Terms and Conditions list three partner pharmacies under a "Partner Pharmacy" heading, each with a full street address and phone number — Red Rock Home Pharmacy (Springville, UT), Epiq Pharmacy / Epiq Scripts LLC (Richardson, TX), and The Pharmacy Hub (Miami, FL — the same pharmacy EOS Health also names). Neither "503A" nor "503B" appears anywhere in the site's rendered content across every page, so no federal regulatory category is recorded here.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
Published state list
A published 36-state list, not a nationwide claim: Willow's own Terms and Conditions state, "The Services currently are available only in the States of 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." Fourteen states are absent, with no explanation given anywhere on the site. That same Terms page is dated "Effective: 11.24.2021" — nearly five years old — so this list may not reflect current coverage, but it is the only first-party statement Willow's site makes.
The honest cons
The part they would rather you skipped
Willow's own FAQ, answering "Needles make me nervous — do I have to take injections?", says plainly: "Willow offers GLP-1 medications in both injectable and oral (sublingual) forms. Injectable options like Semaglutide and Tirzepatide work well for many patients, while Oral Semaglutide provides a needle-free alternative." A separate FAQ answer on the same page is more explicit still: "Oral (Semaglutide only): Taken daily by placing a tablet under your tongue." Both answers tell a needle-averse reader that no oral tirzepatide option exists — but that exact same FAQ page's own footer navigation, rendered directly beneath those answers, links a live product: "Tirzepatide tablets." Willow's own dedicated tirzepatide-tablets page sells exactly that — "A daily oral dissolving tablet designed to work on both GLP-1 and GIP pathways... Simply place it under your tongue and let it dissolve," per that page's own product description — at the identical $399/month price as the injectable. A reader who trusts the FAQ answer, rather than clicking through the nav below it, would wrongly conclude they must inject to take tirzepatide through Willow at all.
- The FAQ's own "Oral (Semaglutide only)" answer contradicts a real product, Tirzepatide Tablets, sold on the same site at the same price — see this review's knock.
- Names three specific partner pharmacies but states no 503A/503B regulatory category for any of them anywhere on the site.
- The 36-state coverage list is published on a Terms and Conditions page dated "Effective: 11.24.2021" — nearly five years old — with 14 states absent and no explanation given.
- Every product page's own AggregateRating schema claims a 4.9-star rating from the same 10 reviews that schema itself lists — all ten of which carry a perfect 5-star rating, a set that would average to exactly 5.0, not 4.9. No rating number is stated anywhere in the page's own visible content for a reader to check the figure against.
- No dietitian, nurse, or structured coaching program is named anywhere on the site.
None of this is unique to Willow — the whole category shares it.
How it compares
The providers we rank on our NAD+ provider ranking — the most specific board Willow sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- Enhance MDHonest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- EdenA named pharmacy, but a hidden membership fee nearly doubles the real price.
- CoreAge RxOne price per compound that covers every dose — and no pharmacy named on the site.
- EmbodyA "SAVE $100" badge on its purchase page is wrong — the real discount is $220.
- LttlCalls its pricing "Priced Honestly" — the headline rate needs a year paid upfront.
45 more providers rank on our NAD+ provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Willow's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect Willow's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Willow's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Willow
3 compounds from $199/mo