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Willow review: $299 a month, and a price for every dose after that

Most sellers print a starting price and let the dose climb in silence. Willow prints the climb. Compounded semaglutide is $299 a month up to 3.5 mg and $399 at 7 mg. Tirzepatide starts at $399 and reaches $549 at the top dose. There's no prepay block, so that's what you actually pay each month. Two catches: the ladder lives in its help center, not on the product pages, and it only serves 36 states.

By Marla Whitfield, Pricing EditorUpdated

Willow · $299/mo if you stop after one cycle

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The money verdict

I'd buy here if you want to know what month six costs before you start. Willow is one of very few sellers that publishes a price for every dose, and there's no prepay trick underneath it. Budget $399 for tirzepatide at first, and expect $499 or more if you move up to the higher doses. Semaglutide is the calmer bill: $299 for most people, most of the way.

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Worth it if

  • You want to see what every dose will cost before you sign up
  • You'd rather pay month to month than prepay a block of months
  • You want the pharmacies that might fill your prescription named, with addresses

Look elsewhere if

  • You're heading for a high tirzepatide dose and need the bill to stay at $399
  • You live in one of the 14 states its served list leaves out
  • You want your own local pharmacy without an extra platform fee
Cheapest — Compounded semaglutide injection, weekly

$299/mo

Not available in

Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia

Billing cycle

Monthly (12×/yr)

At a glance

$299/mo

Advertised

the standing rate

$299/mo

Walk-away

same as advertised

$3,588

Year at this price

$299 × 12

What Compounded semaglutide injection, weekly costs

Willow charges one rate: $299/mo to start and the same after. It does not rise once the first cycle ends.

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Prices may change.

Best for: You want to see what every dose will cost before you sign up Skip it if: You're heading for a high tirzepatide dose and need the bill to stay at $399

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What’s included

  • The medication, made by a compounding pharmacy to your prescription
  • The doctor's evaluation and treatment plan, usually the same day
  • Unlimited messaging with your doctor and 24/7 support from the care team
  • Free two-day shipping

Pricing, per compound

Everything Willow sells, cheapest year first. “Advertised” is the price it leads with; “Walk-away” is what you pay if you stop after one cycle.

ProviderAdvertisedWalk-awayYear at this price
Compounded semaglutide injection, weekly

The same price at every dose up to 3.5 mg, billed monthly with no prepay.

$299.00/mo$299.00/mo$3,588.00

$299.00 × 12 months

Compounded semaglutide tablet, dissolved under the tongue daily

One price at every dose on Willow's cost page.

$299.00/mo$299.00/mo$3,588.00

$299.00 × 12 months

Compounded tirzepatide injection, weekly

Covers the first three doses, through 6.375 mg.

$399.00/mo$399.00/mo$4,788.00

$399.00 × 12 months

Compounded tirzepatide tablet, dissolved under the tongue daily

Covers the 6 mg and 10 mg tablets.

$399.00/mo$399.00/mo$4,788.00

$399.00 × 12 months

The year at this dose — 12 payments, or 13 where a seller bills every four weeks. Several charge more as you move to a higher dose; where they publish that, the row says so.

Every figure above was read on Willow's website, one product at a time. Check the current price before you buy.

See Willow’s prices

How this compares

Pros and cons

Pros

  • It publishes a price for every dose, so you can see exactly when the bill goes up.
  • There's no prepay block: the price you see is the price you pay each month.
  • Semaglutide stays at one price through 3.5 mg, which covers most of the dose ladder.
  • Its terms name five partner pharmacies, each with a street address and phone number.
  • It publishes a list of the 36 states it serves.
  • It discloses that its chief medical officer holds an equity stake in the company.
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  • No FDA warning letter to Willow itself.

Cons

  • Tirzepatide climbs with the dose, from $399 to $549 a month at the top.
  • The dose ladder is in the help center; the product pages show only the starting price.
  • Its tablet guide and its price list quote different prices for the semaglutide tablet.
  • One of its five named pharmacies, Empower, received an FDA warning letter in September 2026.
  • Using your own pharmacy adds a platform fee, and the amount isn't published.
  • It serves 36 states, and two more appear on neither its served list nor its waiting list.
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  • Once your prescription reaches the pharmacy, that month can't be refunded.

Where else Willow appears

Others pricing semaglutide near Willow

How we verified this

What we checked

  • Every price read off Willow's own pages — 4 products, checked one at a time
  • The billing cycle taken from the company's own terms, not assumed from the price
  • States, inclusions and cancellation terms read on the company's own pages
  • Screened against the FDA's live warning-letter index

What to double-check before you buy

  • Compounded semaglutide injection, weekly: The 7 mg dose costs $399 a month.
  • Compounded tirzepatide injection, weekly: It rises to $499 at 8.5 mg and $549 at the 17 mg top dose.
  • Compounded semaglutide tablet, dissolved under the tongue daily: Its own tablet guide quotes up to $399 a month, so confirm at checkout.
  • Compounded tirzepatide tablet, dissolved under the tongue daily: The 20 mg tablet is $459 a month.
  • Prices may change. Confirm before you buy.

Key terms

Show definitions
Walk-away price
What one cycle costs at the ongoing rate with no commitment — what you actually pay if you stop after month one.
Year at this price
The walk-away price multiplied by however many times a year it's actually billed. It's the year at this dose only — several sellers charge more as you move up, and most don't publish the ladder.
Compounded
Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.

Bottom line

Budget $299 a month for semaglutide or $399 for tirzepatide, and read the ladder before you pick. A year on tirzepatide that climbs to the 17 mg dose will cost well above $4,788, because the top rung is $549 a month. Cancel at least two business days before your next processing date, or that month is already on its way.

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Frequently asked questions

What does Willow cost at higher doses?

Semaglutide injection is $299 a month up to 3.5 mg and $399 at 7 mg. Tirzepatide injection is $399 through 6.375 mg and $499 at 8.5 and 11 mg. The 17 mg top dose is $549.

Is there a cheaper rate if I prepay?

No. Willow sells month to month only, and the price it advertises is the price it charges each month. That also means there's no discount for committing, which some sellers offer.

Are there any extra fees?

Not if you use Willow's pharmacies. If you send your prescription to your own pharmacy, a platform fee applies and you pay the pharmacy for the medication directly. Willow doesn't publish the platform fee.

How do I cancel, and can I get a refund?

Message the care team at least two business days before your next processing date. If you cancel before the prescription goes to the pharmacy, Willow refunds that month in full. After that, the medication is already being made and can't be refunded.

Which pharmacy makes Willow's medication?

Its terms name five: Red Rock Home Pharmacy, Epiq Pharmacy, Absolute Pharmacy, The Pharmacy Hub and Empower Pharmacy. They don't say which one fills a given order. Empower received an FDA warning letter in September 2026 over compounded semaglutide and tirzepatide.

Does Willow serve my state?

It serves 36, listed in its FAQ. It doesn't serve Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, North Dakota, Rhode Island, South Dakota, Utah or West Virginia. New Mexico and Vermont aren't on either list, so check at signup.

Sources

Every price above was checked against Willow’s own pricing page — never a third-party aggregator:

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Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.