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Program review · November 2026
Willow weight loss reviews: what it costs, what you get, and how it compares
By the NexLife Medical Team · Medically reviewed by Adam Kennah, MD · Updated
NexLife publishes this review and offers a competing program. Every price comes from each company’s own site, with the date we read it.
Willow is rated 4.1 out of 5 on Trustpilot from 382 reviews and charges $299 to $549 a month, by medicine and dose (checked November 1, 2026). Compounded semaglutide is $299 to $399 and tirzepatide $399 to $549, with doctor access and shipping included. At NexLife, compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month, and semaglutide $95 on the 12-month plan or $109 month to month, at every dose.
$115/mo on 12 months, every dosePrice Match Guarantee†
- $299 to $549 a month at Willow, by medicine and dose
- Higher doses cost more: tirzepatide shots run $399 to $549
- 4.1 out of 5 on Trustpilot, from 382 reviews
$115/mo on a 12-month plan, all-inclusive, same price at every dose
Or $129/mo month to month
Compounded semaglutide: $95 a month on 12 months, $109 month to month
About 3 minutes of health questions · No insurance needed · Not prescribed? No charge for medication
See all 4 plans and what a year costs
| Plan | Per month | 12 months at this rate |
|---|---|---|
| 12-month Lowest monthly price | $115 | $1,380 |
| 6-month | $119 | $1,428 |
| 3-month | $125 | $1,500 |
| Month to month | $129 | $1,548 |
Month to month costs $168 more over 12 months than the 12-month plan. Plans renew until you cancel. Longer plans bill the way you choose at checkout.
Price Match Guarantee†. Paying less elsewhere? We match your regular monthly price. How it works
4.8 out of 5 on Trustpilot, 407 reviewsLegitScript-certified
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. The vial shown is an illustration. Always use the strength on your pharmacy’s label.
- Licensed U.S. providers
- LegitScript certified
- Free expedited shipping
- HSA, FSA, Affirm, Klarna, Afterpay
- 24/7 support, real people
- Filled by Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA)
The verdict
Is Willow legit?
What we found on its own pages and its Trustpilot profile, read November 1, 2026.
| Check | What we found |
|---|---|
| Licenses | Willow Health Services, Inc. (Houston, Texas) says U.S.-licensed physicians from an affiliated medical practice prescribe, and its terms name its six partner pharmacies (read November 1, 2026). |
| LegitScript | This review doesn’t cover it. To check, search for startwillow.com on LegitScript’s website before you pay. |
| Reviews | 4.1 out of 5 on Trustpilot, from 382 reviews; 60% give five stars and 30% give one (read November 1, 2026). |
| Price | $299 to $399 a month for compounded semaglutide and $399 to $549 for tirzepatide shots, by dose; the pages we read list monthly prices only (checked November 1, 2026). |
| The catch | The price rises with your dose, the pages we read list no longer plans, and once your order is compounded it can’t be refunded (read November 1, 2026). |
Side by side
Willow vs. NexLife: what you pay, what you commit to and what’s included
| Detail | Willow | NexLife |
|---|---|---|
| What you pay to start | $299 a month for compounded semaglutide shots ($399 at 7 mg), or $399 for tirzepatide shots at the three lowest doses it lists (checked November 1, 2026). | $129 a month for tirzepatide or $109 for semaglutide, month to month, billed monthly. Not prescribed? No charge for medication. |
| Plan commitment | Monthly, renewing automatically until you cancel. The pages we read list no longer plans. | Your choice: month to month, or a 3-, 6- or 12-month plan at $125, $119 or $115 a month for tirzepatide ($105, $99 or $95 for semaglutide). Longer plans bill the way you choose at checkout. |
| Renewal price | More as your dose rises: tirzepatide shots go from $399 to $549 a month. Willow tells you the new amount before it charges it, its terms say. | Plans renew until you cancel. The same price at every dose, with no hidden fees. |
| Canceling | Message its care team at least 2 business days before your next processing date, its FAQ says (its help center says two full calendar days). A full refund before your prescription goes to the pharmacy; none once it’s compounded. | By email; it takes effect 30 days after we receive it. Our medical team can waive the notice in exceptional cases, such as a serious medical condition. |
| Medication | Compounded semaglutide and tirzepatide, not FDA-approved, as weekly shots or daily tablets under the tongue, from six pharmacies its terms name: Red Rock Home Pharmacy, Red Rock Pharmacy, Epiq Scripts, Empower Pharmacy, Absolute Pharmacy and The Pharmacy Hub. | Compounded tirzepatide or semaglutide, not FDA-approved, prescribed by licensed providers and prepared by state-licensed compounding pharmacies: Absolute Pharmacy (Lutz, FL) and Boudreaux’s New Drug Store (Lake Charles, LA). |
| Included care | U.S.-licensed physicians from an affiliated practice; one usually reviews your assessment within 24 hours. Unlimited doctor messaging and 24/7 Care Team support are included, Willow says. |
|
| Trustpilot | 4.1 out of 5, from 382 reviews | 4.8 out of 5 from 407 reviews (read November 1, 2026) |
Willow’s prices and terms from its price list (dated September 16, 2026), FAQ and policies, read November 1, 2026. NexLife’s from its pricing page and cancellation policy. NexLife publishes this page.
NexLife Price Match Guarantee†. Already on compounded tirzepatide or semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works
- Tell us about you About 3 minutes of health questions
- A licensed provider decides You’re prescribed only if it’s right for you
- Your partner pharmacy ships Usually within 1 to 2 business days, free
Key takeaways
- Willow reviews: 4.1 out of 5 on Trustpilot from 382 reviews (read November 1, 2026); 60% give five stars, 30% one.
- Reviewers: the newest praise fast replies and on-time delivery; older low ratings most often say the medicine didn’t seem to work.
- Price by dose: semaglutide shots $299 a month ($399 at 7 mg); tirzepatide shots $399 to $549 (checked November 1, 2026).
- Included, Willow says: medication, a doctor’s evaluation, unlimited doctor messaging and free shipping. Filling elsewhere adds a $150 monthly platform fee.
- Canceling: message Willow at least 2 business days before your processing date. Once compounded, an order can’t be refunded.
- At NexLife: compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month, at every dose.
The NexLife Price Match Guarantee†
Paying less elsewhere?
Keep your price. Upgrade your care.
Already on compounded tirzepatide or semaglutide? Pay less with another licensed U.S. telehealth provider or clinic, and we match your regular monthly price for as long as your plan stays active.† Plus a provider who follows your dose, a nutrition plan, a coaching call and real people 24/7.
- 1Send a receipt from the last 60 days
- 2A NexLife provider reviews your prescription
- 3Pay your matched price, at every dose
Locked while your plan is activeSame price at every doseNo membership fee
†Terms: see the Price Match Guarantee† details below. Compounded medications aren’t FDA-approved; a provider prescribes one only when it offers a significant difference for you.
At a glance
What is Willow, and who runs it?
Willow is an online program for compounded semaglutide and tirzepatide, as weekly shots or daily tablets. Each fact below comes from its own pages, read November 1, 2026.
| Topic | What Willow says | Source |
|---|---|---|
| Who runs it | Willow Health Services, Inc., of Houston, Texas. Its terms call Willow a technology platform, not a healthcare provider or pharmacy. | Terms of service |
| Doctors | U.S.-licensed physicians from an affiliated medical practice. Its site names 12, led by Chief Medical Officer Michael Green, MD. | Physicians page, About page |
| Medicines | Compounded semaglutide and tirzepatide, as weekly shots or daily tablets that dissolve under the tongue, plus a combination tablet and NAD+. | Home page, price list |
| Prices | Semaglutide $299 a month ($399 at 7 mg). Tirzepatide shots $399 to $549 by dose; tirzepatide tablets $399 or $459. | Price list |
| Plan length | Monthly, renewing automatically until you cancel. No longer plans on the pages we read. | FAQ, terms |
| What’s included | Medication, your evaluation and treatment plan, unlimited doctor messaging, 24/7 Care Team support and free shipping. | FAQ |
| Getting started | An online assessment. A physician usually reviews it within 24 hours, and most patients get medication within 7 days of approval. | Home page, help center |
| Who can join | Adults 18 and over who aren’t pregnant or breastfeeding, in the 37 states it lists. It can’t accept people with diabetes. | FAQ |
| Pharmacies | Six, named in its terms: Red Rock Home Pharmacy and Red Rock Pharmacy (Utah), Epiq Scripts and Empower Pharmacy (Texas), and Absolute Pharmacy and The Pharmacy Hub (Florida). | Terms of service |
| Paying | No insurance billing. HSA and FSA cards work at checkout. | FAQ, price list |
| Canceling | Message its care team at least 2 business days before your next processing date. | FAQ |
| Trustpilot | 4.1 out of 5, from 382 reviews. | Trustpilot |
NexLife Price Match Guarantee†. Already on compounded tirzepatide or semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works
Swipe the table sideways to see every column.
From Willow’s own pages and its Trustpilot profile, all read November 1, 2026.
Cost
What does Willow cost?
It depends on the medicine, the form and your dose. Here’s Willow’s own price list, with what a year at each price adds up to.
| Willow medicine | Dose, as Willow lists it | Per month | 12 months at that price |
|---|---|---|---|
| Semaglutide shotsweekly | Up to 3.5 mg | $299/mo | $3,588 |
| Semaglutide shotsweekly | 7 mg | $399/mo | $4,788 |
| Tirzepatide shotsweekly | 2.125, 4.25 or 6.375 mg | $399/mo | $4,788 |
| Tirzepatide shotsweekly | 8.5 or 11 mg | $499/mo | $5,988 |
| Tirzepatide shotsweekly | 13.5 mg | $524/mo | $6,288 |
| Tirzepatide shotsweekly | 17 mg | $549/mo | $6,588 |
| Semaglutide tabletsdaily, under the tongue | Every dose | $299/mo | $3,588 |
| Tirzepatide tabletsdaily, under the tongue | 6 or 10 mg | $399/mo | $4,788 |
| Tirzepatide tabletsdaily, under the tongue | 20 mg | $459/mo | $5,508 |
| Combination tabletssemaglutide / tirzepatide | 12 mg / 10 mg | $399/mo | $4,788 |
| Combination tabletssemaglutide / tirzepatide | 24 mg / 20 mg | $459/mo | $5,508 |
NexLife Price Match Guarantee†. Already on compounded tirzepatide or semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works
Swipe the table sideways to see every column.
From Willow’s price list (dated September 16, 2026) and its product pages, read November 1, 2026. “12 months” is 12 × the monthly price: the pages we read list monthly prices only. The medicines in this table are compounded, not FDA-approved.
The $299 is for semaglutide. Willow’s home page says plans start at $299 a month. Its price list also says plans start at $199, but the only $199 item on it is an NAD+ injection, which isn’t a
Your dose can change your price. Tirzepatide shots are $399 a month at the three lowest doses Willow lists, and $549 at the highest. Its terms say your fee may change with your dose, and that Willow tells you the new amount before it charges it.
No longer plans. The pages we read list monthly prices only. So a year of semaglutide shots is $3,588, and a year of tirzepatide shots $4,788 to $6,588.
Against the market, Willow’s lowest prices sit above the medians in our
What’s included
What does Willow’s price include, and what costs extra?
The price covers the medication and the care around it. A few things can change what you pay.
Included in the monthly price, Willow says
- Your compounded medication, prepared by a state-licensed compounding pharmacy
- Your medical evaluation and treatment plan
- Unlimited messaging with your Willow doctor, and free follow-ups
- 24/7 online support from its Care Team
- Free two-day shipping, in discreet packaging
What can cost more
- A higher dose. Tirzepatide shots rise from $399 to $549 a month, semaglutide shots from $299 to $399 at 7 mg, and tirzepatide tablets from $399 to $459.
- Your own pharmacy. Willow charges a $150 monthly platform fee if your prescription is filled elsewhere, and you pay that pharmacy for the medication.
- NAD+. A separate injection at $199 a month. It isn’t a
GLP-1. - Insurance. Willow doesn’t bill it. You can pay with HSA or FSA funds and send the receipts to your insurer yourself.
From Willow’s FAQ, price list and pharmacy policy, read November 1, 2026.
At NexLife, one price covers your medication, a licensed provider who follows your dose, a nutrition plan, a 1:1 coaching call, free expedited shipping and real people 24/7. There’s no membership fee, and the price is the same at every dose.
Tablets
Tablets or shots: what Willow sells, and what the FDA says
Willow sells both. Its tablets dissolve under the tongue once a day, and its shots are weekly. None of them is FDA-approved.
What Willow sells. Semaglutide and tirzepatide tablets, taken once a day under the tongue, and a combination tablet with both. It also sells weekly semaglutide and tirzepatide shots. A Willow doctor helps you choose.
In Willow’s own words: “There is no FDA-approved oral-dissolving formulation of semaglutide or tirzepatide.” That line is on its price list and its tablet guide (read November 1, 2026).
Every
“This means that FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed.”
FDA-approved
At NexLife, compounded sublingual tirzepatide tablets are $199 a month on the 12-month plan or $229 month to month. Semaglutide tablets are $165 a month on the 12-month plan or $199 month to month, at every dose. Shots cost less: $115 and $95 a month on the 12-month plan. More on sublingual semaglutide tablets and sublingual tirzepatide.
Reviews
What do Willow reviews say?
On Trustpilot, Willow is rated 4.1 out of 5, from 382 reviews (read November 1, 2026). Its newest reviews are mostly five-star, while 30% of all its reviews give one star.
- 4.1 out of 5 on Trustpilot from 382 reviews
- 60% of its reviews give five stars and 30% give one star
- 53 of 60 newest reviews give five stars posted June 30 to October 29, 2026
- 100% of negative reviews get a reply typically within 24 hours
What reviewers praise. Fast replies from doctors and the care team, on-time deliveries and an easy start. Some five-star reviewers add that Willow costs more than other sites they looked at.
What low ratings describe. Of the 60 newest reviews, 6 gave one or two stars, so most of the one-star reviews are older. The ones we read, from 2025 to October 2026, most often say the medication, often the tablets, didn’t seem to work for them. Others describe charges they disputed after canceling or pausing, shipping or order problems, and support that was hard to reach.
From Willow’s Trustpilot profile, read November 1, 2026: its rating, its star split, its 60 newest reviews and two older pages. These are individual reports, not Willow’s policy, and experiences vary.
NexLife, for comparison, is rated 4.8 out of 5 on Trustpilot, from 407 reviews (read November 1, 2026).
Canceling
How do you cancel Willow, and can you get a refund?
You cancel by messaging its care team before your next processing date. A refund depends on whether your prescription has gone to the pharmacy.
- How: message Willow’s Patient Care Team. Its help center says you can cancel any time, with no long-term commitment, and its terms also mention canceling from your account page.
- When: at least 2 business days before your next processing date, its FAQ says; its help center says two full calendar days. Requests after that apply to the following cycle.
- Renewals: your plan renews automatically each month until you cancel.
- Refunds: a full refund, in 5 to 10 business days, if you cancel before your prescription is sent to the pharmacy. Once it’s compounded, Willow says it can’t be returned, canceled or refunded.
- If you’re not prescribed: Willow declines the order and returns your payment, its terms say.
- Lost or late packages: Willow says it sorts it out with the pharmacy. If a package is returned, or delayed long enough to risk unsafe temperatures, it sends a replacement.
From Willow’s FAQ, cancellation policy, refund policy and terms of service (last updated August 14, 2026), read November 1, 2026.
At NexLife, plans renew until you cancel, by email, with 30 days’ notice from the day we receive it. NexLife’s plan page for compounded tirzepatide, read November 1, 2026, says: “Any authorization charge is fully refunded if you’re not prescribed or don’t proceed.”
In their words
What does the FDA say to look for in a program like Willow?
Willow says U.S.-licensed physicians prescribe and a state-licensed compounding pharmacy prepares your medication; the FDA’s advice for any program:
“Patients should obtain a prescription from their doctor and fill the prescription at a state-licensed pharmacy.”
U.S. Food and Drug Administration, FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss
Willow says it replaces a package delayed long enough to risk unsafe temperatures; the FDA on a shot that arrives warm:
“The agency recommends patients not use any injectable GLP-1 drug that arrives warm or with insufficient refrigeration, as this can affect the drug’s quality.”
U.S. Food and Drug Administration, FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss
Side by side
Willow vs. NexLife and two other programs: a month and a year
Here’s what compounded tirzepatide and semaglutide cost at Willow and at three programs that charge one price at every dose, listed A to Z.
| Program | Compounded tirzepatide: a month, and a year | Compounded semaglutide: a month, and a year | Price as your dose rises |
|---|---|---|---|
| Cora | $135 on its 12-month plan ($1,620 a year), or $225 month to month ($2,700) | $99 on its 12-month plan ($1,188), or $175 month to month ($2,100) | The same at every dose, its site says |
| NexLifePublisher of this guide | $115 on the 12-month plan ($1,380 a year), or $129 month to month ($1,548) | $95 on the 12-month plan ($1,140), or $109 month to month ($1,308) | The same at every dose |
| Ondra Health | $142 on its 12-month plan ($1,699, billed up front, through certain pharmacies), or $219 month to month ($2,628) | $96 on its 12-month plan ($1,149), or $149 month to month ($1,788) | The same at every dose within a plan, its site says |
| Willow | $399 to $549 a month by dose, monthly only ($4,788 to $6,588 a year) | $299 a month, or $399 at 7 mg ($3,588 to $4,788 a year) | Rises with dose for tirzepatide, and for semaglutide at 7 mg |
Swipe the table sideways to see every column.
All-in prices from each program’s own site, read November 1, 2026 (Cora and Ondra Health by our price check that evening), and NexLife’s as of November 5, 2026. Listed A to Z. Willow’s and NexLife’s are for weekly shots. A year is the 12-month plan’s total, or 12 months at the monthly price. The medicines in this table are compounded, not FDA-approved.
NexLife Price Match Guarantee†. Already on compounded tirzepatide or semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works
A year of compounded tirzepatide, from each company’s own site, read November 1, 2026, lowest first: each program’s 12-month plan, where it has one, and 12 months at its monthly price. Willow’s and NexLife’s are for weekly shots. Cora’s and NexLife’s prices are the same at every dose, and Ondra Health’s within a plan; Willow’s rises with dose. The medicines are compounded, not FDA-approved.
Month to month, the three flat-price programs charge $129 to $225 for tirzepatide and $109 to $175 for semaglutide. Willow’s lowest prices for shots are $399 and $299. On 12-month plans, tirzepatide is $115 to $142 a month.
Who it fits
Who does Willow fit, and who may pay less elsewhere?
It depends on your medicine, your dose and how you like to pay. Here’s where Willow stands out, and where the same medicine costs less.
Willow may fit you if
- You want a doctor-led online program with tablets or shots, a same-day assessment and unlimited messaging with your doctor, as Willow describes it.
- You want to stop on short notice. Willow’s cutoff is 2 business days before your next processing date; NexLife asks for 30 days’ notice.
You may pay less elsewhere if
- You take tirzepatide. Willow charges $399 to $549 a month. Month to month, it’s $225 at Cora, $129 at NexLife and $219 at Ondra Health, at every dose.
- You’d commit to a year. Tirzepatide is $135 a month on Cora’s 12-month plan, $115 on NexLife’s and $142 on Ondra Health’s. Willow lists monthly prices only.
- You prefer tablets. At NexLife, tirzepatide tablets are $199 a month on the 12-month plan or $229 month to month, and semaglutide tablets $165 on the 12-month plan or $199 month to month. At Willow they’re $399 to $459, and $299.
- Your dose is going up. At Cora and NexLife the price stays the same at every dose, and Ondra Health says the same within a plan.
At NexLife
Switching from Willow, step by step
Time it to your processing date. Willow needs 2 business days’ notice to skip the next charge, and a compounded order can’t be refunded.
Cancel with Willow
Message its Patient Care Team at least 2 business days before your next processing date, and keep the confirmation.
Note your medicine and dose
Your medicine, whether it’s a tablet or a shot, and your dose in milligrams. A photo of the label helps.
Start online, about 3 minutes
A licensed provider reviews your history and your current dose online and decides whether to continue it.
Know your price
Compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month, at every dose. Paying less at another licensed provider? Our Price Match Guarantee† matches your regular monthly price, with a receipt from the last 60 days. See the terms.
Four steps, from canceling with Willow to your new price.
Tablets to shots, or shots to tablets? That’s a new prescription, and your provider decides the form and the dose.
One number from then on. Questions about your order come to us, 24/7, at
Vial math
How many units is your tirzepatide or semaglutide dose?
On a compounded vial, the units depend on its strength. Here are the label doses at example strengths, with the math to check your own.
Tirzepatide
| Dose | mL at 25 mg/mL | Units (U-100) | On the label |
|---|---|---|---|
| 2.5 mg | 0.1 mL | 10 units | Starting dose, for 4 weeks |
| 5 mg | 0.2 mL | 20 units | A maintenance dose |
| 7.5 mg | 0.3 mL | 30 units | A step up |
| 10 mg | 0.4 mL | 40 units | A maintenance dose |
| 12.5 mg | 0.5 mL | 50 units | A step up |
| 15 mg | 0.6 mL | 60 units | The maximum, and a maintenance dose |
The math: mL = dose ÷ strength (mg per mL), and units = mL × 100. At 25 mg/mL, 10 mg is 10 ÷ 25 = 0.4 mL, or 40 units.
Semaglutide
| Weeks | Weekly dose | At 2.5 mg/mL | At 5 mg/mL |
|---|---|---|---|
| 1 to 4 | 0.25 mg | 0.1 mL (10 units) | 0.05 mL (5 units) |
| 5 to 8 | 0.5 mg | 0.2 mL (20 units) | 0.1 mL (10 units) |
| 9 to 12 | 1 mg | 0.4 mL (40 units) | 0.2 mL (20 units) |
| 13 to 16 | 1.7 mg | 0.68 mL (68 units) | 0.34 mL (34 units) |
| 17 onward | 2.4 mg | 0.96 mL (96 units) | 0.48 mL (48 units) |
The math: mL = dose ÷ strength (mg per mL); units = mL × 100. At 2.5 mg/mL, 1 mg is 1 ÷ 2.5 = 0.4 mL, or 40 units. At 5 mg/mL, the same 1 mg is 0.2 mL, or 20 units.
25 mg per mL is an example only: it’s the strength of the 15 mg multi-dose vial on Zepbound’s label (15 mg per 0.6 mL). Read the strength on your own vial’s label; your provider sets your dose, in steps at least 4 weeks apart. Every step: the tirzepatide dosage chart. Or enter your own vial’s strength in the tirzepatide and semaglutide dosage calculator. Both strengths are examples only. The same dose is a different number of units at a different strength, so read the strength on your own vial’s label. Your prescription sets your dose and schedule, which may differ from these label steps. Every step: the semaglutide dosage chart.
What does NexLife cost?
One flat price at every dose.
No membership fee. Provider care, a nutrition plan, coaching and shipping are included. Paying less with another licensed provider? We match your regular monthly price.†
GIP + 12-month plan $115/mo
Tirzepatide
Weekly and dual-action. Care, coaching and shipping included. On a 12-month plan; $129/mo month to month.
Check my eligibilityCompounded, not FDA-approved · Not prescribed? No charge for medication
12-month plan $95/mo
Semaglutide
Weekly
Compounded, not FDA-approved · Not prescribed? No charge for medication
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. Vials shown are illustrations. Always use the strength on your pharmacy’s label. Every plan and price · Price Match Guarantee† terms
Willow: your questions
Fair questions about NexLife
- Will my price go up with my dose?
- No. You pay the same at every dose.
- What if I’m not prescribed?
- You aren’t charged for medication.
- Can I cancel?
- Yes, by email. It takes effect 30 days after we receive it. Plans renew until you cancel; our cancellation policy has the details.
- Do I need insurance?
- No. Pay with an HSA or FSA card, or with Affirm, Klarna or Afterpay at checkout.
How much is Willow weight loss per month?
$299 to $549 a month, by medicine and dose (checked November 1, 2026). Compounded semaglutide is $299 to $399 and tirzepatide shots $399 to $549, with doctor access and shipping included. The pages we read list monthly prices only. At NexLife, compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month, at every dose.
Is Willow Health legit?
Willow is a real, operating telehealth company: Willow Health Services, Inc., of Houston, Texas. U.S.-licensed physicians from an affiliated medical practice prescribe, and its terms name its six partner pharmacies. It’s rated 4.1 out of 5 on Trustpilot, from 382 reviews (checked November 1, 2026), and its own pages say its compounded medicines aren’t FDA-approved.
Does Willow charge more at higher doses?
For tirzepatide, yes. Its price list puts tirzepatide shots at $399 a month at the three lowest doses and $549 at 17 mg; tablets are $399 or $459 (checked November 1, 2026). Semaglutide shots are $299 up to 3.5 mg and $399 at 7 mg. At NexLife, the price is the same at every dose.
What medications does Willow prescribe?
Compounded semaglutide and tirzepatide, as weekly shots or daily tablets that dissolve under the tongue, plus a tablet that combines the two. It also offers NAD+, an injection that isn’t a
Are Willow’s semaglutide tablets FDA-approved?
No. Willow’s own help center says “There is no FDA-approved oral-dissolving formulation of semaglutide or tirzepatide.” The FDA says it doesn’t review compounded drugs for safety, effectiveness or quality before they’re sold. The FDA-approved
Can I use HSA or FSA with Willow?
Yes. Willow says you can use an HSA or FSA card at checkout, and that all its treatments are HSA- and FSA-eligible. It doesn’t bill insurance, but you can submit receipts yourself. NexLife accepts HSA and FSA cards too, and provides a letter of medical necessity.
How do I cancel Willow?
Message Willow’s Patient Care Team at least 2 business days before your next processing date; later requests apply to the next cycle. You get a full refund only if you cancel before your prescription is sent to the pharmacy (checked November 1, 2026). Plans renew automatically until you cancel.
What do Willow reviews say?
Willow is rated 4.1 out of 5 on Trustpilot, from 382 reviews (checked November 1, 2026). In reviews we read November 1, 2026, its newest mostly praise quick replies from doctors and staff, and on-time delivery. Its low ratings, most of them older, most often say the medication didn’t seem to work, or describe disputed charges and shipping problems.
Can I switch from Willow to NexLife?
Yes. Cancel with Willow at least 2 business days before your next processing date, then start a 3-minute assessment with your current dose in milligrams. A licensed provider reviews it and decides whether to continue it. Paying less elsewhere for compounded tirzepatide or semaglutide? Our Price Match Guarantee† matches your regular monthly price.
Who can join Willow, and in which states?
Adults 18 and over who aren’t pregnant or breastfeeding, in the 37 states Willow lists, and it can’t accept people with diabetes (read November 1, 2026). NexLife is available only in states where its affiliated providers are licensed.
How fast does Willow ship?
Willow says a physician usually reviews your online assessment within 24 hours, and most patients get medication within 7 days of approval, with free shipping. At NexLife, the partner pharmacy usually ships within 1 to 2 business days, also free.
Which pharmacies does Willow use?
Willow’s terms name 6: Red Rock Home Pharmacy and Red Rock Pharmacy (Utah); Epiq Scripts and Empower Pharmacy (Texas); Absolute Pharmacy and The Pharmacy Hub (Florida). The same terms call Willow a technology platform, not a healthcare provider or pharmacy (read November 1, 2026).
Important safety information
Compounded tirzepatide and semaglutide are not FDA-approved, and the FDA hasn’t reviewed them for safety, effectiveness or quality. A provider prescribes them only when they offer a significant difference for you compared with an FDA-approved product. Both medicines may cause thyroid tumors, including cancer: don’t use either if you or a family member has had medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).
Read the full safety information
In studies with rodents, both medicines caused thyroid tumors; it isn’t known whether they cause them in people. Tell your provider if you notice a lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath. Serious side effects can include inflammation of the pancreas (pancreatitis), gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems from dehydration, severe stomach problems, serious allergic reactions, vision changes in people with type 2 diabetes, and a faster heart rate. Tell your care team before any surgery or procedure that uses anesthesia or deep sedation. Don’t combine either medicine with other
Tirzepatide can make birth control pills less effective: switch to a non-oral method, or add a barrier method such as condoms, for 4 weeks after you start and for 4 weeks after each dose increase. Both medicines may harm an unborn baby. Semaglutide should be stopped at least 2 months before a planned pregnancy. Tell your provider right away if you’re pregnant, planning to be, or breastfeeding.
This is a summary, not the complete safety information. Read the full Prescribing Information for FDA-approved tirzepatide (Zepbound) and semaglutide (Wegovy), and talk with your provider. You can report side effects to the FDA at
† NexLife Price Match Guarantee: for new NexLife members switching from a licensed U.S. telehealth provider or clinic with an active prescription for compounded tirzepatide or semaglutide. We match your regular all-in monthly price there (medication plus any required membership, program or visit fee, on a month-to-month plan); first-month offers, coupons, referral credits and prepaid multi-month rates aren’t matched. Proof from the last 60 days required. A licensed provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.
About NexLife. NexLife is a telehealth and care-coordination platform. Care is delivered through affiliated, physician-owned medical groups, and licensed providers decide whether treatment is right for you. NexLife doesn’t make or compound medication: state-licensed partner pharmacies fill each prescription, and we coordinate the rest. Available only in states where our affiliated providers are licensed.
Who wrote and medically reviewed this page?
Leads the NexLife Medical Team, which writes and medically reviews NexLife’s guides, including this one.
Willow’s prices, terms and ratings checked November 1, 2026.
- How we checked. Willow’s prices come from its help-center price list (dated September 16, 2026) and its four product pages, read on November 1, 2026, with its FAQ, help-center policies and terms of service (last updated August 14, 2026), read the same day. We didn’t create an account or start an assessment. Yearly figures are our math: 12 months at the monthly price. Ratings come from Willow’s Trustpilot profile, read the same day; we read its 60 newest reviews and two older pages. They’re individual reports, not Willow’s policy. Cora’s and Ondra Health’s prices come from their own sites, read the same day. NexLife’s prices come from its pricing and tablet pages, as of November 5, 2026, and the line on authorization charges from its tirzepatide plan page, read the same day. NexLife publishes this review and offers a competing program, so we say plainly where Willow fits better.
- Every fact, sourced. Each price and rule links to the page it comes from.
- How we make money. NexLife is a telehealth and care-coordination platform. We earn revenue when people join NexLife.
- Corrections, fast. See something wrong or out of date? Email care@nexlife.us and we’ll fix it.
Paying less elsewhere? We match it.†
You know Willow’s prices. Next: a 3-minute check.
Compounded tirzepatide is $115 a month on the 12-month plan or $129 month to month, and semaglutide $95 on the 12-month plan or $109 month to month, at every dose, with no membership fee. A licensed provider decides if treatment is right for you.
4.8 out of 5 on Trustpilot · Medical director Adam Kennah, MD (NPI 1144260043) · LegitScript-certified
Compounded medications aren’t FDA-approved. A provider prescribes one only when it offers a significant difference for you.
- 1Tell us about you
Start online with your health history.
- 2A licensed provider decides
Online, following your state’s rules. You’re prescribed only if treatment is right for you.
- 3We ship it, then stay with you
Our partner pharmacy usually ships within 1 to 2 business days. Free shipping, and questions come to us 24/7, never to the pharmacy.
Sources
- Willow: How much do treatments cost? (price list, dated September 16, 2026). Read November 1, 2026.
- Willow: home page (what plans include). Read November 1, 2026.
- Willow: compounded semaglutide injection. Read November 1, 2026.
- Willow: compounded tirzepatide injection. Read November 1, 2026.
- Willow: semaglutide tablets. Read November 1, 2026.
- Willow: tirzepatide tablets. Read November 1, 2026.
- Willow: frequently asked questions (eligibility, states, cost, canceling). Read November 1, 2026.
- Willow: cancellation policy. Read November 1, 2026.
- Willow: refund policy. Read November 1, 2026.
- Willow: using your own pharmacy (platform fee). Read November 1, 2026.
- Willow: guide to
GLP-1 oral tablets. Read November 1, 2026. - Willow: how long it takes to receive an order. Read November 1, 2026.
- Willow Health Services, Inc.: terms of service (last updated August 14, 2026). Read November 1, 2026.
- Willow: physicians and About pages. Read November 1, 2026.
- Trustpilot: Willow reviews. Read November 1, 2026.
- Cora: plans and prices. Checked November 1, 2026.
- Ondra Health: plans and prices. Checked November 1, 2026.
- NexLife: pricing, every plan. Checked November 1, 2026.
- NexLife: sublingual tirzepatide tablets. Checked November 1, 2026.
- NexLife: sublingual semaglutide tablets. Checked November 1, 2026.
- NexLife: Price Match Guarantee† terms.
- NexLife on Trustpilot. 4.8 out of 5 from 407 reviews, read November 1, 2026.
- NexLife:
GLP-1 price index. Checked November 1, 2026. - FDA: Compounding and the FDA, questions and answers. Read November 1, 2026.
- FDA: concerns with unapproved
GLP-1 drugs used for weight loss. Read November 1, 2026. - Wegovy (semaglutide) injection and tablets: prescribing information. Read November 1, 2026.
- Foundayo (orforglipron) tablets: prescribing information. Read November 1, 2026.