Willowreview
Willow operates at startwillow.com. Names 36 individual physicians and all five of its partner pharmacies, but it starts at $299/mo, its advertised rate climbs to $549 as your dose goes up without saying so on the page, and it displays a 4.9 rating its own Trustpilot profile puts at 3.9.
Willow runs its site on startwillow.com, its sign-up and login on app.startwillow.com and a shop on shop.startwillow.com. Checked on the clinic’s own pages, October 28, 2026.
Scored 7.0/10 · ranked #25 of 51 · from $299/mo (monthly subscription) · Verified 2026-09-30Pick
What that price doesn’t say: $299/mo includes medication, evaluation, unlimited doctor access, 24/7 support and 2-day shipping, with no membership fee, but the price rises with dose and the product pages do not say so. They print one flat figure each while the homepage FAQ says pricing is “transparent, with no hidden fees.” The dose ladder lives only in a help-centre article on a different host: semaglutide injection is $299 up to 3.5 mg and $399 at 7 mg, and tirzepatide injection runs $399 at low doses up to $549 at 17 mg. The oral semaglutide tablets are $299 at every dose. Price read 2026-09-30.
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Summarize this page with
Short answer
Willow publishes $299/mo (monthly subscription) as its starting rate.
Your first charges with Willow
What leaves your card and when, on the cheapest plan we price, if a clinician approves you. Figures marked “our arithmetic” are worked out from Willow's own prices.
- At checkout$299First month
- After 1 month$299Second month
- After 2 months$299Third month
From Willow's prices, read 2026-09-30 on startwillow.com.
Visit →Affiliate link: we may earn a commission. It never changes a score or rank.
Before you sign up with Willow
Each line is from Willow's own pages or a public record, with the date we read it. Where we hold no reading, the line is left out rather than guessed.
- What the price covers
- No extra fees, per Willow: “Pricing is transparent, with no hidden fees, and includes doctor oversight, GLP-1 treatment, and ongoing support.”
- States served
- 37 of 51. Not available in Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia.
- Shipping
- Shipping: included. Willow's page: “In stock: Same day prescriptions and free 2-Day shipping” (startwillow.com, read 2026-10-07)
- Support
- Willow's page: “you'll have unlimited doctor messaging and 24/7 Care Team support.” (startwillow.com, read 2026-10-15)
The downsides we found
- Not available in 14 states, including Alabama, Alaska, Arkansas.
What the score rests on
Classified as one-ongoing-rate. See how we classify every clinic's price →
| Criterion | Weight | Score | What it rests on |
|---|---|---|---|
| Price & value | 25% weight | 5.5 | $299/mo buys compounded semaglutide injection at any dose up to 3.5mg, or dissolvable oral semaglutide tablets at any dose up to 12mg, including medication, medical assessment and unlimited provider access. It is the most expensive starting price in this ranking, which is what the score reflects. |
| Clinical oversight | 30% weight | 8.5 | The deepest named clinical roster in the entire set: 36 physicians NAMED, each with an individual bio page. Almost every other clinic here stops at 'licensed providers'. Whatever else is true of Willow, a reader can check who would treat them. |
| Treatment options | 20% weight | 8.5 | Two molecules across two routes (compounded semaglutide and tirzepatide, each as a weekly injection or a daily sublingual dissolvable tablet) plus a genuine COMBINATION tablet running semaglutide and tirzepatide together, published with its own prices in the dose grid. The combination route is rare. |
| Transparency & trust | 25% weight | 5.5 | Marked down to the bottom of its band for self-contradiction across its own surfaces: the figures and terms on the homepage, the four product pages, their marketplace variants and the help-centre subdomain do not all say the same thing. We read all of them, plus its FDA, BBB, Trustpilot and LegitScript records directly. |
4 of 4 criteria have a written source.
Watch out for
Willow names who treats you and who fills your prescription, which makes the places it slips easier to see. WHAT IT GETS RIGHT, VERIFIED: the legal entity is named with a street address (Willow Health Services, Inc., 8080 Westpark Drive STE 42292, Houston, TX 77063, Texas governing law); all five partner pharmacies are named in the Terms of Service with full addresses and phone numbers (Red Rock Home Pharmacy, Springville UT; Epiq Pharmacy / Epiq Scripts LLC, Richardson TX; Absolute Pharmacy, Lutz FL; The Pharmacy Hub, Miami FL; Empower Pharmacy, Houston TX); 36 physicians are listed by name with MD/DO credentials and individual bio pages including medical school and residencies, headed by a named CMO (Dr. Michael Green, MD, board-certified in Family Medicine and OB/GYN, 30 years); the compounded-drug disclaimer is present verbatim and prominently on every page; and cancellation and refund policies are both published rather than merely asserted. (1) THE 4.9 RATING ON THE PRODUCT PAGES IS NOT WHAT ITS TRUSTPILOT PROFILE SAYS. Willow's product pages display "4.9/5 (2200 + 5 star reviews)". Opened directly on 2026-09-16, trustpilot.com/review/startwillow.com, a profile Willow claimed in December 2024 and pays for a Trustpilot subscription on, reads 3.9 out of 5 across 354 reviews, 114 of them in the last 12 months. The distribution is split rather than merely average: 57% five-star and 32% one-star, with only 11% in between. Willow does not attribute its 4.9 to Trustpilot, so this is not the HumeCare case of displaying a platform's branded score after that platform pulled the record. The profile is live, claimed and rated. But the volume claim is off by more than six times and the rating by a full point against the one independent corpus that exists for this clinic, and Willow replies to 100% of its negative reviews, so it reads them. (2) THE $299 AND $399 HEADLINES ARE ENTRY-DOSE PRICES AND THE PAGES DO NOT SAY SO. See the pricing note for the full ladder: tirzepatide runs $399 at low doses, $499 at 8.5-11 mg, $524 at 13.5 mg and $549 at 17 mg. The escalation is published (in a help-center article on a different host (docs.startwillow.com) and in Terms of Service §5, which promises to disclose the new amount and obtain consent before charging) but nowhere on the product pages, which print one flat number each under the homepage's claim that "Pricing is transparent, with no hidden fees." Since doses are titrated upward as a matter of normal protocol, treat the headline as a starting point. (3) THE STATES LIST CONTRADICTS ITSELF ON THE SAME PAGE. /about carries both a map of served states and a "Don't see your state?" notify-me dropdown. The map colours West Virginia as served; the dropdown lists West Virginia as not served. The map excludes New Mexico and Vermont; the dropdown does not list either. We have recorded the union of both exclusion lists, 14 states, because sending someone into an intake they cannot finish is worse than leaving them off a state page. If you are in West Virginia, New Mexico or Vermont, confirm with Willow before starting. (4) TWO PRICES FOR ONE PRODUCT ON ONE PAGE. /tirzepatide-tablets-marketplace headlines "$399" with both of its own buy buttons reading "$299" immediately below. (5) THE HELP CENTER'S OWN OPENING PRICE IS FOR A DIFFERENT PRODUCT. The pricing article begins "Plans start at $199/month". $199 is NAD+ injectable, not a weight-loss treatment; the hub page of the same help center says "Start your weight loss journey for just $299/mo". (6) THE MEDICATION LIST ON /contact-us OMITS A PRODUCT IT SELLS. It lists semaglutide injection, semaglutide oral tablets and tirzepatide injection. Leaving out tirzepatide tablets, which have their own product page and their own published price. (7) NO LEGITSCRIPT CERTIFICATION CONFIRMED. Willow's footer links to a LegitScript keyword SEARCH for startwillow.com rather than to a certificate, and LegitScript's checker returned 403 to direct lookup and requires a reCAPTCHA in-browser (2026-09-16). We do not assert a certification either way. This is a limit of our check, not a finding against Willow. (8) AN FDA WARNING-LETTER HISTORY AT ONE OF ITS NAMED PHARMACIES, NOT AT WILLOW. See the separate box on this page. WHAT WE CHECKED AND FOUND CLEAN: the FDA warning-letter database returns no letter for "Willow Health Services", "Willow Health" or "startwillow", and none for four of the five named pharmacies (searched fda.gov directly, exact phrase, 2026-09-16); BBB has no profile for Willow Health Services or startwillow.com (searched bbb.org directly, 2026-09-16. A null result, not a failed search); the Trustpilot profile is live and claimed, not suspended or removed. DISCLOSURE ON OUR SIDE: Willow became an affiliate partner of ours on 2026-09-30. We may be paid if you sign up through our link. Its rank is computed from evidence only and never from commission. The eight findings above were written before it became a partner and not one word of them has been softened since. (Sources: startwillow.com homepage, /compound-semaglutide, /compound-tirzepatide, /semaglutide-tablets, /tirzepatide-tablets and all four -marketplace variants, /about, /faqs, /contact-us, /reviews, /physicians and individual physician pages, /terms-of-service, /nad-plus; docs.startwillow.com help center; shop.startwillow.com; assets.startwillow.com map asset; app.startwillow.com login. All read 2026-09-16. No medical intake was completed.)
FDA warning letters against a named pharmacy. Not against Willow
Willow names its partner pharmacies in its own Terms of Service. One of them holds 3 FDA warning letters, none of which has been closed out. This is a fact about the pharmacy that fills the prescription, not a finding against Willow, and it does not change Willow's score.
Empower Clinic Services, LLC dba Empower Pharmacy. MARCS-CMS 738238, issued 2026-09-18
one of the five compounding pharmacies Willow names in its own Terms of Service, at the same facility address Willow publishes (7601 North Sam Houston Parkway West Suite 100, Houston, TX 77064). This is the facility FDA inspected. Issued by Center for Drug Evaluation and Research (CDER). Subject: CGMP/Finished Pharmaceuticals/Adulterated/Unapproved New Drug. Posted 2026-09-22. No closeout letter posted.
Following an inspection of the Houston facility at 7601 N. Sam Houston Pkwy W., Ste. 100 from November 3 to November 14, 2025, FDA states that the pharmacy "compounded drug products that are essentially copies of commercially available drug products regularly and in inordinate amounts", naming TIRZEPATIDE/NIACINAMIDE and SEMAGLUTIDE/CYANOCOBALAMIN injections, so those products lost the section 503A exemptions and are described as unapproved new drugs and misbranded. FDA also states that sterile products were "prepared, packed, or held under insanitary conditions, whereby they may have become contaminated with filth or rendered injurious to health" (inadequate smoke studies in the ISO 5 area, media fills not run under the most challenging conditions) and lists five CGMP violations. FDA found some corrective actions adequate, could not evaluate others, and called the documentation of the January 2026 media fill deficient.
Read the letter on fda.gov →Empower Clinic Services, LLC dba Empower Pharmacy. MARCS-CMS 700964, issued 2025-04-02
one of the five compounding pharmacies Willow names in its own Terms of Service (7601 North Sam Houston Parkway West Suite 100, Houston, TX 77064. The same facility address FDA inspected). Issued by Center for Drug Evaluation and Research (CDER). Subject: Compounding Pharmacy/Adulterated Drug Products. Posted 2025-04-29. No closeout letter posted.
Following an inspection from September 24 to October 4, 2024, FDA states that drug products intended or expected to be sterile were "prepared, packed, or held under insanitary conditions, whereby they may have become contaminated with filth or rendered injurious to health," making them adulterated under FDCA 501(a)(2)(A). Three specific observations: routine environmental monitoring did not sample within the critical area where aseptic processing occurs; media fills were not performed under the most challenging or stressful conditions, so there is "a lack of assurance that your firm can aseptically produce drug products"; and the stopper sorting bowl, supply hopper and insertion station contacting stoppers used for injectable products were not sterilized. FDA found some corrective actions adequate but could not fully evaluate others for lack of supporting documentation.
Read the letter on fda.gov →Empower Clinic Services, LLC dba Empower Pharmacy. MARCS-CMS 613792, issued 2021-10-15
same pharmacy, earlier letter; this one cites a different facility (5980 West Sam Houston Parkway North, Houston) than the address Willow publishes. Issued by Office of Pharmaceutical Quality Operations, Division II. Subject: Compounding Pharmacy/Adulterated Drug Products. Posted 2021-10-26. No closeout letter posted.
Earlier letter to the same company on the same subject, at a different Houston facility. Recorded here because it establishes that the 2025 letter is the second on adulterated compounded drug products at this pharmacy, not an isolated finding.
Read the letter on fda.gov →FDA warning letters state what FDA alleges in its initial enforcement communication; they are not adjudicated conclusions.
Third-party records
Better Business Bureau
No BBB profile found for Willow (checked 2026-10-12).
A BBB rating is a third party's record of how a business handles complaints. It does not change which clinics we link to.
Alternatives to Willow
Pickfrom $169/mo on a $2,028 prepaid yearPublishes every plan length with its total billed and its per-month rate on each product page, and covers more routes than any clinic here. But the $169/mo headline is $2,028 charged up front and non-refundable.
Visit →Affiliate link
from $99/mo on a 12-month prepaid planSays outright that its headline is a monthly equivalent of annual billing, and prints the no-commitment rate beside it instead of leaving you to find it at checkout.
Read our review →Not an affiliate. We earn nothing
Pallas Healthfrom $199/moPublishes both the intro price and the ongoing one in the same breath ($139 the first month, then $199) and is one of the few here that will sell you brand-name Mounjaro® alongside compounded options.
Read our review →Not an affiliate. We earn nothing
Willow compared, one on one
Price side by side with the unit each clinic publishes, what the figure covers, the commitment, and what one does that the other doesn’t. Every figure dated.
What changed since we last checked
No change to Willow’s plan rows or list of states in our record since we started recording them. Changes to its starting price are in the section above.
A change can be Willow moving a price, or us reading a page we hadn’t read before or correcting an earlier reading. Dates are when the change entered our record.
Check your state and budget
From Willow’s own pages as recorded in its review. A monthly figure for a plan billed every few weeks or months is our arithmetic.
Questions to ask Willow at intake
Each one is here because Willow’s pages left it open when we read them.
- How do I cancel, and is anything refunded if I stop partway through a plan? We didn't find Willow's cancellation terms on the pages we read.
- Do I need lab work before starting, and what does it cost? Its pages don't say whether labs are needed or what they cost.
Willow: common questions
How much does Willow cost?
Willow publishes $299/mo (monthly subscription) as its starting rate.
What does Willow's price include?
No extra fees, per Willow: “Pricing is transparent, with no hidden fees, and includes doctor oversight, GLP-1 treatment, and ongoing support.”
Is Willow available in my state?
37 of 51. Not available in Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia.
What we found
Third-party record
Willow displays a 4.9 rating; its own Trustpilot profile reads 3.9
Willow's product pages display “4.9/5 (2200 + 5 star reviews)”. Its own Trustpilot profile (claimed December 2024, with a paid Trustpilot subscription) reads 3.9 across 357 reviews, 117 of them in the last 12 months, with a split distribution rather than an average one: 58% five-star against 31% one-star. Both figures re-read live 2026-09-30. Willow does not attribute the 4.9 to Trustpilot, so this is not a case of showing a platform's branded score after the platform withdrew it. The profile is live, claimed and rated. But the review-volume claim is more than six times the independent count and the rating is a full point higher, and Willow replies to its negative reviews, so it reads them.
SourceChecked 2026-09-30
Everything we found across every clinic. Each with its source and the date we checked it.
26 of the 51 clinics we rank are an affiliate partner. Scores come only from our published methodology. At equal displayed scores, active affiliate partners are listed first. What it changes is which clinic a promoted button points at, and every such link carries a PICK badge in the table so you can see it before you click.
Reviewed by Alexandru Vieru. Price read on Willow's own pages on 2026-09-30.