Provider Review · Updated March 2026
Willow Review 2026: Women-Focused GLP-1 Prescribing With Oral Options
Willow is the GLP-1 sister brand to Winona (women's HRT). They offer compounded semaglutide from $299/month and tirzepatide from $399/month, with both injectable and oral sublingual tablet options. Flat pricing that does not change with dose. The women-focused positioning and connection to Winona's HRT services create a natural pathway for menopausal women dealing with both hormonal symptoms and weight gain. But a recent NAD referral to state attorneys general and polarized Trustpilot reviews warrant caution.
Quick Facts
| Detail | Willow |
|---|---|
| Compounded Semaglutide | $299/month (flat, all doses) |
| Compounded Tirzepatide | $399-$524/month |
| Oral Sublingual Semaglutide | Included in $299/month tier |
| Membership Fee | None |
| States Served | 33-34 states |
| Insurance | Not accepted. FSA/HSA accepted. |
| Founded | 2021, Austin TX (sister to Winona) |
| ClearScore | 65/100 |
Pricing
| Medication | Cost |
|---|---|
| Compounded semaglutide (injectable or oral) | $299/month (flat at all doses) |
| Compounded tirzepatide (injectable) | $399-$524/month |
| Ondansetron (anti-nausea add-on) | $30/month |
All-inclusive: medication, consultation, physician messaging, and free 2-3 day shipping. No hidden fees.
At $299/month for semaglutide, Willow is more expensive than Hims ($199/mo), IVY RX ($175/mo), or Henry Meds ($197/mo). The premium is partly the oral tablet option and partly the women-focused clinical team.
How It Works
- Online eligibility assessment and health history
- Same-day physician approval (per marketing)
- Personalized prescription with 2-3 day delivery
- Ongoing doctor messaging and care team support
Willow will prescribe to patients outside traditional BMI requirements for “cosmetic” weight loss, which is unusual. Most platforms require BMI 27+ with a comorbidity or BMI 30+.
What I Like
Oral Sublingual Semaglutide Tablet
Willow offers a daily oral dissolving semaglutide tablet as an alternative to weekly injections. For women who are needle-averse, this removes the biggest barrier. This is a compounded formulation (not the FDA-approved oral Wegovy). In the STEP 1 trial, semaglutide 2.4mg produced 14.9% mean weight loss over 68 weeks, with 86.4% of participants losing at least 5% of body weight (NEJM, 2021). Willow also offers tirzepatide, which outperformed semaglutide in the SURMOUNT-5 trial (20.2% vs 13.7% weight loss).
Women-Focused Positioning
Willow’s clinical team and messaging are designed for women. Combined with their connection to Winona for HRT, a woman dealing with both menopause symptoms and weight gain can get hormone therapy and GLP-1 treatment through affiliated platforms with overlapping physicians.
Flat Dose-Agnostic Pricing
Like IVY RX, Willow charges the same regardless of your dose level. No $100 upcharge as you titrate up.
What Could Be Better
NAD Referral to State Attorneys General
The National Advertising Division (BBB National Programs) found that Willow could not substantiate its weight loss claims using brand-name semaglutide studies for compounded formulations. Willow refused to comply with modification recommendations. NAD referred the case to state attorneys general in December 2025. This is an active, unresolved regulatory issue.
Polarized Reviews
49% of Trustpilot reviewers gave 1 star. That is an unusually negative split. Common complaints include shipping delays, orders arriving without medication, and difficulty getting refunds.
Only 33-34 States
Willow does not serve 16-18 states. Most major competitors like Hims and Ro serve all 50.
Oral Tablets Have Mixed Results
Some users report zero weight loss on the oral sublingual tablets. The compounded oral format has not been clinically validated the way FDA-approved oral Wegovy has. Approach with appropriate expectations.
Who Willow Is Best For
- Women who want a GLP-1 platform designed for them
- Patients already using Winona for HRT who want to add GLP-1 weight loss
- Needle-averse patients who want oral semaglutide tablets
- Anyone seeking GLP-1 prescribing without strict BMI requirements
FAQ
Is Willow legitimate?
Willow is a licensed telehealth platform based in Austin, TX. Their CMO Dr. Michael Green is a dual board-certified physician who personally uses GLP-1 medication. However, NAD referred Willow to state attorneys general in December 2025 over advertising claims, and Trustpilot reviews are heavily polarized.
How much does Willow cost?
Compounded semaglutide (injectable or oral) is $299/month. Compounded tirzepatide is $399-$524/month. No membership fee. Pricing is flat regardless of dose.
Related
Guides:
Provider Reviews: Winona Review · Noom Review · ReflexMD Review · Found Review · WeightWatchers Review
Compare: All Providers · Best GLP-1 Programs 2026