The short version
Willow is a flat-rate telehealth provider. As of the August 25, 2026 build, for tirzepatide its lowest 12-month all-in total is $4,788 (month-to-month plan, verified), which places it 29 of 30 ranked telehealth providers. Verification status: verified.
The numbers, plan by plan
- Tirzepatide (standard, injection, month-to-month plan): $399 per month. Status: verified, checked August 25, 2026. Compounded tirzepatide $399 per month including shipping; flat at every dose.
Fees and what the price includes
The published price includes the medication and clinical care and shipping, with no separate membership fee. Shipping is included. The clinician consultation is included. The price does not change with dose.
How this pricing structure plays out over a year
The price does not move with dose, which removes the largest hidden cost in this market; a patient at 15 mg pays what a patient at 2.5 mg pays.
Compared with the field
On tirzepatide, Willow's lowest twelve-month total of $4,788 is $3,288 above the lowest (Trimi, $1,500) and above the median of $3,090 across 30 ranked providers, placing it 29 of 30. On the value score it scores 59 against 92 for NexLife, the best-scoring provider; the gap comes from cost, transparency, care.
Pharmacy, coverage and cancellation
A complete list of states served has not been published; confirm eligibility at checkout before paying. Dispensing: 503A patient-specific (reported). Commitment: month-to-month. Cancellation: Cancel anytime.
Questions to ask Willow before paying
Ask, in writing: Do you ship to my state, and which pharmacy license covers it? Which pharmacy fills the prescription, is it 503A or 503B, and can I see a certificate of analysis for my batch? Will my dosing instructions state the concentration of the vial you actually ship, and will you reissue them if it changes? A provider that answers all of these promptly is operating in the open; one that will not name its pharmacy has answered the most important question.
What works
All-in compounded pricing.
What to weigh against it
Named in Eli Lilly's 2025 litigation over compounded tirzepatide marketing. Pricing pending verification.
Who should choose Willow
Price-focused patients comparing compounded tirzepatide plans. A patient with insurance coverage for Zepbound or Wegovy should compare the copay route first; a patient who wants a verified flat all-in price with month-to-month flexibility should compare the best overall provider on our value score; and any patient should ask which pharmacy fills the prescription before paying.
How we verified this
Willow's active public page (startwillow.com, not the former willow.health domain) publishes compounded tirzepatide at $399 per month including shipping. A current state list was not found. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).