Alternatives
Alternatives to Willow
Willow scores 68/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Willow at a glance
- Semaglutide
- $299/moCompounded, month to month
- Tirzepatide
- $399/moCompounded, month to month
- Coverage
- 35 states + Puerto Rico
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
5 of the 8 programs below list semaglutide for less than Willow's $299 a month. 5 of the 8 list tirzepatide for less than its $399 a month.
Willow is a direct-to-consumer telehealth provider offering compounded semaglutide and tirzepatide in both injectable and oral-tablet form at identical prices per format.
Best for: Shoppers who want an oral-tablet GLP-1 at the same price as the injectable, with no annual commitment.
What Willow does well
- Oral tablet formulations of both semaglutide and tirzepatide, priced the same as the injections, $299 and $399 a month
- Month-to-month billing with no prepay or annual term required to get the advertised rate
- Named physician team publicly listed, including Chief Medical Officer Dr. Michael Green, MD, plus 11+ other credentialed MDs/DOs
- FAQ explicitly states no hidden fees beyond the monthly price (aside from an extra 'platform fee' only if using an outside pharmacy)
- Free 2-day shipping and HSA/FSA eligibility
Why readers look for an alternative
- Only 35 states and Puerto Rico are served, so residents of the other 15 states and DC can't sign up
- Site states medication cost 'varies by dosage and prescription' but never discloses what a higher maintenance dose actually costs beyond the $299/$399 starting figures
- Compounding pharmacy name and state are not disclosed anywhere on the site
- No LegitScript certification shown or mentioned on the site
- Site's own safety disclosure confirms these are compounded, not FDA-approved formulations — explicitly 'not substitutes for FDA-approved medications such as MOUNJARO®, ZEPBOUND™, Wegovy®, or Ozempic®'
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Willow: $200/mo less for semaglutide · $250/mo less for tirzepatide · no oral option
- 02C72/ 100Index
Liv Body
Liv Body, the supplement brand, sells compounded semaglutide from $99 a month and tirzepatide from $149 on a monthly plan, and adds $150 of its own supplements free with a first order.
- Sema
- $99/moStarting price, monthly plan, compounded
- Tirz
- $149/moStarting price, monthly plan, compounded
- Coverage
- Not published
- Brand
- Compounded
Compared with Willow: $200/mo less for semaglutide · $250/mo less for tirzepatide · no oral option
- 03C71/ 100Index
Live Vital
Live Vital sells ten-week compounded starter protocols for $299 semaglutide or $549 tirzepatide. Those equal about $129.57 or $237.90 per calendar month of continuous supply, with actual payment due by protocol.
- Sema
- $299For a 10-week starter protocol (compounded; ongoing price not published)
- Tirz
- $549For a 10-week starter protocol (compounded; ongoing price not published)
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Willow: no oral option
- 04C71/ 100Index
Apex MD
Apex MD is a nationwide telehealth platform selling compounded semaglutide and tirzepatide bundled with NAD, B-12, and L-carnitine (not single-ingredient GLP-1) at a flat $299/mo and $399/mo month-to-month respectively.
- Sema
- $299/moAll doses, bundle, compounded
- Tirz
- $399/moAll doses, bundle, compounded
- Coverage
- All 50 states
- Brand
- Compounded
- 05C71/ 100Index
Rivo Health
Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.
- Sema
- $149/moStarting dose, annual plan, compounded injection or oral
- Tirz
- $199/moStarting dose, annual plan, compounded injection or oral
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Willow: $150/mo less for semaglutide · $200/mo less for tirzepatide
- 06C71/ 100Index
Rex MD
Rex MD offers a $349 monthly Wegovy pill plan including provider care, alongside separately billed brand-name injection options.
- Sema
- $349/moBrand Wegovy pill, all titration doses; provider care included
- Tirz
- $424/moBrand Zepbound, plus a separate fee
- Coverage
- All 50 states
- Brand
- Yes
Compared with Willow: $50/mo more for semaglutide · $25/mo more for tirzepatide · also lists brand-name GLP-1s
- 07C71/ 100Index
PrideRx
PrideRx is a telehealth membership service that prescribes brand-name Zepbound and the Wegovy and Foundayo pills, with the medication shipped and billed separately by LillyDirect or NovoCare.
- Sema
- $248/moWegovy pill 1.5 mg starter dose, brand-name, month-to-month; $149 drug from NovoCare plus the $99/mo membership, $25 the first month
- Tirz
- $398/moZepbound KwikPen 2.5 mg starter dose, brand-name, month-to-month; $299 drug from LillyDirect plus the $99/mo membership, $25 the first month
- Coverage
- All 50 states
- Brand
- Yes
Compared with Willow: $51/mo less for semaglutide · $1/mo less for tirzepatide · also lists brand-name GLP-1s
- 08C71/ 100Index
Goldspan Health
Goldspan Health sells compounded semaglutide at $229 and tirzepatide at $299 every 28 days, with daily sublingual and low-dose versions of both at lower prices, through a storefront operated by a different company.
- Sema
- $229 every 28 daysMonth-to-month (13 charges a year, not 12)
- Tirz
- $299 every 28 daysMonth-to-month (13 charges a year, not 12)
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Willow: $70/mo less for semaglutide · $100/mo less for tirzepatide
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.