Ro vs Willow

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Ro vs Willow: Overview

Choosing between Ro and Willow for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Ro offers both semaglutide and tirzepatide at $149/month with a rating of 8.6/10. Willow also provides both semaglutide and tirzepatide at $299/month with a 7.4/10 rating.

The price difference of $150/month is significant - Ro is the more budget-friendly option, while Willow positions itself as a premium service.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$150/mo

Rating Difference

1.2

Winner

Ro

Best For

Budget

Ro

View full Ro review →

Rating

8.6/10Better

Monthly Price

$149Cheaper

Medications

semaglutidetirzepatide

Pros

✓Prescribes FDA-approved, brand-name GLP-1s - Zepbound, Wegovy pen and pill, Ozempic, Saxenda and the new Foundayo pill - rather than compounded copies
✓Real insurance support: a dedicated team handles prior authorizations and appeals, and there is a free GLP-1 insurance checker you can run before paying anything
✓Publishes exact cash-pay prices for the Zepbound KwikPen: $299/mo at 2.5 mg, $399/mo at 5 mg and $449/mo at 7.5-15 mg with the manufacturer offer (checked July 26, 2026)
✓Membership is $39 for the first month, and as low as $74/mo if you prepay for a year
✓Long-established: trading since 2017, BBB accredited since 2018, and one of the largest telehealth platforms in the US
✓Prescriptions are typically filled and shipped within 1-4 days
✓Cash-pay Zepbound single-dose vials are available if you want to skip the insurance process entirely
✓Ongoing provider messaging, check-ins and progress tracking are included in the membership fee

Cons

✗The membership fee does not include your medication. At $149/mo month-to-month plus $449/mo for a maintenance dose of Zepbound, the realistic all-in cost is roughly $520-600 a month
✗The discounted $449 refill price depends on completing a check-in within 45 days of your last delivery. Miss that window and the price jumps to $499 for 7.5 mg, or $699 for the 10, 12.5 and 15 mg doses
✗All sales are final. Ro states it cannot issue refunds or accept returns on prescription products, except where it has made an error filling your prescription
✗The headline $74/mo membership rate requires prepaying a full year upfront
✗BBB lists 619 complaints, and Trustpilot sits at 3.8 from 4,796 reviews, with cancellation and billing the dominant negative themes
✗No customer phone number or support email is published on the site; support runs through your account
✗Because the medication price depends on your insurance, what you will actually pay each month cannot be known until after you have signed up and been assessed
✗The homepage claim 'Lose 20% body weight on average with Zepbound' comes from the manufacturer's trial of the branded drug, not from Ro's own patients

Choose Ro

Willow

View full Willow review →

Rating

7.4/10

Monthly Price

$299

Medications

semaglutidetirzepatide

Pros

✓Flat published pricing: $299/mo for compounded semaglutide as a weekly injection or a daily tablet, and $399/mo for compounded tirzepatide (checked July 26, 2026)
✓One fee covers the medical evaluation, the medication, unlimited doctor messaging and free discreet shipping, with no separate consultation charge
✓Names its partner pharmacies in its terms - Red Rock Home Pharmacy (Springville, UT), Epiq Pharmacy / Epiq Scripts (Richardson, TX) and The Pharmacy Hub (Miami, FL) - which most compounded GLP-1 sellers do not do
✓Publishes a Florida telehealth provider registration number (TPME1718) and names the exact states it is licensed to serve
✓The 'compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA' disclaimer sits on the homepage itself, not buried in a footer
✓Full refund if you cancel before the prescription is submitted to the pharmacy, processed within 5-10 business days
✓Needle-free daily tablets available for both semaglutide and tirzepatide, and the program is HSA/FSA eligible
✓Same-day prescription review claimed, with support from a named care team

Cons

✗In December 2025 the National Advertising Division found Willow had not substantiated its weight-loss and efficacy claims for compounded semaglutide, Willow declined to comply, and NAD referred it to state attorneys general and ad platforms. That is the most serious independent mark against any provider on this site
✗At $299-$399 a month this is one of the more expensive compounded GLP-1 programs; several competitors advertise $149-$199
✗The flat rate is not locked. The terms state your subscription fee 'may be increased or decreased if your prescription changes, such as by a dosage increase or frequency of refills', so titrating up can raise your bill
✗The site advertises '4.9/5 (2200 + 5 star reviews)' with no source named. Trustpilot, the one public platform we could find, showed 3.8 from 351 reviews on July 26, 2026
✗Cancellation must be received two full calendar days before your next shipping date, or the next order ships and bills
✗The terms tell you to cancel at startwillow.com/contact/ - that URL returned a 404 when we checked, as did the site's /contact and /help-center pages
✗No customer phone number or support email is published anywhere on the public site
✗The published terms are dated November 24, 2021, well before the current product line and pricing
✗Not available nationwide: Willow's terms limit service to 36 states, and this offer in particular is not available in Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana, Maine, Massachusetts, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Tennessee, Utah, Vermont, West Virginia or Wyoming
✗No insurance billing, and the terms confirm Medicare and Medicaid do not cover the service

Choose Willow

Feature-by-feature comparison

Feature	Ro	Willow
Monthly Price	$149	$299
Rating	8.6/10	7.4/10
Medications	semaglutide, tirzepatide	semaglutide, tirzepatide
Insurance Accepted	Yes	No
Support Hours	On-demand provider messaging (hours not published)	24/7 online support claimed
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Typically filled and shipped within 1-4 days	Not published; same-day prescription review claimed
Mobile App	Available	No
Dedicated Coach	Included	Not included
Follow-up Frequency	Ongoing check-ins plus on-demand provider messaging	Unlimited doctor messaging and free follow-ups claimed
Money-back Guarantee	None - Ro states all sales of prescription products are final, except where it filled your prescription in error	Full refund only if you cancel before the prescription reaches the pharmacy; no returns on medication once dispensed
Cancellation Policy	Cancel the membership before your next billing date; charges already processed are not refunded	Cancel anytime, but the request must arrive two full calendar days before your next shipping date

Which should you choose?

Choose Ro if you:

→Want to save $150/month with a more affordable option
→Prefer a higher-rated service (8.6/10 vs 7.4/10)
→Need insurance coverage for your treatment
→Want personalized coaching support included
→Value: prescribes fda-approved, brand-name glp-1s - zepbound, wegovy pen and pill, ozempic, saxenda and the new foundayo pill - rather than compounded copies

Get started with Ro

Choose Willow if you:

→Value: flat published pricing: $299/mo for compounded semaglutide as a weekly injection or a daily tablet, and $399/mo for compounded tirzepatide (checked july 26, 2026)

Get started with Willow

Website previews

Ro

Willow

Our recommendation

Ro comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Ro

Ro vs Willow

Ro vs Willow: Overview

Our recommended brand

At a glance

Ro

Pros

Cons

Willow

Pros

Cons

Feature-by-feature comparison

Which should you choose?

Choose Ro if you:

Choose Willow if you:

Website previews

Ro

Willow

Our recommendation

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