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Belle Health vs Willow

In our scoring, Belle Health edges ahead overall (7.6 vs 7.2 out of 10), and Belle Health costs less for compounded semaglutide (about $1,200 a year less).

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

Key differences

Price
Belle Health $199/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,200 a year less with Belle Health)
Coverage
Belle Health 50 states; Willow 36 states (only Belle Health: Alabama, Alaska, Arkansas and 11 more)
Included
Belle Health: medication, clinician visits, shipping, coaching; Willow: medication, clinician visits, shipping
Safety
FDA warning letters on record: Belle Health 1, Willow none

How we compare providers

Belle Health logo

Belle Health

Affiliate partner

Best for flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts

semaglutide

$199/mo

Our score 7.6/10

Visit siteRead review
Willow logo

Willow

Affiliate partner

Best for needle-free compounded semaglutide or tirzepatide tablets

semaglutide

$299/mo

Our score 7.2/10

Visit siteRead review

We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.

Costs & coverage

Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.

Belle Health

Willow

Price

Semaglutide / month

Better on this row: $199/mo

$299/mo

Semaglutide / year (modeled)

Better on this row: $2,388

$3,588

Tirzepatide / month

Better on this row: $249/mo

$399/mo

Tirzepatide / year (modeled)

Better on this row: $2,988

$4,788

Oral semaglutide / month

Not listed

$299/mo

Oral tirzepatide / month

Not listed

$399/mo

Coverage

State availability

50 states

36 states

Oral option listed

Not listed

Yes

Included in the price

Medication, clinician visits, shipping, coaching

Medication, clinician visits, shipping

FSA/HSA accepted

Not listed

Yes

Terms & safety

Price shown

Before intake

Before intake

Cancel anytime

Yes

Yes

Minimum commitment

Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate

Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'

Refunds

'Federal health and safety regulations don't allow returns or refunds on prescription medications or compounded products once they've shipped.' Wrong or damaged shipments must be reported within 7 days of delivery

'If you cancel before your prescription is sent to the pharmacy, you'll receive a full refund within 5-10 business days.' Terms: 'charges are non-refundable once incurred' and prescription products 'are not returnable'.

Early-cancellation fee

None

Not disclosed

FDA warning letters

1 warning letter

Better on this row: None on record

Provider facts checked

October 2026

October 2026

Show where they differ by state

Only Belle Health (14 states)

  • Alabama
  • Alaska
  • Arkansas
  • Delaware
  • Kansas
  • Louisiana
  • Mississippi
  • New Mexico
  • North Dakota
  • Rhode Island
  • South Dakota
  • Utah
  • Vermont
  • West Virginia

Every dose and plan: Belle Health · Willow

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

Belle Health logo

Choose Belle Health if…

  • About $1,200 a year less than Willow for compounded semaglutide at standing prices
  • Serves 14 states that Willow doesn't
  • Flat pricing that doesn't rise as your dose goes up, with no membership or consultation fee

What to weigh up

  • 1 FDA warning letter on record
  • FDA Warning Letter (Feb 2026) for misbranding compounded GLP-1 products
Visit Belle HealthRead the full Belle Health review
Willow logo

Choose Willow if…

  • Lists oral compounded semaglutide and oral compounded tirzepatide, which Belle Health doesn't price
  • No FDA warning letters on record (Belle Health has 1)
  • Accepts FSA/HSA cards

What to weigh up

  • About $1,200 a year more than Belle Health for compounded semaglutide
  • Not available in 14 states that Belle Health serves
Visit WillowRead the full Willow review

Explore the scoring factors

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Belle Health

7.6/10

Overall

Willow

7.2/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
7.5

User Experience15%

7.5A
vs
B
7.0

Trust & Safety15%

6.8A
vs
B
7.3

Accessibility10%

8.0A
vs
B
7.5

Support10%

8.0A
vs
B
7.0

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8.3

Collective

The lowest flat medication price if you can absorb an annual membership fee

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From $59/mo + membership

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MadeMed

Compounded GLP-1 in both injection and oral forms

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Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s

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Belle Health vs Willow: FAQ

For compounded semaglutide, Belle Health costs less: about $1,200 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo). See Costs & coverage above for each medication side by side.
Belle Health scores higher overall at 7.6/10 versus 7.2/10, and is particularly strong for flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts. That said, Willow is a better fit if you want needle-free compounded semaglutide or tirzepatide tablets.
Both Belle Health and Willow are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
Belle Health: $199, about $2,388 a year. Willow: $299, about $3,588 a year. Belle Health costs about $1,200 less a year at these prices.
Both serve 36 states. Only Belle Health serves Alabama, Alaska, Arkansas, Delaware, Kansas, Louisiana and 8 more.
Belle Health: cancel anytime — yes; minimum commitment — Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate; early-cancellation fee — none. Willow: cancel anytime — yes; minimum commitment — Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'; early-cancellation fee — not disclosed. Check the provider's own terms before you buy.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Related comparisons

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