Live Vital vs Willow
In our scoring, Live Vital edges ahead overall (7.7 vs 7.2 out of 10), and Live Vital costs less for compounded semaglutide (about $2,028 a year less).
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Key differences
- Price
- Live Vital $130/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,028 a year less with Live Vital)
- Coverage
- Live Vital 50 states; Willow 36 states (only Live Vital: Alabama, Alaska, Arkansas and 11 more)
- Included
- Live Vital: medication, clinician visits, shipping; Willow: medication, clinician visits, shipping
Live Vital
Affiliate partnerBest for low-cost, physician-led compounded GLP-1 with peptide and hormone options
semaglutide
$130
$99 first month
Our score 7.7/10
Willow
Affiliate partnerBest for needle-free compounded semaglutide or tirzepatide tablets
semaglutide
$299
Our score 7.2/10
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.
Live Vital
Willow
Price
Semaglutide / month
Better on this row: $130/mo
$99 first month
$299/mo
Semaglutide / year (modeled)
Better on this row: $1,560
$3,588
Tirzepatide / month
Better on this row: $239/mo
$183 first month
$399/mo
Tirzepatide / year (modeled)
Better on this row: $2,868
$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
Medication, clinician visits, shipping
FSA/HSA accepted
Not listed
Yes
Terms & safety
Price shown
Before intake
Before intake
Lab work
Not required
Not disclosed
Video visit
Not required
Not disclosed
Cancel anytime
Yes
Yes
Minimum commitment
Sold as 10-week protocols
Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'
Refunds
Terms section 7: 'You may cancel at any time. Cancellation will be effective at the end of your current billing period. Refunds for consultations are provided at our discretion. Medications and lab work are generally non-refundable once ordered or dispensed.'
'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'.
FDA warning letters
None on record
None on record
Provider facts checked
August 2026
October 2026
Show where they differ by stateHide state lists
Only Live Vital (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: Live Vital · 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.
Choose Live Vital if…
- About $2,028 a year less than Willow for compounded semaglutide at standing prices
- Serves 14 states that Willow doesn't
- Physician-led — founded by Dr. Patrick Taylor, MD; all treatments doctor-prescribed via the clinical team
What to weigh up
- The advertised '/mo' rate divides a 10-week protocol by three, so a calendar month really costs about $130 or $239
- Doesn't accept insurance (HSA/FSA funds only)
Choose Willow if…
- Lists oral compounded semaglutide and oral compounded tirzepatide, which Live Vital doesn't price
- Accepts FSA/HSA cards
- All-in plan price covers the medication, doctor evaluation, unlimited doctor messaging and shipping
What to weigh up
- About $2,028 a year more than Live Vital for compounded semaglutide
- Not available in 14 states that Live Vital serves
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Live Vital
7.7/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Ready to start? Vetted GLP-1 providers
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No insurance needed · vetted by our editors
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GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
Get started →From $247/mo
Get started →Live Vital vs Willow: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
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