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Lttl vs Willow

In our scoring, both land at 7.2/10 overall, and Lttl costs less for compounded semaglutide (about $2,301 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).

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

Key differences

Price
Lttl $99/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,301 a year less with Lttl · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
Coverage
Willow 36 states (Lttl doesn't publish a state list)
Included
Lttl: medication, clinician visits, shipping; Willow: medication, clinician visits, shipping

How we compare providers

Lttl logo

Lttl

Affiliate partner

Best for every commitment tier priced openly, plus a low-dose microdose option

semaglutide

$99/mo

billed every 4 weeks

Our score 7.2/10

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.

Lttl

Willow

Price

Semaglutide / month

Better on this row: $99/mo

billed every 4 weeks

$299/mo

Semaglutide / year (modeled)

Better on this row: $1,287

13 charges

$3,588

Tirzepatide / month

Better on this row: $149/mo

billed every 4 weeks

$399/mo

Tirzepatide / year (modeled)

Better on this row: $1,937

13 charges

$4,788

Oral semaglutide / month

Better on this row: $179/mo

$149 first month

$299/mo

Oral semaglutide / year (modeled)

Better on this row: $2,148

$3,588

Oral tirzepatide / month

Not listed

$399/mo

Coverage

State availability

List not published

36 states

Oral option listed

Yes

Yes

Included in the price

Medication, clinician visits, shipping

Medication, clinician visits, shipping

FSA/HSA accepted

Yes

Yes

Terms & safety

Price shown

Before intake

Before intake

Cancel anytime

Yes

Yes

Minimum commitment

None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates

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

Refunds

Not disclosed

'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

October 2026

October 2026

Every dose and plan: Lttl · 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.

Lttl logo

Choose Lttl if…

  • About $2,301 a year less than Willow for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout
  • Flat dose pricing: 'Same price at every dose,' so moving to a higher dose does not raise the monthly bill

What to weigh up

  • No published state list; confirm yours at signup
  • Partner pharmacies are never named — the site refers only to 'a partner U.S. pharmacy' (a material disclosure gap for a YMYL purchase)
Visit LttlRead the full Lttl review
Willow logo

Choose Willow if…

  • Lists oral compounded tirzepatide, which Lttl doesn't price
  • Publishes its full state list (36 states)
  • All-in plan price covers the medication, doctor evaluation, unlimited doctor messaging and shipping

What to weigh up

  • About $2,301 a year more than Lttl for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
  • Pricier than many compounded programs: $299/mo for semaglutide and $399/mo for tirzepatide
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.

Lttl

7.2/10

Overall

Willow

7.2/10

Value25%

7.0A
vs
B
7.0

Effectiveness25%

7.5A
vs
B
7.5

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

6.5A
vs
B
7.3

Accessibility10%

6.5A
vs
B
7.5

Support10%

7.0A
vs
B
7.0

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Lttl vs Willow: FAQ

For compounded semaglutide, Lttl costs less: about $2,301 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo); one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost. See Costs & coverage above for each medication side by side.
Lttl and Willow tie at 7.2/10 overall, so the right pick comes down to your priorities — Lttl for every commitment tier priced openly, plus a low-dose microdose option, Willow for needle-free compounded semaglutide or tirzepatide tablets.
Both Lttl 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.
Lttl: $99 (billed every 4 weeks, 13 charges a year), about $1,287 a year. Willow: $299, about $3,588 a year. Lttl costs about $2,301 less a year at these prices.
Lttl doesn't publish a state list. Willow publishes 36 states. Where a list isn't published, confirm your state during sign-up before paying.
Lttl: cancel anytime — yes; minimum commitment — None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates; early-cancellation fee — not disclosed. 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

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Related comparisons

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