MEDGm vs Willow
In our scoring, MEDGm edges ahead overall (7.3 vs 7.2 out of 10), and both cost the same for compounded semaglutide.
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Key differences
- Price
- Both $299/mo for compounded semaglutide (standing prices, no prepay listed)
- Coverage
- MEDGm 50 states + DC; Willow 36 states (only MEDGm: Alabama, Alaska, Arkansas and 12 more)
- Included
- MEDGm: medication, clinician visits, shipping; Willow: medication, clinician visits, shipping

MEDGm
Affiliate partnerBest for brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1
semaglutide
$299
$179 first month
Our score 7.3/10
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.
MEDGm
Willow
Price
Semaglutide / month
$299/mo
$179 first month
$299/mo
Semaglutide / year (modeled)
$3,588
$3,588
Tirzepatide / month
$399/mo
$279 first month
$399/mo
Tirzepatide / year (modeled)
$4,788
$4,788
Oral semaglutide / month
$369/mo
$249 first month
Better on this row: $299/mo
Oral semaglutide / year (modeled)
$4,428
Better on this row: $3,588
Oral tirzepatide / month
Not listed
$399/mo
Coverage
State availability
50 states + DC
36 states
Oral option listed
Yes
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
Cancel anytime
Yes
Yes
Minimum commitment
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'
Refunds
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
'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
None on record
None on record
Provider facts checked
September 2026
October 2026
Show where they differ by stateHide state lists
Only MEDGm (14 states + DC)
- Alabama
- Alaska
- Arkansas
- Delaware
- District of Columbia
- Kansas
- Louisiana
- Mississippi
- New Mexico
- North Dakota
- Rhode Island
- South Dakota
- Utah
- Vermont
- West Virginia
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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 MEDGm if…
- Serves 14 states + DC that Willow doesn't
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
- Every product page states 'Same price, any dose', so titrating up does not raise the bill
What to weigh up
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
- You pay before a clinician reviews you — the Terms say the consult happens after the fee is charged
Choose Willow if…
- Lists oral compounded tirzepatide, which MEDGm 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
- Not available in 14 states + DC that MEDGm serves
- Pricier than many compounded programs: $299/mo for semaglutide and $399/mo for tirzepatide
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
MEDGm
7.3/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Ready to start? Vetted GLP-1 providers
Vetted telehealth providers that prescribe GLP-1 online.
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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 →MEDGm 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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