MEDVi vs Willow
In our scoring, Willow edges ahead overall (7.2 vs 7.1 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
- MEDVi 48 states; Willow 36 states (only MEDVi: Alabama, Alaska, Arkansas and 9 more)
- Included
- MEDVi: medication, clinician visits, shipping, coaching; Willow: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: MEDVi 1, Willow none

MEDVi
Affiliate partnerBest for switching between compounded and brand-name GLP-1 through one provider
semaglutide
$299
$179 first month
Our score 7.1/10
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.
MEDVi
Willow
Price
Semaglutide / month
$299/mo
$179 first month
$299/mo
Semaglutide / year (modeled)
$3,588
$3,588
Oral semaglutide / month
Better on this row: $249/mo
$299/mo
Oral semaglutide / year (modeled)
Better on this row: $2,988
$3,588
Tirzepatide / month
Not listed
$399/mo
Oral tirzepatide / month
Not listed
$399/mo
Coverage
State availability
48 states
36 states
Oral option listed
Yes
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
Lab work
Not required
Not disclosed
Video visit
Not required
Not disclosed
Cancel anytime
Not disclosed
Yes
Minimum commitment
Membership
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
1 warning letter
Better on this row: None on record
Provider facts checked
August 2026
October 2026
Show where they differ by stateHide state lists
Only MEDVi (12 states)
- Alabama
- Alaska
- Arkansas
- Delaware
- Kansas
- Louisiana
- New Mexico
- 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 MEDVi if…
- Serves 12 states that Willow doesn't
- Both compounded and brand-name (Wegovy, Zepbound) GLP-1 options in one platform
- Oral tablet and injectable formats
What to weigh up
- 1 FDA warning letter on record
- Refill price for compounded GLP-1 injection ($299) steps up significantly from $179 first-month offer
Choose Willow if…
- Lists compounded tirzepatide and oral compounded tirzepatide, which MEDVi doesn't price
- No FDA warning letters on record (MEDVi has 1)
- Accepts FSA/HSA cards
What to weigh up
- Not available in 12 states that MEDVi 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.
MEDVi
7.1/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →From $219/mo
Get started →MEDVi 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.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.