Midi Health vs Willow
In our scoring, Willow edges ahead overall (7.2 vs 7.0 out of 10), and Midi Health costs less for compounded semaglutide (about $1,431 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).
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Key differences
- Price
- Midi Health $165.90/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,431 a year less with Midi Health · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Coverage
- Midi Health 50 states; Willow 36 states (only Midi Health: Alabama, Alaska, Arkansas and 11 more)
- Included
- Midi Health: not stated; Willow: medication, clinician visits, shipping
Midi Health
Affiliate partnerBest for menopause-focused care with GLP-1 as a metabolic adjunct
semaglutide
$165.90
billed every 4 weeks
Our score 7.0/10
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.
Midi Health
Willow
Price
Semaglutide / month
Better on this row: $165.90/mo
billed every 4 weeks
$299/mo
Semaglutide / year (modeled)
Better on this row: $2,157
13 charges
$3,588
Tirzepatide / month
Better on this row: $210/mo
billed every 4 weeks
$399/mo
Tirzepatide / year (modeled)
Better on this row: $2,730
13 charges
$4,788
Oral semaglutide / month
Better on this row: $164/mo
billed every 4 weeks
$299/mo
Oral semaglutide / year (modeled)
Better on this row: $2,132
13 charges
$3,588
Oral tirzepatide / month
Better on this row: $209/mo
billed every 4 weeks
$399/mo
Oral tirzepatide / year (modeled)
Better on this row: $2,717
13 charges
$4,788
Coverage
State availability
50 states
36 states
Oral option listed
Yes
Yes
Included in the price
Not disclosed
Medication, clinician visits, shipping
FSA/HSA accepted
Not listed
Yes
Terms & safety
Price shown
Plan quoted after intake; a price is published
Before intake
Video visit
Required
Not disclosed
Cancel anytime
Not disclosed
Yes
Minimum commitment
Not disclosed
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
August 2026
October 2026
Show where they differ by stateHide state lists
Only Midi 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: Midi 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.
Choose Midi Health if…
- About $1,431 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)
- Serves 14 states that Willow doesn't
- Accepts commercial insurance — a differentiator vs cash-pay-only GLP-1 telehealth
What to weigh up
- Does not accept Medicare, Medicaid, or Medi-Cal
- GLP-1 is prescribed at clinician discretion within a menopause plan, not guaranteed at intake
Choose Willow if…
- Accepts FSA/HSA cards
- All-in plan price covers the medication, doctor evaluation, unlimited doctor messaging and shipping
- Names its partner compounding pharmacies in its Terms
What to weigh up
- About $1,431 a year more than Midi Health for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Not available in 14 states that Midi Health 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.
Midi Health
7.0/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $139/mo
Get started →From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Midi Health 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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