If you're comparing GLP-1 weight-loss telehealth providers and came across "Willow," it's worth a quick note: this comparison is about Willow (startwillow.com), a telehealth weight-loss provider that prescribes compounded GLP-1 medications online — not Willow Innovations, the wearable breast-pump brand. Below, we compare Willow's published program to TelosRX's fully asynchronous, LegitScript-certified compounded GLP-1 program.
Both TelosRX and Willow offer asynchronous (no live video call required) online access to compounded GLP-1 medications, including semaglutide and tirzepatide. The biggest differences come down to price and menu: TelosRX publishes tiered pricing that starts as low as $116/month for microdosed tirzepatide, plus oral and microdosed tirzepatide formats, and is LegitScript-certified. Willow publishes flat monthly pricing starting at $299/month for semaglutide and $399/month for tirzepatide, with a more limited compounded-medication menu. Individual results vary, and approval is never guaranteed for either program.
Start your intake →Quick comparison: TelosRX vs Willow
| Category | TelosRX | Willow |
|---|---|---|
| Model | Fully asynchronous online telehealth — no mandatory video visit | Asynchronous online telehealth — no live video visit required, per its site |
| GLP-1 medications | ✓ Compounded tirzepatide (standard, oral, microdosed) and compounded semaglutide | Compounded semaglutide (injectable + oral tablet) and compounded tirzepatide (injectable only, per its product pages) |
| Starting price | ✓ From $116/month (microdosed tirzepatide) | $299/month (semaglutide); $399/month (tirzepatide), flat monthly pricing per its site |
| Pricing transparency | ✓ Full pricing published for every medication format | Flat monthly price published; site notes cost "may vary by dosage" without listing every tier |
| Provider review / care model | ✓ ~5-minute intake; licensed provider review often within hours | Online intake; U.S.-licensed doctor review, reportedly same-day |
| Certification | ✓ LegitScript-certified | No independent pharmacy certification referenced on its site as of this writing |
| Support / coaching | ✓ Unlimited care-team messaging plus quarterly labs | Care-team messaging, free follow-ups, and peer-community access; no lab work mentioned |
| Shipping | ✓ Free 48-hour shipping | Free shipping; pharmacy processing reportedly 2–4 business days plus 2–3 days in transit |
| Cancel policy | ✓ Cancel anytime | Cancel anytime, but requests reportedly must be submitted about 2 business days before the next processing date to avoid being charged for the next cycle |
Compounded medications referenced throughout this article — for both TelosRX and Willow — are not FDA-approved drug products. They are prepared by licensed pharmacies under state and federal compounding regulations, not the patented branded versions of semaglutide or tirzepatide. This comparison covers compounded programs only, not clinical outcomes of the branded, FDA-approved medications.
What is TelosRX?
TelosRX is a fully asynchronous online telehealth provider focused on compounded GLP-1 weight-loss medications. There's no mandatory video visit — patients complete a roughly 5-minute intake questionnaire, and a licensed provider typically reviews it within hours to determine whether treatment is appropriate.
TelosRX offers compounded tirzepatide in standard, oral, and microdosed formats, along with compounded semaglutide. The company is LegitScript-certified, is cash-pay and FSA/HSA-eligible, and includes free 48-hour shipping, unlimited care-team messaging, and quarterly labs, with the ability to cancel anytime.
Because pricing and formats are all published directly on telosrx.com, patients can see the full cost of a program before starting an intake at start.telosrx.com.
What is Willow?
Willow (startwillow.com) is a telehealth weight-loss provider that prescribes compounded GLP-1 medications through U.S. pharmacy partners. According to its site, the program is asynchronous — patients complete an online health-history questionnaire, and a licensed U.S. doctor reviews it, reportedly the same day, without a required live video call.
Willow's published menu includes compounded semaglutide as a weekly injection or a daily sublingual tablet, and compounded tirzepatide as a weekly injection. As of this writing, its site does not reference oral or microdosed tirzepatide formats, and does not mention an independent pharmacy certification such as LegitScript. Willow states its program is available in 33 states, is cash-pay, and accepts HSA/FSA payment.
Willow's published plans include doctor evaluation, monthly medication, care-team messaging, free follow-ups, and free shipping, with patients able to cancel by messaging its care team — though its FAQ notes cancellation requests should be submitted roughly 2 business days before the next processing date to avoid a charge for the following cycle.
Medications: what each program offers
Both companies work with compounded, not brand-name, GLP-1 formulations. TelosRX's published menu spans four formats — standard, oral, and microdosed tirzepatide, plus semaglutide — giving patients more flexibility in dosing approach and titration pace. Willow's published menu covers semaglutide (injectable or oral tablet) and a single injectable tirzepatide option, without a stated microdosing or oral tirzepatide pathway as of this writing.
For general background on how GLP-1 medications are used in weight management, the NIH's overview of prescription weight-management medications and the FDA's announcement on chronic weight-management medications are useful references — though note these resources primarily describe the FDA-approved branded drugs, not the compounded formulations either TelosRX or Willow dispenses. Individual results vary, and no outcome is guaranteed with either program.
Key takeaway: If dosing flexibility and published, itemized pricing matter most to you, TelosRX's four-format menu and tiered plans give you more to compare up front. If a single flat monthly price with fewer formats is simpler for your needs, Willow's structure may feel more straightforward — just confirm your state is covered before you start.
Pricing and transparency
TelosRX publishes tiered pricing directly on its site:
- Microdosed tirzepatide: from $116/month
- Standard tirzepatide: from $139/month
- Compounded semaglutide pricing is also published in full on telosrx.com/pages/semaglutide
Willow publishes a flat monthly price on its site — reportedly $299/month for semaglutide (injectable or oral tablet) and $399/month for tirzepatide — with its FAQ noting that "medication costs vary by dosage and prescription" without listing every dose-level price point. Both companies state their pricing is cash-pay, with no insurance required and HSA/FSA eligibility.
How the process works
TelosRX's process starts with a roughly 5-minute online intake questionnaire at start.telosrx.com. A licensed provider reviews the submission — often within hours — to determine appropriate treatment, with medication shipped free within 48 hours of approval.
Willow's process, per its site, follows a similar asynchronous shape: complete an online health questionnaire, receive a same-day review from a U.S.-licensed doctor, and — if approved — have medication shipped, with pharmacy processing reportedly taking 2–4 business days plus 2–3 additional days in transit.
Guarantees and ongoing support
Neither company's published materials describe a formal money-back or weight-loss guarantee. TelosRX includes unlimited care-team messaging and quarterly labs as part of its ongoing support, with the ability to cancel anytime. Willow's site describes care-team messaging, free follow-up appointments, 24/7 customer support, and peer-community access, with cancellation available by messaging its care team — though its FAQ asks that cancellation requests be submitted about 2 business days ahead of the next processing date to avoid being billed for the following cycle.
Safety and medical oversight
GLP-1 medications, whether compounded or branded, are not appropriate for everyone. Common contraindications include a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, a history of pancreatitis, and pregnancy or plans to become pregnant. Gastrointestinal side effects — nausea, constipation, or diarrhea — are commonly reported. With any telehealth provider, approval is subject to a licensed provider's individual evaluation and is never guaranteed, and individual results vary from person to person.
Which service is right for you?
TelosRX
Best for patients who want a published, itemized price for every medication format, dosing flexibility across four compounded options, and a LegitScript-certified pharmacy relationship.
Start your intake →Willow
May suit patients in one of its 33 available states who prefer a single flat monthly price and a smaller, simpler medication menu.
If you're ready to see TelosRX's published pricing and start an intake, you can begin at start.telosrx.com/start-online-visit/weightloss in about 5 minutes.
Frequently Asked Questions
Is TelosRX legitimate?
Yes. TelosRX is a LegitScript-certified online telehealth provider offering compounded GLP-1 medications through a licensed provider review process.
Are the medications FDA-approved?
No. Both TelosRX's and Willow's compounded tirzepatide and semaglutide formulations are prepared by licensed pharmacies under compounding regulations and are not FDA-approved drug products, unlike the patented branded versions of these medications.
How much does TelosRX cost vs Willow?
TelosRX's published pricing starts from $116/month for microdosed tirzepatide, with standard tirzepatide from $139/month. Willow's site lists flat pricing of $299/month for semaglutide and $399/month for tirzepatide. Exact costs depend on the plan, dose, and format chosen.
Is TelosRX fully online?
Yes. TelosRX is fully asynchronous — there's no mandatory video visit. Patients complete a short online intake, and a licensed provider reviews it, often within hours.
Can I switch from Willow to TelosRX?
Many patients switch telehealth weight-loss providers. You would complete TelosRX's intake questionnaire, and a licensed provider would evaluate whether treatment is appropriate for you independently of any prior provider relationship.
How fast is provider review?
TelosRX's licensed provider review is often completed within hours of submitting the roughly 5-minute intake questionnaire, with free 48-hour shipping once approved.
TelosRX is LegitScript-certified. Compounded medications, including tirzepatide and semaglutide, are not FDA-approved and are prepared by licensed pharmacies under state and federal compounding regulations. Treatment approval is subject to evaluation by a licensed provider and is never guaranteed. Individual results vary. TelosRX operates as an online-first, fully asynchronous telehealth service with no mandatory video visit. Visit TelosRX to learn more, or begin your intake today.