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Willow vs. Ro: Which Online Weight Loss Program Is Better?

The Josie Team

The Josie Team

Health & Wellness Editors

Dr. Rida Asghar

Medically reviewed by

Dr. Rida Asghar

MBBS, OBGYN

Published July 13, 2026

Compounded GLP-1 medications are not FDA-approved and have not been evaluated for safety, effectiveness, or quality. This content is for informational purposes only and is not medical advice. Always consult a licensed healthcare provider before starting any treatment.

Willow and Ro both offer GLP-1 medications for eligible patients, but they take very different approaches to medicated weight loss. We compare how each program works, what they cost, the medications they offer, and who each one is the better fit for.

Both Willow and Ro offer GLP-1 medications for eligible patients and connect them with licensed medical providers, but they take different approaches to medicated weight loss.

Ro is well-known for its celebrity endorsements, its insurance-first model, and its emphasis on FDA-approved medications. Willow has gained attention for its more personalized approach to patient eligibility, compounded medications, and self-pay care model.

So which platform is right for you? Which is better?

In this guide, we'll compare Willow vs. Ro, including:

  • How each program works
  • GLP-1 medications offered
  • Pricing and insurance
  • Ongoing medical support
  • Compounded vs. FDA-approved medications
  • Patient eligibility
  • Pros and cons
  • How Join Josie compares

Willow Quick Info

Willow is an online weight loss platform that offers personalized GLP-1 medication treatment plans for those interested and eligible for prescription weight loss medications.

One aspect that sets Willow apart from other GLP-1 providers is its individualized approach to patient eligibility. Unlike many providers who rely solely on BMI thresholds to approve or disapprove medication, Willow states that its providers evaluate each patient based on a number of additional factors, including their overall health, medical history, and personal weight loss goals, to determine if treatment is appropriate. Because of this approach, Willow is lowering the barrier to entry for some individuals.

Depending on your needs, your care plan may include:

  • Compounded GLP-1 medications
  • Nutrition and lifestyle guidance
  • Ongoing provider support
  • Access to a community of fellow Willow members

Willow’s flexible, self-pay model has made it a popular option for people who want streamlined access to medical weight loss.

Ro Quick Info

Ro is one of the largest telehealth companies in the US; it's endorsed by some pretty big names, and it offers medical weight loss through its “Ro Body” program.

Ro is focused on offering evidence-based obesity treatments and primarily helps patients access FDA-approved medications while working with their insurance company whenever possible.

Ro is more than just a weight loss provider; they also offer treatments for everything from sexual health and fertility to hair and skin - making them a well-rounded telehealth platform that serves multiple needs.

GLP-1 Medication Approach

Both Willow and Ro prescribe GLP-1 medications for eligible patients, but their treatment philosophies and product availability differ.

Willow

Willow is a big proponent of individualized care, evaluating each patient’s medical history, overall health, and weight-loss goals before recommending treatment options. One of the biggest differentiating factors between Willow and its competitors is the fact that Willow states its providers may evaluate patients across a broader range of weight loss goals than some traditional obesity medication programs. Instead of solely relying on traditional BMI thresholds, providers consider the whole patient when determining eligibility.

Willow emphasizes individualized care. Providers evaluate each patient's medical history, overall health, and weight-loss goals before recommending treatment.

Treatment options from Willow include:

  • Compounded GLP-1 medications when clinically appropriate and legally available
  • Personalized dosing based on provider recommendations
  • Both injectable and oral options

Ro

Ro takes a more traditional approach to medical weight management, centering its care around evidence-based obesity treatment. Providers with Ro determine eligibility through a medical evaluation and generally prescribe FDA-approved GLP-1 medications according to established clinical guidelines. For patients with health insurance, Ro assists with prior authorization for eligible medications.

Medication recommendations from Ro will ultimately depend on medical history, clinical appropriateness, and applicable insurance coverage. Ro offers brand-name GLP-1 medications in both injection and oral forms.

Pricing and Insurance

The pricing models are another major difference between these two companies.

Willow

Willow is a self-pay program, meaning that they do not accept insurance. Many patients choose Willow because they appreciate the straightforward experience, simplistic pricing, and no need to wait for insurance approval. Willow offers month-to-month plans only, with no long-term commitments, making them an easy choice for those who don’t want to be locked into anything.

Willow’s pricing depends on the product and may vary depending on dose. Willow does accept HSA and HRA cards.

Ro

Ro is focused on insurance coverage, but they do offer self-pay options as well. They work with many insurance plans and help eligible patients obtain prior authorization for FDA-approved GLP-1 medications. For patients with insurance that covers obesity medications, this approach can help to reduce the overall treatment costs. However, insurance coverage varies significantly by individual insurance plans.

Which Program Is Better?

Neither Ro nor Willow is inherently better than the other, as they offer quite different approaches to GLP-1 medications.

Willow May Be a Better Fit If You:

  • Prefer a personalized evaluation rather than relying primarily on traditional BMI thresholds.
  • Want a flexible self-pay experience.
  • Are interested in individualized treatment plans.
  • Prefer access to both compounded medications.
  • Value ongoing provider communication and a supportive community.

Ro May Be a Better Fit If You:

  • Plan to use insurance whenever possible.
  • Meet standard medical eligibility criteria for GLP-1 therapy.
  • Prefer FDA-approved brand-name medications.
  • Want support navigating insurance prior authorizations.
  • Prefer a large, established national telehealth platform.

How Join Josie Compares

While Willow and Ro undoubtedly offer quality medical weight loss options, Join Josie stands out because it was created specifically for women navigating weight loss and hormone-related health issues during perimenopause and menopause.

Instead of taking a “one-size-fits-all” approach to weight management, Join Josie focuses on the hormonal changes that can make weight loss significantly more difficult after age 35, while providing individualized care. Join Josie offers:

  • Personalized GLP-1 treatment plans for eligible patients
  • Microdosing options when clinically appropriate
  • Access to compounded and FDA-approved medications based on provider recommendations and availability
  • Hormone replacement therapy (HRT) for eligible patients
  • Ongoing communication with licensed medical providers
  • Transparent self-pay pricing
  • Care designed specifically for women in perimenopause and menopause

For women balancing weight gain, hormonal changes, and menopause symptoms, having both weight management and hormone expertise in one place can simplify care, while helping patients feel less alone on their journey.

Final Thoughts

Willow and Ro are both reputable sources for obtaining GLP-1 medications and ongoing support for eligible patients.

Choose Willow if you’re seeking a personalized evaluation, a flexible self-pay model, and compounded medications.

Choose Ro if using your insurance coverage is a priority or having access to name-brand FDA-approved medications is a priority.

And if you’re a woman navigating weight gain during perimenopause or menopause, give Join Josie a try. Josie offers personalized GLP-1 treatments, HRT, and menopause focused care for eligible patients - all in one streamlined program.

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