Verdict
Pros
- Membership and compounded semaglutide billed as one $297/mo price, no separate medication invoice.
- Insurance-coordination team pursues coverage for branded GLP-1s.
- Low $217 first month to start.
- HSA and FSA accepted.
- Online intake with provider review, no in-person visit.
Cons
- All-in price is mid-pack, well above the cheapest compounded programs.
- Membership is recurring and cannot be paused.
- The advertised $151/mo is medication-only and excludes the membership.
- New to the chart, so its outcomes track record is unproven.
- Care is largely asynchronous.
Cash-pay patients who want the membership and compounded medication billed as one number, or who want help coordinating insurance for a branded GLP-1.
Patients who want the lowest possible compounded price, or who do not want a recurring membership.
Pricing
Semaglutide bundle $217 first month, then $297/mo all-in. Tirzepatide bundle $349 first month, then $449/mo.
| Signup / one-time | None |
| Membership / subscription | None |
| Medication (varies by dose) | n/a |
| All-in, lowest maintenance dose | $297/mo |
Price since we started tracking
Tracking started Jun 20, price held at $297/mo. We check it every Monday. See the full price tracker.
See how Zealthy compares with every path in our GLP-1 cost guide, or check the live price index for the full chart.
Lock-in & cancellation
Month-to-month
Membership can be cancelled online through the Zealthy portal. Memberships are recurring and billed monthly. Medication is non-refundable.
Medication options
Compounded semaglutide and tirzepatide for the cash-pay path; branded GLP-1s routed through an insurance-coordination team where coverage applies. FDA's proposed 503B bulk drug substances list would restrict which compounded GLP-1s outsourcing pharmacies may make; the public comment period closes 2026-06-29.
The FDA officially removed semaglutide from the drug-shortage list in February 2025, which narrowed the legal basis for routine 503A compounding of exact-copy semaglutide. Zealthy addresses this by using a personalized-formulation model (the compound includes an additional active ingredient like vitamin B12) which is legally distinct from the FDA-approved product. The active GLP-1 molecule is the same; the regulatory framing is different. Some state pharmacy boards have tightened oversight in 2025-2026. For the full background see our compounded vs FDA-approved breakdown.
FDA-approved branded
- Wegovy (insurance coordination)
- Zepbound (insurance coordination)
- Ozempic (insurance coordination)
- Mounjaro (insurance coordination)
Compounded
- Compounded semaglutide
- Compounded tirzepatide
Other medications
- None offered
- Compounded GLP-1s are not FDA-approved and are made by a licensed pharmacy under a prescription.
- FDA's proposed 503B bulk drug substances list would restrict which compounded GLP-1s outsourcing pharmacies may make; the public comment period closes 2026-06-29.
Read the buyer's guide for the medications Zealthy covers: compounded semaglutide, compounded tirzepatide.
Where it's compounded
| Pharmacy | Partner compounding pharmacies (not individually named on the public site) |
| Regulatory model | 503A (state-licensed, patient-specific prescriptions) |
| Disclosure | Disclosed to patients at intake |
Zealthy does not name its compounding pharmacy partners on its public pricing pages. FDA's proposed 503B bulk drug substances list would restrict which compounded GLP-1s outsourcing pharmacies may make; the public comment period closes 2026-06-29.
For background on 503A vs 503B regulation and how to vet a compounding pharmacy, see Which pharmacy compounds your GLP-1, and why it matters.
Onboarding experience
Time to first prescription: 2 days.
Consultation type: Online consultation reviewed by a licensed provider, with optional coaching.
Requirements: Online health questionnaire and provider review. No in-person visit required..
Zealthy reviews: what members report
User feedback centres on the convenience of one bundled price and the insurance-coordination help, with some confusion over the membership being separate from the lower medication-only teaser figure.
What works
- Single bundled price for membership and medication
- Insurance-coordination help for branded GLP-1s
- Low first-month cost to start
What to watch
- Recurring membership cannot be paused
- Medication-only teaser price is quoted before the membership is added
- Care is largely asynchronous
How we scored Zealthy
Five dimensions, ten points each, weighted equally. Overall is the simple average.
Transparency
Terms
Experience
Options
Outcomes
Frequently asked questions
What does Zealthy's $297/mo actually include?
Is Zealthy's compounded semaglutide the same as Wegovy or Ozempic?
Does Zealthy take insurance?
Can I cancel Zealthy?
Alternatives to Zealthy
If Zealthy isn't the right fit, here are three programs we'd consider as next options:
Before committing to a cash-pay path, check whether your insurance covers a GLP-1 at the payer coverage center. On Medicaid, see Medicaid GLP-1 coverage by state first. If you need PA paperwork, the prior authorization letter library has templates for all major plans. Already denied? The appeal letter library has 120 templates by denial reason.
Learn the category before you commit
Read these before signing up for any GLP-1 telehealth program, Zealthy included:
Before committing to a cash-pay path, check whether your insurance covers GLP-1s at the payer coverage center. On Medicaid? See Medicaid GLP-1 coverage by stateto confirm your state’s formulary status before choosing a cash-pay program.
Similar programs
The three programs closest to Zealthy on insurance model, medication supply and overall score, for comparison before you commit.
