Zealthy vs Hims & Hers

Both sell tirzepatide. Zealthy costs $216 a month and Hims & Hers costs $238, a difference of $22 a month or about $264 a year. Here is what that difference actually buys.

Zealthy is low-cost entry with insurance routing. Hims & Hers is widest range of formats. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though it usually is if you are paying cash and tolerate the medication well.

Put plainly. If you picked Zealthy over Hims & Hers and everything else went the same way, you would be $264 better off after a year. Whether that is the right trade depends on the differences below, not on the number alone.

Side by side

Prices verified 2026-09-18. "True monthly cost" is what you are billed in month two, once any introductory rate has lapsed and any membership has renewed.

What actually separates them

They differ on 2 of the 7 things we track. Those differences are what the price gap is buying.

What Zealthy publishes

• First month advertised at $39.
• Compounded semaglutide priced from about $151/month.

Where it wins: Compounded pricing is competitive without a separate membership charge. Watch for: The widely quoted $25/month is an insured price. Cash payers should plan on $151+ for semaglutide.

What Hims & Hers publishes

• Weight-loss membership advertised at $39 for the first month.
• Compounded GLP-1 injections priced from $199/month.

Where it wins: One account covers oral, compounded injectable and branded options. Watch for: The advertised entry prices and the membership are separate charges. Add $39/month to whatever medication figure you were quoted.

Where each is stronger

Zealthy.

• Compounded pricing is competitive without a separate membership charge.
• Will pursue insurance coverage rather than defaulting to cash pay.
• Low-friction $39 first month.

Hims & Hers.

• One account covers oral, compounded injectable and branded options.
• Large enough to keep supply steady when smaller sellers run dry.
• Branded Zepbound is available without leaving the platform.

How they score

Zealthy scores higher overall at 3.5 out of 5. The weights are published on how we rate, and so is the note about which of these is our paid featured partner.

Which should you pick?

If you want the plain answer: Zealthy, unless one of the differences above matters to you personally. Hims & Hers is not worse — it is aimed at somebody with a different problem, and paying $22 a month more for a problem you do not have is how people end up resenting a treatment that was working.

The verdict

We would tell a friend to start with Zealthy and move if it disappointed them. That is not a strong claim about either company; it is what the arithmetic supports when nothing else is pulling you.

Full detail in the Zealthy review and the Hims & Hers review.

How they sit against everyone else