Provider review

Zealthy tirzepatide review

Low-cost entry with insurance routing. We checked the advertised price against what you are actually billed. True cost: $216 a month.

Illustration of bottles and boxes lined up on a shelf

Updated 2026-09-18 · Prices verified independently


Zealthy prices compounded tirzepatide from about $216 a month with no separate membership stacked on top, which makes it one of the more honestly structured mid-priced programmes here.

The first month is advertised at $39. After that the compounded pricing stands on its own, and because there is no recurring platform fee, the figure you are quoted is close to the figure you pay. That alone lifts it above several better-known competitors.

What you will actually pay

Tirzepatide at Zealthy
Advertised from$216/mo
Ongoing medication$216/mo
Membership or platform feeNone
True monthly cost$216/mo
Roughly, over a year$2,592

Compounded pricing quoted inclusive of the programme.

The widely quoted $25 a month figure applies to insured patients whose plan covers branded semaglutide. It is not a cash price and should not be used to compare against compounded programmes. Cash payers should work from $216 for tirzepatide.

How Zealthy works

Broad telehealth platform with a weight programme that offers both compounded medication and insurance-billed branded prescriptions.

Zealthy is a broad telehealth platform rather than a dedicated weight clinic, covering a wide range of unrelated conditions. That breadth cuts both ways: the infrastructure is solid, but the weight programme does not get the focused attention a specialist like Mochi gives it. Insurance routing is available where coverage exists.

The facts we verified

  • First month advertised at $39.
  • Compounded semaglutide priced from about $151/month.
  • Compounded tirzepatide priced from about $216/month.
  • Where insurance covers branded semaglutide, patient cost can fall to roughly $25/month.

Every figure above was checked on 2026-09-18. Pricing in this market moves, so treat anything older than a month as a starting point rather than a quote.

Where it is strong

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

Where it falls short

  • The $25/month figure depends entirely on insurance approval and is not a cash price.
  • Support is spread across a wide range of unrelated conditions.

The thing most people miss

The widely quoted $25/month is an insured price. Cash payers should plan on $151+ for semaglutide.

How it scored

Zealthy scores 3.5 out of 5 on our published rubric, placing it 13 of 23 for tirzepatide. The weights are fixed before we look at any provider and are set out in full on how we rate.

What we weighWeightScore
True monthly cost30%3.8 / 5
Price honesty20%3.5 / 5
Clinical support20%3.4 / 5
Pharmacy sourcing15%3.5 / 5
Cancelling15%3.3 / 5

Who it suits

A sensible middle option for a cash payer who wants no membership games but does not need a specialist clinic. Also worth a look if you want insurance explored without committing to Ro pricing.

Our verdict

Fairly priced and fairly advertised. It loses to Coreage Rx on cost and to Mochi on clinical depth, but it does not mislead you about either.

How it compares on tirzepatide

Providers ranked by our published rubric
#ProviderAdvertisedTrue monthlyScore
1Coreage Rx Top pick
Best overall on true monthly cost
$129$1994.5
2SuperHealthy Rx
Public offer; not independently scored
$135$135Not scored
3Likeness Rx
Public offer; not independently scored
$129$199Not scored
4Trimi
Lowest flat price with named pharmacies
$125$1254.6
5PlexusDx
Pharmacy transparency and genetic testing
$129$1894.4
6Ozari Health
Lowest advertised semaglutide price
$125$1254.4
7Fifty 410
Prepaid blocks with no subscription
$133$1334.2
8Ivím Health
Unlimited clinician access
$199$1994
9Mochi Health
Insurance concierge support
$199$278
incl. $79 fee
3.6
10Coby Health
Multi-month value with supplies included
$179$2393.6
11Hims & Hers
Widest range of formats
$199$238
incl. $39 fee
3.5
12Ro
Branded medication with insurance help
$149$448
incl. $149 fee
3.5

The full reasoning behind this order is in our best tirzepatide providers guide.

Read next

  • Coreage Rx tirzepatide review

    Best overall on true monthly cost. We checked the advertised price against what you are actually billed. True cost: $199 a month.

  • Likeness Rx tirzepatide review

    Public offer; not independently scored. We checked the advertised price against what you are actually billed. True cost: $199 a month.

  • Trimi tirzepatide review

    Lowest flat price with named pharmacies. We checked the advertised price against what you are actually billed. True cost: $125 a month.

  • The best tirzepatide providers in 2026

    23 programmes compared on what you actually pay in month two — not the teaser rate. Coreage Rx comes first.

  • Zealthy semaglutide review

    Low-cost entry with insurance routing. We checked the advertised price against what you are actually billed. True cost: $151 a month.

  • What you actually pay

    Six pricing tricks that turn a $99 advert into a $298 statement, and how to check before you hand over a card.

Coreage Rx pays us a commission on sign-ups through our links. It does not affect our scores or rankings. How we rate · Disclosure