Price transparency
What is disclosed before intake, not a clinical rating.
Zealthy combines online prescribing, insurance coordination and weight-loss coaching. Its public page promotes brand-name treatment with insurance and cash-pay compounded semaglutide, but the prominent low prices come with conditions. The $25 brand-name figure depends on insurance, while $151 semaglutide is a quarterly purchase rate rather than a stand-alone monthly quote.
Zealthy does not pay us. We review it so you can compare it with the programs that do. Disclosure
Zealthy publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
Zealthy at a glance
- Price visibility
- Published before intake
- Pharmacy information
- Not publicly named
- Where it operates
- Not published — confirm availability for your state and prescribed treatment
The verdict
Zealthy shows a price before the medical intake, but the advertised figure comes with conditions the headline leaves out, or its own terms don't fully back it up. It ranks 53 of 65 on price transparency.
The score beside Zealthy's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.
Considering Zealthy?
Confirm the plan, billing terms and availability before you begin.
What do you get with Zealthy?
- A provider reviews your online medical questionnaire
- Insurance coordinators help explore coverage for brand-name GLP-1 treatment
- Compounded semaglutide is described as an option without insurance
- Coaching messages for nutrition, fitness and progress
- Online refill and treatment management
How does Zealthy work?
Share health information
Complete the medical questionnaire and provide insurance details if relevant.
Provider review
A clinician determines whether treatment is appropriate.
Review coverage and charges
Confirm your medication cost, any program fee and the purchase interval.
Continue with support
Use provider access and coaching as your treatment progresses.
How much does Zealthy cost?
From $151/mo when purchased quarterly; complete ongoing month-to-month total not established
Not published
Not published — confirm availability for your state and prescribed treatment
Zealthy advertises semaglutide as low as $151 per month when purchased quarterly. Its brand-name $25 figure depends on insurance coverage and is not a universal cash price. The page does not establish a complete month-to-month total or a current tirzepatide cash price.
- Ask for the full quarterly charge and the ongoing renewal amount.
- The homepage advertises a $96 program discount; that does not establish a medication price or ongoing fee.
- Insurance coordination does not guarantee coverage or a particular copay.
- Compounded semaglutide is not FDA-approved.
Considering Zealthy?
Confirm the plan, billing terms and availability before you begin.
Who is Zealthy best for?
A good fit if
- Patients who want help exploring insurance coverage
- People who want coaching alongside prescription care
Look elsewhere if
- Cash-pay shoppers treating $25 as a guaranteed price
- Anyone who wants a clearly published all-in monthly total
Considering Zealthy?
Confirm the plan, billing terms and availability before you begin.
What are Zealthy's pros and cons?
Pros
- Insurance coordination is part of the service
- Coaching supports nutrition and activity
- The quarterly condition is disclosed beside the semaglutide offer
Cons
- The $151 headline requires a quarterly purchase
- An all-in ongoing one-month price is not established
- A tirzepatide cash quote is not provided on the public page
The pharmacy behind the medicine
It does not name its pharmacy. Zealthy does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.
A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.
What is on the public record
FDA warning letter
FDA issued a warning letter to FitRX, LLC dba Zealthy in September 2025. It is on the public record in FDA's warning-letter database.
We link the agency's own index rather than summarize what the letter says. It changes neither where this program sits in our ranking nor whether we are paid for a click to it, and you should know both of those at once.
What else do people ask about Zealthy?
Is $25 the cash price?
No. The brand-name figure is tied to insurance coverage and individual eligibility.
Can I buy semaglutide for $151 month-to-month?
The advertised $151 figure requires a quarterly purchase.
Does Zealthy help with insurance?
It describes coordinators who assist with brand-name coverage. The insurer still makes the coverage decision.
Is coaching included in the service?
The public program describes coaching messages and nutrition and fitness support.
Sources for this review
Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.
How it compares
Zealthy ranks 53 of 65 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.
Because Zealthy shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking.
Brand-name Wegovy pill from $149/mo medication or pen $199/mo eligible two-month starter offer; membership $39 first month, then $149/mo on monthly plan; dose and prepayment change totalsShow the full pricing note
Wegovy brand-name medication extra; membership $74/mo with 12-month commitment or $84/mo with 6-month commitment after the $25 first month; dose and coverage affect totalShow the full pricing note
Brand-name Wegovy pill from $149 plus $149/mo ongoing membership, pen from $199 plus membership
Brand-name Wegovy pill from $149 plus $149/mo ongoing membership, pen from $199 plus membership
Compounded semaglutide: $149/2-month new-customer starter; monthly page $149 vs signup $199. Conflicting offers; ongoing month-to-month total not established.Show the full pricing note
Read this before you start
Prices change — confirm on Zealthy's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.