Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our semaglutide provider ranking, above Zealthy at #120.
Read the Care Bare Rx review →
Provider review
Zealthy cost: $297/mo semaglutide
"No hidden fees" appears six times beside an undisclosed $100 dose surcharge.
Titrating semaglutide to a standard 2mg dose costs an extra $100 a month, and tirzepatide to 10mg an extra $200 — both disclosed only inside a collapsed FAQ on the page making the claim.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
2 of 4 disclosed openly
What Zealthy discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit ZealthyPharmacy
Not categorized
Labs
Not included for weight loss and not priced
States
All 50 states
On this page
What it actually costs
$297/moSemaglutide, per month
What this price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not confirmed
Coaching
Not confirmed
The catch — Two mechanisms, plus a third that is not a cash price at all. The advertised figures are first-month rates. The dose surcharge — $100/month at standard semaglutide doses, $200 at standard tirzepatide doses — is disclosed only in a collapsed FAQ on pages that repeat "No hidden fees" six times. And the "$25/month" branded headline is an insurance copay requiring an approved prior authorization, not a price Zealthy charges.
See plans at ZealthyPrices read from Zealthy's own site · August 2026
What they advertise
"$217 for the first month" for the semaglutide bundle and "$349 for the first month" for tirzepatide, alongside a homepage claim that branded GLP-1s run "as low as $25/month."
What you actually pay
$297/month for the semaglutide bundle and $449/month for tirzepatide, medication and care together. Unbundled, the membership is $135/month with medication billed separately and no one-month medication price published; its "as low as $151" figure requires a three-month prepay and sits on top of the membership.
Money you will meet later
- A $135/month membership on the unbundled route, which its own membership terms state is not reimbursable through an HSA or FSA — directly contradicting its FAQ answer that HSA and FSA funds are accepted.
- No-show fees, late rescheduling fees, delivery charges and any diagnostic testing the provider recommends are all reserved in its membership terms, none of them priced.
The bottom line
Zealthy (getzealthy.com, operated by FitRX, LLC) sells compounded semaglutide and tirzepatide two ways, and the two are priced on entirely different logic. The bundled route puts medication and care together: $297 a month for semaglutide, $449 for tirzepatide, each advertised at an $80-to-$100 discount for the first month. The unbundled route charges a $135 monthly membership with medication billed separately — and Zealthy never publishes a one-month medication price for that route anywhere, so its floor is a membership fee plus an unknown. Layered on both is a dose surcharge the pages do not lead with: reaching a standard semaglutide dose adds $100 a month, and a standard tirzepatide dose adds $200. At the top of the label range the tirzepatide bundle is $649 a month, not the $449 advertised.
Zealthy appears on our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want coaching bundled rather than sold separately — a dedicated weight-loss coach, unlimited messaging and a care coordinator are included, and an insurance team will file up to three prior authorizations.
- You want cancellation you can perform yourself: it is genuinely self-service in the portal, with no phone call or email required.
- You have commercial insurance and want help pursuing a branded GLP-1 through it rather than paying cash for a compounded one.
Look elsewhere if
- You will titrate to a standard dose. The advertised price covers the lower doses; the surcharge at standard doses is $100 a month for semaglutide and $200 for tirzepatide.
- You want to compare the unbundled route on price — Zealthy publishes no one-month medication figure for it, only a "$151/month" that requires a three-month prepay and excludes the $135 membership.
- You are on Medicare or Medicaid. Its weight-loss program is not available to members using government insurance.
What Zealthy offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Zealthy does not name the pharmacy that fills your prescription.
What its own site says
No compounding pharmacy is named anywhere on its own properties. The regulatory category appears as one line in a bulleted list of accreditations held by an unnamed set of facilities, and its Terms of Use call them only certain third-party pharmacies. The single named pharmacy on the site appears in its hair-loss FAQ, not for GLP-1.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
All 50 states
Its FAQ states services are available to eligible members in all 50 states, unqualified. The exclusions it does publish are payer-based rather than geographic: the weight-loss program is not available to members on Medicare or Medicaid.
The honest cons
The part they would rather you skipped
The pages disagree with each other more than a reader can reasonably be expected to reconcile. Its pricing page advertises two different first-month discounts in two places, producing two different starting prices. Its tirzepatide landing page answers the cost question with the semaglutide bundle's price, a $152 discrepancy inside its own FAQ. A link in that FAQ pointing readers to the tirzepatide bundle is dead. And the 30-day "no questions asked" refund promised on the bundle pages is narrowed by the refund policy to all sales being final, then narrowed again by the FAQ to cases where a provider finds you clinically ineligible.
- A dose surcharge of $100/month (semaglutide) or $200/month (tirzepatide) at standard doses, disclosed only in a collapsed FAQ on pages that repeat "No hidden fees" six times.
- The unbundled route publishes no one-month medication price at all, so its true floor cannot be determined from the site.
- The "as low as $25/month" branded headline is an insurance copay requiring an approved prior authorization, not a price it charges.
- "30-day refund, no questions asked" on the bundle pages is contradicted by a refund policy stating all sales are final.
None of this is unique to Zealthy — the whole category shares it.
How it compares
The providers we rank on our semaglutide provider ranking — the most specific board Zealthy sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- Sesame CareA flat, medication-included semaglutide plan — tirzepatide works nothing like it.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Telos RxNames the states it can't serve — but the price you see probably isn't the real one.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
153 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Zealthy's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect Zealthy's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Zealthy's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Zealthy
$297/mo · Semaglutide