Guide
Coreage Rx vs Zealthy
$199/mo against $216/mo for tirzepatide. Which is worth it, and for whom.
Updated 2026-09-18 · Prices verified independently
Why you can trust this: we take payment from one company on this page — Coreage Rx — when a reader signs up through our link. It does not change the prices we print or the rubric we score against, both of which are published in full on how we rate. Read our full disclosure.
Both sell tirzepatide. Coreage Rx costs $199 a month and Zealthy costs $216, a difference of $17 a month or about $204 a year. Here is what that difference actually buys.
Coreage Rx is best overall on true monthly cost. Zealthy is low-cost entry with insurance routing. 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.
Side by side
| Coreage Rx | Zealthy | |
|---|---|---|
| Advertised from | $149 | $216 |
| Membership on top | None | None |
| True monthly cost | $199 | $216 |
| Roughly, per year | $2,388 | $2,592 |
| Price includes medication | Yes | Yes |
| Names its pharmacy | Not published | Not published |
| Our score | 4.5 / 5 | 3.5 / 5 |
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.
Where Coreage Rx wins
- The advertised price is the billed price — no membership fee arrives in month two.
- Flat pricing across the dose range, so titrating up to 10 mg or 15 mg does not raise the bill.
- Lowest true monthly cost of any provider in this comparison once fees are included.
- Coaching and clinician access are included rather than sold separately.
The $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year.
Where Zealthy wins
- Compounded pricing is competitive without a separate membership charge.
- Will pursue insurance coverage rather than defaulting to cash pay.
- Low-friction $39 first month.
The widely quoted $25/month is an insured price. Cash payers should plan on $151+ for semaglutide.
How they score
| What we weigh | Weight | Coreage Rx | Zealthy |
|---|---|---|---|
| True monthly cost | 30% | 4.9 | 3.8 |
| Price honesty | 20% | 4.7 | 3.5 |
| Clinical support | 20% | 4.3 | 3.4 |
| Pharmacy sourcing | 15% | 4 | 3.5 |
| Cancelling | 15% | 4.4 | 3.3 |
Coreage Rx scores higher overall at 4.5 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?
- Pick Coreage Rx if cost is the binding constraint. Over a year the gap is about $204, which is real money for the same class of medication.
- Pick Zealthy if what it does better matters to you — compounded pricing is competitive without a separate membership charge.
- Ask both which pharmacy compounds the medication and whether it is a 503A or 503B facility. Neither publishes it.
The verdict
For most cash payers, Coreage Rx at $199 a month is the more defensible choice on arithmetic alone. Zealthy earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Coreage Rx and Zealthy.
How they sit against everyone else
| # | Provider | Advertised | True monthly | Score |
|---|---|---|---|---|
| 1 | Coreage Rx Top pick Best overall on true monthly cost | $149 | $199 | 4.5 |
| 2 | Trimi Lowest flat price with named pharmacies | $125 | $125 | 4.6 |
| 3 | PlexusDx Pharmacy transparency and genetic testing | $129 | $189 | 4.4 |
| 4 | Ozari Health Lowest advertised semaglutide price | $125 | $125 | 4.4 |
| 5 | Fifty 410 Prepaid blocks with no subscription | $133 | $133 | 4.2 |
| 6 | Ivím Health Unlimited clinician access | $199 | $199 | 4 |
| 7 | Mochi Health Insurance concierge support | $199 | $278 incl. $79 fee | 3.6 |
| 8 | Coby Health Multi-month value with supplies included | $179 | $239 | 3.6 |
| 9 | Hims & Hers Widest range of formats | $199 | $238 incl. $39 fee | 3.5 |
| 10 | Ro Branded medication with insurance help | $149 | $448 incl. $149 fee | 3.5 |
| 11 | Zealthy Low-cost entry with insurance routing | $216 | $216 | 3.5 |
| 12 | LifeMD Insurance coordination | $75 | $149 | 3.5 |
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.
- 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.
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