Provider review
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.
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.
At about $151 a month with no membership fee, Zealthy sits in the narrow band of compounded semaglutide programmes that cost roughly what they say they cost.
That is more than Coreage Rx at $99 on the annual plan, and considerably less than Eden or Mochi once their memberships renew. The $39 first month lowers the barrier to trying it without the usual trap of a teaser rate that triples.
What you will actually pay
| Semaglutide at Zealthy | |
|---|---|
| Advertised from | $151/mo |
| Ongoing medication | $151/mo |
| Membership or platform fee | None |
| True monthly cost | $151/mo |
| Roughly, over a year | $1,812 |
Among the lower compounded semaglutide prices with no separate membership stacked on top.
A cash-pay year is around $1,812. Coreage Rx on the annual plan is about $1,188. Eden, despite advertising a lower medication price, lands near $2,376. Zealthy is mid-table and transparent about it.
How Zealthy works
Broad telehealth platform with a weight programme that offers both compounded medication and insurance-billed branded prescriptions.
The platform handles the prescription, the shipment and the follow-ups competently. Where insurance might cover branded Wegovy, Zealthy will pursue it, which can bring patient cost down to roughly $25 a month — but only with coverage.
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 5 of 9 for semaglutide. The weights are fixed before we look at any provider and are set out in full on how we rate.
| What we weigh | Weight | Score |
|---|---|---|
| True monthly cost | 30% | 3.8 / 5 |
| Price honesty | 20% | 3.5 / 5 |
| Clinical support | 20% | 3.4 / 5 |
| Pharmacy sourcing | 15% | 3.5 / 5 |
| Cancelling | 15% | 3.3 / 5 |
Who it suits
Good for someone who wants a straightforward price without a membership and does not need specialist weight-clinic care.
Our verdict
Unremarkable in the best sense. No fee games, no teaser-rate whiplash, and a price that holds still.
How it compares on semaglutide
| # | Provider | Advertised | True monthly | Score |
|---|---|---|---|---|
| 1 | Coreage Rx Top pick Best overall on true monthly cost | $99 | $149 | 4.5 |
| 2 | Mochi Health Insurance concierge support | $99 | $178 incl. $79 fee | 3.6 |
| 3 | Hims & Hers Widest range of formats | $79 | $188 incl. $39 fee | 3.5 |
| 4 | Ro Branded medication with insurance help | $149 | $448 incl. $149 fee | 3.5 |
| 5 | Zealthy Low-cost entry with insurance routing | $151 | $151 | 3.5 |
| 6 | LifeMD Insurance coordination | $75 | $149 | 3.5 |
| 7 | Noom Med Behaviour change alongside medication | $79 | $149 | 3.5 |
| 8 | Eden Low advertised medication price | $99 | $198 incl. $99 fee | 3.1 |
| 9 | Henry Meds Sublingual and oral formats | $179 | $297 | 3 |
The full reasoning behind this order is in our best semaglutide providers guide.
Read next
- Coreage Rx semaglutide review
Best overall on true monthly cost. We checked the advertised price against what you are actually billed. True cost: $149 a month.
- Mochi Health semaglutide review
Insurance concierge support. We checked the advertised price against what you are actually billed. True cost: $178 a month.
- Hims & Hers semaglutide review
Widest range of formats. We checked the advertised price against what you are actually billed. True cost: $188 a month.
- Ro semaglutide review
Branded medication with insurance help. We checked the advertised price against what you are actually billed. True cost: $448 a month.
- The best semaglutide providers in 2026
9 programmes compared on what you actually pay in month two — not the teaser rate. Coreage Rx comes first.
- 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.
- 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.