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.

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.


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 5 of 12 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
$149$1994.5
2Mochi Health
Insurance concierge support
$199$278
incl. $79 fee
3.6
3Hims & Hers
Widest range of formats
$199$238
incl. $39 fee
3.5
4Ro
Branded medication with insurance help
$149$448
incl. $149 fee
3.5
5Zealthy
Low-cost entry with insurance routing
$216$2163.5
6LifeMD
Insurance coordination
$75$1493.5
7Noom Med
Behaviour change alongside medication
$149$1493.5
8Eden
Low advertised medication price
$199$298
incl. $99 fee
3.1
9Henry Meds
Sublingual and oral formats
$399$4493
10TrimRx
All-inclusive compounded pricing
$349$3992.9
11Willow
Straightforward single-price plans
$399$3992.9
12MEDVi
Tablet and injection choice
$399$3992.8

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.

  • Mochi Health tirzepatide review

    Insurance concierge support. We checked the advertised price against what you are actually billed. True cost: $278 a month.

  • Hims & Hers tirzepatide review

    Widest range of formats. We checked the advertised price against what you are actually billed. True cost: $238 a month.

  • Ro tirzepatide review

    Branded medication with insurance help. We checked the advertised price against what you are actually billed. True cost: $448 a month.

  • The best tirzepatide providers in 2026

    12 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.