Zealthy semaglutide review
Low-cost entry with insurance routing. What is actually dispensed, how the prescription works, and what the price really is — $151 a month.
Updated 2026-09-18
Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.
About $151 a month for compounded semaglutide, with no membership fee — which puts Zealthy among the small group of programmes whose advertised price is the actual price.
The $39 first month lowers the barrier without the usual teaser-rate reversal. From month two it is $151 and nothing else.
The prescription, at a glance
What is actually supplied
Standard compounded semaglutide, with a branded route available where insurance covers it.
How the prescription works
Competent and unremarkable. Insurance is pursued where coverage plausibly exists, which can bring patient cost to roughly $25 a month — with coverage only.
Broad telehealth platform with a weight programme that offers both compounded medication and insurance-billed branded prescriptions.
Reading the price
About $1,812 a year, second only to the flat-rate leader among honestly priced programmes.
Among the lower compounded semaglutide prices with no separate membership stacked on top.
What 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.
Checked 2026-09-18. Pricing here changes frequently; treat anything older than a month as a starting point rather than a quote.
Strengths
- Compounded pricing is competitive without a separate membership charge.
- Will pursue insurance coverage rather than defaulting to cash pay.
- Low-friction $39 first month.
Drawbacks
- 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.
Important. 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, placing it 10 of 17 for semaglutide. Weights are fixed before assessment and published on how we rate.
| Criterion | 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 |
Our verdict
A sound middle option. No fee games and no surprises, which in this market is worth more than it should be.
Every programme dispensing this medication
| Dispensed by | Product | Per month | Score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | Compounded | $149 | 4.5 |
| Trimi Lowest flat price with named pharmacies | Compounded | $99 | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | Compounded | $189 | 4.4 |
| Ozari Health Lowest advertised semaglutide price | Compounded | $86 | 4.4 |
| Ivím Health Unlimited clinician access | Compounded | $199 | 4 |
| Mochi Health Insurance concierge support | Compounded | $178 +$79 fee | 3.6 |
| Coby Health Multi-month value with supplies included | Compounded | $229 | 3.6 |
| Hims & Hers Widest range of formats | Compounded | $188 +$39 fee | 3.5 |
| Ro Branded medication with insurance help | FDA-approved brand | $448 +$149 fee | 3.5 |
| Zealthy Low-cost entry with insurance routing | Compounded | $151 | 3.5 |
| LifeMD Insurance coordination | Compounded | $149 | 3.5 |
| Noom Med Behaviour change alongside medication | Compounded | $149 | 3.5 |
More on the differences in semaglutide explained.
Read next
- Coreage Rx semaglutide review
Best overall on true monthly cost. What is actually dispensed, how the prescription works, and what the price really is — $149 a month.
- Trimi semaglutide review
Lowest flat price with named pharmacies. What is actually dispensed, how the prescription works, and what the price really is — $99 a month.
- PlexusDx semaglutide review
Pharmacy transparency and genetic testing. What is actually dispensed, how the prescription works, and what the price really is — $189 a month.
- What "compounded" actually means
Not a knock-off, not an approved drug. A specific legal category with specific consequences — explained without the scare tactics or the sales pitch.
- 503A vs 503B pharmacies
Two different licences, two different rulebooks, two very different answers to "who checked this?"
- Semaglutide programmes compared
17 programmes side by side — what each dispenses, under what authority, and what it really costs.