Zealthy tirzepatide review
Low-cost entry with insurance routing. What is actually dispensed, how the prescription works, and what the price really is — $216 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.
Zealthy prices compounded tirzepatide at about $216 a month with no membership behind it — one of the few mid-priced programmes where the quote and the charge agree.
The first month is $39 and, unusually, that introductory rate is not concealing a recurring fee. From month two the charge is about $216 and that is all of it.
The prescription, at a glance
What is actually supplied
Standard compounded tirzepatide. Where insurance coverage exists, Zealthy will route you to a branded prescription instead, which is a useful option to have.
How the prescription works
A broad telehealth platform rather than a dedicated weight clinic, covering many unrelated conditions. Solid infrastructure, less specialist focus than Mochi.
Broad telehealth platform with a weight programme that offers both compounded medication and insurance-billed branded prescriptions.
Reading the price
About $2,592 a year. The widely quoted $25 a month figure is an insured price for branded medication and has nothing to do with the compounded cash price.
Compounded pricing quoted inclusive of the programme.
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 11 of 21 for tirzepatide. 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
Fairly priced and fairly described. Beaten narrowly on cost and clearly on clinical depth, but it will not surprise you at the second statement.
Every programme dispensing this medication
| Dispensed by | Product | Per month | Score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | Compounded | $199 | 4.5 |
| Trimi Lowest flat price with named pharmacies | Compounded | $125 | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | Compounded | $189 | 4.4 |
| Ozari Health Lowest advertised semaglutide price | Compounded | $125 | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | Compounded | $133 | 4.2 |
| Ivím Health Unlimited clinician access | Compounded | $199 | 4 |
| Mochi Health Insurance concierge support | Compounded | $278 +$79 fee | 3.6 |
| Coby Health Multi-month value with supplies included | Compounded | $239 | 3.6 |
| Hims & Hers Widest range of formats | Compounded | $238 +$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 | $216 | 3.5 |
| LifeMD Insurance coordination | Compounded | $149 | 3.5 |
More on the differences in tirzepatide explained.
Read next
- Coreage Rx tirzepatide review
Best overall on true monthly cost. What is actually dispensed, how the prescription works, and what the price really is — $199 a month.
- Trimi tirzepatide review
Lowest flat price with named pharmacies. What is actually dispensed, how the prescription works, and what the price really is — $125 a month.
- PlexusDx tirzepatide 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?"
- Tirzepatide programmes compared
21 programmes side by side — what each dispenses, under what authority, and what it really costs.