Zealthy vs Rila

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Zealthy

Provider comparison

Shoppers with insurance who want Zealthy's coordination team to chase brand-name coverage, rather than those seeking the lowest simple cash price.

Semaglutide / month: $297/moAll-in Doctor + GLP-1 plan, billed monthly, care and medication included, compounded; first month $217; or medication alone from $151/mo on a 3-month supply with the $135/mo membership
Tirzepatide / month: $449/moAll-in Doctor + GLP-1 plan, billed monthly, care and medication included, compounded; first month $349; or medication alone from $216/mo on a 3-month supply with the $135/mo membership

Index 63/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Zealthy pricing Read review

Rila

Provider comparison

Patients comparing injection and tablet options who can obtain a drug-specific quote and clarify the six-month commitment before enrolling.

Semaglutide / month: Shared injectable floor $198/mo with six-month commitment; semaglutide-specific total not disclosed
Tirzepatide / month: Shared injectable floor $198/mo with six-month commitment; tirzepatide-specific total not disclosed

Index 62/100 · Grade CChecked October 2026

Check Rila pricing Read review

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The comparison in brief

Zealthy has the higher Cost-Efficiency Index: 63/100 versus 62/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Zealthy: 34 states
Rila: All 50 states and Washington, D.C.; treatment and consultation requirements vary

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Zealthy

Rila

Semaglutide / month: Zealthy: $297/moAll-in Doctor + GLP-1 plan, billed monthly, care and medication included, compounded; first month $217; or medication alone from $151/mo on a 3-month supply with the $135/mo membership; Rila: Shared injectable floor $198/mo with six-month commitment; semaglutide-specific total not disclosed

Tirzepatide / month: Zealthy: $449/moAll-in Doctor + GLP-1 plan, billed monthly, care and medication included, compounded; first month $349; or medication alone from $216/mo on a 3-month supply with the $135/mo membership; Rila: Shared injectable floor $198/mo with six-month commitment; tirzepatide-specific total not disclosed

Semaglutide / year (modeled): Zealthy: $3,564; Rila: —

Tirzepatide / year (modeled): Zealthy: $5,388; Rila: —

State availability: Zealthy: 34 states; Rila: All 50 states and Washington, D.C.; treatment and consultation requirements vary

Oral / sublingual option listed: Zealthy: Not listed; Rila: Yes

Brand-name access listed: Zealthy: Yes; Rila: Not confirmed

Provider facts checked: Zealthy: October 2026; Rila: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Zealthy

Shoppers with insurance who want Zealthy's coordination team to chase brand-name coverage, rather than those seeking the lowest simple cash price.

Reasons to consider it

Offers a real insurance-coordination path for branded Wegovy, Zepbound, Ozempic and Mounjaro, where most programs we track are cash-pay compounded only
The all-in 'Doctor + GLP-1' plans put care and medication in one monthly price, and its FAQ promises a full refund 'no questions asked' if you're found clinically ineligible
Broader platform than a single-purpose GLP-1 shop — primary care, mental health, and other services are available under the same account

What to weigh up

The most prominent prices ($151/month semaglutide, $216/month tirzepatide) are medication only on a 3-month supply; the $135/month membership comes on top
The all-in plans cost $297 (semaglutide) or $449 (tirzepatide) a month, roughly double the advertised medication-only figures
The advertised '$25/month' insurance price is not guaranteed — it depends on plan coverage and Zealthy's coordination team successfully securing it

Regulatory note: the FDA issued a warning letter to FitRX, LLC dba Zealthy in September 2025. We still list and link to Zealthy; you should know the letter is on the public record before you decide.

Compounded drugs are not FDA-approved. Understand the medication options.

Check Zealthy pricing Read the full Zealthy review

Rila

Patients comparing injection and tablet options who can obtain a drug-specific quote and clarify the six-month commitment before enrolling.

Reasons to consider it

Offers compounded injections and dissolving tablets for both medications
Names DrTelX and EPIQ Scripts, Foothills Professional Pharmacy and Emerald Pharmacy
Terms state service in all 50 states and Washington, D.C., subject to eligibility

What to weigh up

The $198 injection and $217 tablet floors are shared across drugs and require a six-month commitment
A full semaglutide- or tirzepatide-specific plan total is not published
Refund policy describes monthly automatic renewal; confirm obligations under the advertised commitment

Check Rila pricing Read the full Rila review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

ZealthyRila

Normalized Cost/Month: Zealthy:
51/100; Rila:
45/100

Price Transparency: Zealthy:
86/100; Rila:
60/100

Nationwide Access: Zealthy:
66/100; Rila:
86/100

Formulation Options: Zealthy:
79/100; Rila:
77/100

Clinical Oversight: Zealthy:
49/100; Rila:
65/100

Contract Flexibility: Zealthy:
41/100; Rila:
43/100

Before you sign up

Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.