Zealthy Review: Price, Pros & Cons

Zealthy's weight-loss program bills a monthly membership, and medication on top of it. The headline prices you'll see, $151 a month for compounded semaglutide and $216 a month for compounded tirzepatide, are medication only, and only when you buy a three-month supply. The membership comes on top of that and renews every month on the same date. New members get a discounted first month.

Zealthy also sells two all-in programs, Semaglutide + Doctor and Tirzepatide + Doctor, where the medication, pharmacy fulfillment and membership are billed together. Its policy says some members must sign up for several months of membership to receive enough medication for continuous care. Ask for the full monthly total, membership included, before you pay. Discounted quarterly, six-month and annual memberships also exist, and members who buy a three-month supply may get 20% off the next two months of membership.

Zealthy's providers can prescribe Wegovy, Zepbound, Ozempic and Mounjaro. A care coordination team then works with your insurer to get the drug covered, and Zealthy says a covered prescription can cost as little as $25 a month. That figure depends entirely on your plan, and coverage isn't promised. If insurance says no, the compounded route is the fallback.

The membership itself is not something your insurance pays for, and Zealthy says it usually isn't HSA or FSA eligible either.

• An online consultation, then a licensed Zealthy provider who handles prescriptions, refills and dose changes.
• Monthly video or phone check-ins with your provider.
• A dedicated weight-loss coach and unlimited secure messaging.
• Help with insurance paperwork for brand-name GLP-1s.

Zealthy is a broader clinic, so the same account covers primary care, mental health, hair loss, birth control and more. Compounded medication comes from a state-licensed sterile compounding pharmacy that Zealthy doesn't name. Compounded GLP-1s are not FDA-approved.

You cancel from your account under "manage membership," and you must do it before the renewal date or you'll be charged for the next month. Zealthy's policy is firm on refunds. Medication sales are final once a prescription is filled. Consultation and membership fees aren't refundable. A package that shows as delivered isn't refunded either; Zealthy will reorder it, but you pay again.

The policy also allows other charges, including no-show and late-rescheduling fees, delivery charges and any lab work your provider orders. Zealthy says it gives 30 days' notice before a membership price increase.

• Add the membership to the medication price to get your real monthly cost.
• Ask whether your state is served for the medication you want. Zealthy says availability varies by state.
• If you're counting on insurance, ask how long coverage checks usually take.