Aspen vs Zealthy
Aspen costs $7 less a month, and both sell semaglutide and tirzepatide.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Aspen
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Aspen →
Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between Aspen and Zealthy, the first difference is cost: Aspen is $7 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Aspen leads our six-part score, 7.2 to 5.4. One of the two has an FDA warning letter on record, covered below.
Aspen vs Zealthy price
Aspen is the cheaper way in: $279 a month against $286 a month at Zealthy. That is $7 less each month (2% lower), or about $84 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Aspen ($279 a month vs $286 a month); tirzepatide is cheaper at Zealthy ($351 a month vs $399 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Aspen lists 51 states, and Zealthy lists 34 states.
They overlap in 34 states. Aspen alone covers 17 states, including Alaska, District of Columbia, Delaware and Hawaii.
Pricing
Aspen
Month-to-month rate (3-month minimum commitment, 3 months shipped upfront, no credit check); drops to $229/mo (3-mo), $209/mo (6-mo) or $179/mo on the 12-month prepay plan.
Aspen's "Most Prescribed" option; month-to-month rate drops to $329/mo (3-mo), $309/mo (6-mo) or $299/mo on the 12-month prepay plan. Same price at every dose.
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Both prices cover the clinician visit and shipping.
Aspen's price also covers the medication itself, which Zealthy does not claim.
Zealthy's price also covers coaching, which Aspen does not claim.
Aspen is silent on lab work and coaching.
Zealthy is silent on the medication itself and lab work.
That matters most for the drug: unless Zealthy confirms otherwise, budget for medication on top of its listed price.
Aspen
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Zealthy
Covered by the monthly price
Medication
Not stated
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Where each one scores higher
Overall, Aspen scores 7.2 and Zealthy 5.4 out of 10.
Aspen is stronger on user experience (8.0 vs 3.0), trust & safety (8.5 vs 3.0), accessibility (10.0 vs 7.4) and support (7.0 vs 5.5).
Zealthy is stronger on value (3.0 vs 2.0).
Effectiveness is within half a point.
Aspen
7.2/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Zealthy has 2 FDA warning letters on record.
Aspen has no FDA warning letter on record with us.
Features & Coverage
| Feature | Aspen | Zealthy |
|---|---|---|
| Starting Price | ✓$279/mo | $286/mo |
| Features | ✓8 features | 3 features |
| States Available | ✓51 | 34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 2 letters |
About Aspen
Month-to-month, semaglutide is $279/mo and tirzepatide $399/mo, less on prepay, with flat pricing at every dose. Even the monthly plan requires a 3-month commitment shipped upfront. Aspen Health Systems LLC is LegitScript-certified and sells compounded semaglutide and tirzepatide as physician-chosen weekly injections, filled by Red Rock Compounding Pharmacy, which is NABP-accredited. Shipping is free and expedited, no insurance is needed, and a money-back guarantee applies to patients who complete the 28-week program. Available in all 50 states and DC.
Read our full Aspen review →About Zealthy
Active federal litigation and two FDA warning letters are disclosed in full; the entry exists here only for completeness, and the warnings and cons sections should be read before considering it. Zealthy sells compounded semaglutide and tirzepatide on an asynchronous telehealth model. FitRX, LLC is the legal entity, recently renamed Gronk Inc.
Read our full Zealthy review →Pros & Cons
Aspen
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- We found no FDA warning letters issued to Aspen
Watch-outs
- Semaglutide costs $279 a month, 52% above the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Zealthy
What we like
- The monthly price includes clinician visits, shipping and coaching
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Serves only 34 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Zealthy 2 warning letters. Read what they allege: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Aspen wins this one, 7.2 to 5.4, above all for coverage in all 50 states, which most sellers will not confirm. It also costs $7 less each month than Zealthy. Zealthy fits better if coaching bundled into the price rather than sold separately is your priority.
Choose Aspen if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $279 a month.
Choose Zealthy if…
You want coaching bundled into the price rather than sold separately and an opening price near $286 a month.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Willow
Seeing what it charges before you answer any medical questions
From $299/mo
Get started →Sesame Care
Oral orforglipron alongside the injectables
From $59/mo
Get started →Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Aspen vs Zealthy: FAQ
Close alternatives to Aspen and Zealthy
- Aspen vs Joey Med
- Aspen vs Society of You
- Aspen vs Tryozi
- Aspen vs VirtualCare2Go
- Zealthy vs Joey Med
- Zealthy vs Society of You
Or see the full category ranking.