Direct Meds vs Zealthy
Direct Meds costs $37 less a month, and both sell semaglutide and tirzepatide.
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Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between Direct Meds and Zealthy, the first difference is cost: Direct Meds is $37 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Direct Meds leads our six-part score, 6.4 to 5.4. Both have drawn an FDA warning letter.
Direct Meds vs Zealthy price
Direct Meds is the cheaper way in: $249 a month against $286 a month at Zealthy. That is $37 less each month (13% lower), or about $444 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Direct Meds ($249 a month vs $286 a month); tirzepatide is cheaper at Direct Meds ($299 a month vs $351 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Direct Meds does not publish where it ships, and Zealthy lists 34 states.
Pricing
Direct Meds
'As low as $249' per month, on a 90-day supply billed monthly; some doses run as low as $237/mo.
'As low as $297' per month ($9.58 a day), an 84-day three-pack billed monthly.
'As low as $299' per month ($9.65 a day) on a 90-day supply billed monthly. Down from $399 earlier.
'As low as $399' per month ($12.87 a day).
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Both prices cover the clinician visit and shipping.
Direct Meds' price also covers the medication itself, which Zealthy does not claim.
Zealthy's price also covers coaching, which Direct Meds does not claim.
Direct Meds 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.
Direct Meds
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, Direct Meds scores 6.4 and Zealthy 5.4 out of 10.
Direct Meds is stronger on value (3.7 vs 3.0), user experience (8.0 vs 3.0), trust & safety (3.5 vs 3.0) and support (7.0 vs 5.5).
Zealthy is stronger on accessibility (7.4 vs 5.0).
Effectiveness is within half a point.
Direct Meds
6.4/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Direct Meds a warning letter dated September 9, 2025 (letter 716822), and it is still open.
Zealthy has 2 FDA warning letters on record.
Features & Coverage
| Feature | Direct Meds | Zealthy |
|---|---|---|
| Starting Price | ✓$249/mo | $286/mo |
| Features | ✓5 features | 3 features |
| States Available | Not disclosed | 34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓1 letter | 2 letters |
About Direct Meds
The FDA sent Direct Meds a warning letter in September 2025 over misleading marketing, and customers have reported a documented pattern of unexpected 3-month commitment charges. We list the company with both disclosed in full; read the warnings and the cons first. Its products are compounded semaglutide and tirzepatide, sold from Utah in injection and sublingual form.
Read our full Direct Meds 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
Direct Meds
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
Watch-outs
- Semaglutide costs $249 a month, 35% above the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Direct Meds a warning letter. Read what it alleges: 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
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
Direct Meds wins this one, 6.4 to 5.4, above all for compounded semaglutide at $249/month. It also costs $37 less each month than Zealthy. Zealthy fits better if coaching bundled into the price rather than sold separately is your priority.
Choose Direct Meds if…
You want compounded semaglutide at $249/month and an opening price near $249 a month.
Choose Zealthy if…
You want coaching bundled into the price rather than sold separately and an opening price near $286 a month.
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Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →HealthRX
Compounded semaglutide at $133/month
From $133/mo
Get started →RNK Health
An oral route if you will not self-inject
From $197/mo
Get started →Direct Meds vs Zealthy: FAQ
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