GLP Watchdog

Direct Meds vs Zealthy

Direct Meds has an open FDA warning letter dated September 9, 2025. Zealthy has an open FDA warning letter dated September 9, 2025. No price lines up like for like. They share compounded semaglutide injection, but Zealthy's $286 covers the medication only, with a separate membership on top.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Direct Meds / Zealthy

Featured pick (affiliate partner)

Direct Meds logo

Direct Meds

7.1/10

Zealthy logo

Zealthy

5.6/10

FDA warning letters
Pharmacy
None named in our record
None named in our record
Lowest standing price
$249/moCompounded oral semaglutide
$286/moCompounded semaglutide injection, medication only, membership extra
States
48 states and DC
All 50 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Direct Meds
Visit Zealthy

Direct Meds is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. Zealthy pays us nothing. The scores are computed the same way for both and are shown as computed (Direct Meds 7.1, Zealthy 5.6). How we are paid

What the record shows

  1. 01

    Direct Meds has an open FDA warning letter dated September 9, 2025. Zealthy has an open FDA warning letter dated September 9, 2025.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    No price lines up like for like. They share compounded semaglutide injection, but Zealthy's $286 covers the medication only, with a separate membership on top.

  4. 04

    Only Direct Meds lists a price for compounded oral semaglutide and compounded oral tirzepatide.

  5. 05

    Zealthy covers two states Direct Meds does not.

  6. 06

    Direct Meds holds you to a 90-day supply shipped at once, remaining months billed every 30 days; Zealthy states you can cancel at any time.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Direct Meds

Zealthy

Compounded semaglutide injection

$297/mo

$3,564 a year

$286/mo

medication only, membership extra; not compared

Compounded tirzepatide injection

$399/mo

$4,788 a year

$351/mo

medication only, membership extra; not compared

Compounded oral semaglutide

$249/mo

$2,988 a year

Not sold or not priced
Compounded oral tirzepatide

$299/mo

$3,588 a year

Not sold or not priced
Price includes
Medication, clinician visits, shipping
Clinician visits, shipping, coaching
Cancel any time
No
Yes, stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
Monthly membership that renews automatically; quarterly, semi-annual and annual memberships are also sold
Refunds
No refunds for medication already received; $35 disposal fee on returns
Medication, consultation and membership charges are non-refundable

Read off each seller’s own pages. Direct Meds: October 17, 2026. Zealthy: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10
Featured pick (affiliate partner)
  • Sells compounded oral semaglutide and compounded oral tirzepatide, which Zealthy does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

The case for Zealthy

5.6/10
  • States you can cancel at any time
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Lowest price covers the medication only, with a separate membership on top
Visit Zealthy

Scores

Direct Meds 7.1 · Zealthy 5.6 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
3.1

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

4.5A
vs
B
2.0

Accessibility10%

9.7A
vs
B
10.0

Support10%

7.0A
vs
B
5.5

The score is the same formula for every seller. Payment does not enter it. Method

Direct Meds vs Zealthy: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. Zealthy has an open FDA warning letter dated September 9, 2025. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
No price lines up like for like. They share compounded semaglutide injection, but Zealthy's $286 covers the medication only, with a separate membership on top. We only set two prices against each other when they are for the same product and both are standing month-to-month or 4-week rates.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). Zealthy states you can cancel at any time; refunds: medication, consultation and membership charges are non-refundable.
Direct Meds is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. Zealthy pays us nothing. The scores are computed the same way for both and are shown as computed (Direct Meds 7.1, Zealthy 5.6).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register