Hims vs Zealthy
Hims costs $87 less a month, and both sell semaglutide and tirzepatide.
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Hims
Best for: knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC
Visit Hims →
Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between Hims and Zealthy, the first difference is cost: Hims is $87 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Hims leads our six-part score, 6.8 to 5.4. Both have drawn an FDA warning letter.
Hims vs Zealthy price
Hims is the cheaper way in: $199 a month against $286 a month at Zealthy. That is $87 less each month (30% lower), or about $1,044 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Hims ($199 a month vs $286 a month); tirzepatide is cheaper at Hims ($299 a month vs $351 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, Hims prices compounded injections and brand-name pens, while Zealthy prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, Hims is the only one of the two with a brand-name price.
Where each one treats patients
Hims lists 50 states, and Zealthy lists 34 states.
They overlap in 34 states. Hims alone covers 16 states, including Alaska, Delaware, Hawaii and Montana.
Pricing
Hims
Brand Zepbound from $299/mo medication-only; requires Hims Weight Loss Membership ($149/mo)
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Hims' price also covers the medication itself, which Zealthy does not claim.
Zealthy's price also covers the clinician visit, shipping and coaching, which Hims does not claim.
Hims is silent on shipping and lab work.
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.
Hims
Covered by the monthly price
Medication
In the price
Clinician visits
Charged on top
Shipping
Not stated
Lab work
Not stated
Coaching
Charged on top
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, Hims scores 6.8 and Zealthy 5.4 out of 10.
Hims is stronger on user experience (8.0 vs 3.0), trust & safety (7.0 vs 3.0) and accessibility (10.0 vs 7.4).
Zealthy is stronger on support (5.5 vs 3.0).
Value and effectiveness are within half a point.
Hims
6.8/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Hims a warning letter dated September 9, 2025 (letter 716567), and it is still open.
Zealthy has 2 FDA warning letters on record.
Features & Coverage
| Feature | Hims | Zealthy |
|---|---|---|
| Starting Price | ✓$199/mo | $286/mo |
| Features | 2 features | ✓3 features |
| States Available | ✓50 | 34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓1 letter | 2 letters |
About Hims
Hims is a major men's telehealth brand. Its weight loss offering is compounded semaglutide on a 6-month plan.
Read our full Hims 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
Hims
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
- Serves all 50 states
- Names 4 pharmacies that fill its prescriptions, which most sellers do not
Watch-outs
- Not included in the monthly price: clinician visits, coaching
- The FDA has issued Hims a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide is compounded rather than FDA-approved, so it has 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
Hims wins this one, 6.8 to 5.4, above all for knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC. It also costs $87 less each month than Zealthy. Zealthy fits better if coaching bundled into the price rather than sold separately is your priority.
Choose Hims if…
You want knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC and an opening price near $199 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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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 →Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Hims vs Zealthy: FAQ
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Or see the full category ranking.
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