LifeMD vs Zealthy
LifeMD costs $137 less a month, and both sell semaglutide and tirzepatide.
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LifeMD
Best for: bloodwork inside the monthly price rather than billed on top
Visit LifeMD →
Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between LifeMD and Zealthy, the first difference is cost: LifeMD is $137 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. LifeMD leads our six-part score, 7.9 to 5.4. One of the two has an FDA warning letter on record, covered below.
LifeMD vs Zealthy price
LifeMD is the cheaper way in: $149 a month against $286 a month at Zealthy. That is $137 less each month (48% lower), or about $1,644 over a year of treatment.
Drug by drug: Semaglutide is cheaper at LifeMD ($149 a month vs $286 a month); tirzepatide is cheaper at LifeMD ($349 a month vs $351 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, LifeMD prices brand-name pens, while Zealthy prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, LifeMD is the only one of the two with a brand-name price.
Where each one treats patients
LifeMD lists 50 states, and Zealthy lists 34 states.
They overlap in 34 states. LifeMD alone covers 16 states, including Alaska, Delaware, Hawaii and Montana.
Pricing
LifeMD
First month $75, then $149/mo. Brand medication billed separately, or $0-$25/mo copay with commercial insurance.
Medication only; plus the $149/mo program fee.
Medication only (starting); plus the program fee. As low as $0-$25/mo with insurance.
Medication only; plus the $149/mo program fee.
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Both prices cover the clinician visit and coaching.
LifeMD's price also covers lab work, which Zealthy does not claim.
Zealthy's price also covers shipping, which LifeMD does not claim.
LifeMD is silent on shipping.
Zealthy is silent on the medication itself and lab work.
LifeMD
Covered by the monthly price
Medication
Charged on top
Clinician visits
In the price
Shipping
Not stated
Lab work
In the price
Coaching
In the price
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, LifeMD scores 7.9 and Zealthy 5.4 out of 10.
LifeMD is stronger on value (10.0 vs 3.0), trust & safety (6.0 vs 3.0) and accessibility (10.0 vs 7.4).
Effectiveness, user experience and support are within half a point.
LifeMD
7.9/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Zealthy has 2 FDA warning letters on record.
LifeMD has no FDA warning letter on record with us.
Features & Coverage
| Feature | LifeMD | Zealthy |
|---|---|---|
| Starting Price | ✓$149/mo | $286/mo |
| Features | 0 features | ✓3 features |
| States Available | ✓50 | 34 |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 2 letters |
About LifeMD
LifeMD is a publicly traded telehealth seller. It carries brand-name GLP-1 medications only.
Read our full LifeMD 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
LifeMD
What we like
- Semaglutide costs $149 a month, 85% below the $990 median for brand-name semaglutide across the sellers we compare
- Tirzepatide costs $349 a month, 72% below the $1249 median for brand-name tirzepatide across the sellers we compare
- The monthly price includes clinician visits, lab work and coaching
- Serves all 50 states
- We found no FDA warning letters issued to LifeMD
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Not included in the monthly price: medication
- Ask which pharmacy fills the prescription before you pay, so you can check its license
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
LifeMD wins this one, 7.9 to 5.4, above all for bloodwork inside the monthly price rather than billed on top. It also costs $137 less each month than Zealthy. Zealthy fits better if coaching bundled into the price rather than sold separately is your priority.
Choose LifeMD if…
You want bloodwork inside the monthly price rather than billed on top and an opening price near $149 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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