MEDVi vs Zealthy
MEDVi costs $37 less a month, and both sell semaglutide.
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Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between MEDVi and Zealthy, the first difference is cost: MEDVi is $37 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. MEDVi leads our six-part score, 7.1 to 5.4. Both have drawn an FDA warning letter.
MEDVi vs Zealthy price
MEDVi 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 MEDVi ($249 a month vs $286 a month).
Medications and formats
Both sell semaglutide; only Zealthy lists tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
MEDVi lists 48 states, and Zealthy lists 34 states.
They overlap in 33 states. MEDVi alone covers 15 states, including Alaska, Delaware, Hawaii and Montana. Zealthy alone covers Mississippi.
Pricing
MEDVi
Refills are locked in at $299. The first month is $179 in the 'SUMMER Sale,' and some MEDVi landing pages offer the first month at $149.
Flat 'Starting at $249' — no intro discount shown.
$99 Membership + Medication Cost — medication cost not published (varies/insurance may reimburse). 'Availability is subject to change.'
$99 Membership + Medication Cost — medication cost not published. COMPOUNDED tirzepatide ($349 in our current entry) is no longer published anywhere on glp1.medvi.org, home.medvi.org, or the intake flow (0 mentions) — treat as discontinued/not published, do not carry the $349 row forward.
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Both prices cover the clinician visit, shipping and coaching.
MEDVi's price also covers the medication itself, which Zealthy does not claim.
MEDVi is silent on 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.
MEDVi
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
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, MEDVi scores 7.1 and Zealthy 5.4 out of 10.
MEDVi is stronger on user experience (8.0 vs 3.0), trust & safety (6.0 vs 3.0), accessibility (9.7 vs 7.4) and support (8.5 vs 5.5).
Value and effectiveness are within half a point.
MEDVi
7.1/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent MEDVi a warning letter dated February 20, 2026 (letter 721455), and it is still open.
Zealthy has 2 FDA warning letters on record.
Features & Coverage
| Feature | MEDVi | Zealthy |
|---|---|---|
| Starting Price | ✓$249/mo | $286/mo |
| Features | ✓7 features | 3 features |
| States Available | ✓48 | 34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓1 letter | 2 letters |
About MEDVi
Two clinical groups do the treating at MEDVi: CareGLP Affiliated P.C.s, plus clinicians from OpenLoop Health. Its weight-loss menu holds compounded GLP-1s, injections and tablets alike, the molecule being semaglutide, next to Zepbound and Wegovy under their brand names. Licensed US pharmacies fill all of it.
Read our full MEDVi 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
MEDVi
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, shipping and coaching
- Serves 48 states
- Names 3 pharmacies that fill its prescriptions, which most sellers do not
Watch-outs
- Semaglutide costs $249 a month, 35% above the $184 median for compounded semaglutide across the sellers we compare
- The FDA has issued MEDVi 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
MEDVi wins this one, 7.1 to 5.4, above all for knowing which pharmacy fills the vial: it names Triad Rx. 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 MEDVi if…
You want knowing which pharmacy fills the vial: it names Triad Rx 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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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 →Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →MEDVi vs Zealthy: FAQ
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