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Midi Health vs Zealthy

Midi Health and Zealthy sell different medications; this is what separates them.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Midi Health logo

Midi Health

4.6
★★☆☆☆2.3/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit Midi Health →
VS
Zealthy logo

Zealthy

5.4
★★★☆☆2.7/5

Best for: coaching bundled into the price rather than sold separately

Visit Zealthy →

If you are choosing between Midi Health and Zealthy, price alone will not settle it. Zealthy leads our six-part score, 5.4 to 4.6. One of the two has an FDA warning letter on record, covered below.

Midi Health vs Zealthy price

Zealthy publishes $286 a month. Midi Health does not post a GLP-1 price we can quote, so you would only learn its cost after an intake.

Medications and formats

Zealthy lists semaglutide and tirzepatide; Midi Health does not name its drug.

On format, Midi Health posts no priced format, while Zealthy prices compounded injections.

Where each one treats patients

Midi Health lists 50 states, and Zealthy lists 34 states.

They overlap in 34 states. Midi Health alone covers 16 states, including Alaska, Delaware, Hawaii and Montana.

Pricing

Midi Health

Self-pay initial visittelehealth visit
$250/mo

Per-visit self-pay fee, NOT a monthly medication price; GLP-1 medication billed separately or through insurance. No compounded medication price is published on the current site.

Self-pay continued care visittelehealth visit
$150/mo

Per-visit self-pay fee; medication not included. Under insurance you instead pay your standard copay + deductible.

Zealthy

StartingCompounded
$286/mo
semaglutide

$151 medication + $135 monthly membership

StartingCompounded
$351/mo
tirzepatide

$216 medication + $135 monthly membership

What each price covers

Zealthy's price also covers the clinician visit, shipping and coaching, which Midi Health does not claim.

Midi Health does not say what its price includes.

Zealthy is silent on the medication itself and lab work.

Midi Health

Inclusions not disclosed.

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, Zealthy scores 5.4 and Midi Health 4.6 out of 10.

Midi Health is stronger on trust & safety (5.0 vs 3.0) and accessibility (10.0 vs 7.4).

Zealthy is stronger on effectiveness (10.0 vs 5.0), user experience (3.0 vs 2.5) and support (5.5 vs 5.0).

Value is within half a point.

How we score

Midi Health

4.6/10

Overall

Zealthy

5.4/10

Value25%

3.0A
vs
B
3.0

Effectiveness25%

5.0A
vs
B
10.0

User Experience15%

2.5A
vs
B
3.0

Trust & Safety15%

5.0A
vs
B
3.0

Accessibility10%

10.0A
vs
B
7.4

Support10%

5.0A
vs
B
5.5

FDA warning letters

Zealthy has 2 FDA warning letters on record.

Midi Health has no FDA warning letter on record with us.

Features & Coverage

FeatureMidi HealthZealthy
Starting PriceNot published$286/mo
Features✓5 features3 features
States Available✓5034
Compounded—✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters✓None2 letters

About Midi Health

Medicare, Medicaid, and Medi-Cal are all refused at Midi Health, though commercial insurance is taken. The platform covers menopause and perimenopause nationwide, in 50 states. GLP-1s are not sold here as a standalone weight-loss product; a clinician may add one at their discretion, a metabolic-health adjunct inside the menopause care framework.

Read our full Midi Health 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

Midi Health

What we like

  • Serves all 50 states
  • We found no FDA warning letters issued to Midi Health
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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

Winner: Zealthy

Zealthy wins this one, 5.4 to 4.6, above all for coaching bundled into the price rather than sold separately. Midi Health fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

Choose Midi Health if…

You want coverage in all 50 states, which most sellers will not confirm.

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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8.4

Collective

Flat any-dose pricing, if you can absorb a $199 annual membership on top

8.6

Found

Tirzepatide at $169/month, 37% below the typical price

7.6

Breeze Meds

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

Midi Health vs Zealthy: FAQ

Only Zealthy publishes a price ($286 a month). Midi Health quotes after sign-up.
No. Midi Health lists no named drug; Zealthy lists semaglutide and tirzepatide.
Midi Health: 50 states against 34, with 34 in common.
Only Zealthy includes the clinician visit, shipping and coaching.
Midi Health has none. Zealthy has 2 FDA warning letters on record.
No. Neither Midi Health nor Zealthy pays us anything.

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