PlushCare vs Zealthy
PlushCare costs $137 less a month, and both sell semaglutide and tirzepatide.
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PlushCare
Best for: coverage in all 50 states, which most sellers will not confirm
Visit PlushCare →
Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between PlushCare and Zealthy, the first difference is cost: PlushCare 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. PlushCare leads our six-part score, 6.4 to 5.4. One of the two has an FDA warning letter on record, covered below.
PlushCare vs Zealthy price
PlushCare 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 PlushCare ($149 a month vs $286 a month); tirzepatide is cheaper at Zealthy ($351 a month vs $399 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
PlushCare lists 50 states, and Zealthy lists 34 states.
They overlap in 34 states. PlushCare alone covers 16 states, including Alaska, Delaware, Hawaii and Montana.
Pricing
PlushCare
Range up to $299/mo
Range up to $599/mo
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Zealthy's price also covers the clinician visit, shipping and coaching, which PlushCare does not claim.
PlushCare is silent on shipping and coaching.
Zealthy is silent on the medication itself and lab work.
PlushCare
Covered by the monthly price
Medication
Charged on top
Clinician visits
Charged on top
Shipping
Not stated
Lab work
Charged on top
Coaching
Not stated
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, PlushCare scores 6.4 and Zealthy 5.4 out of 10.
PlushCare is stronger on user experience (7.0 vs 3.0), trust & safety (7.5 vs 3.0) and accessibility (10.0 vs 7.4).
Zealthy is stronger on support (5.5 vs 0.0).
Value and effectiveness are within half a point.
PlushCare
6.4/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Zealthy has 2 FDA warning letters on record.
PlushCare has no FDA warning letter on record with us.
Features & Coverage
| Feature | PlushCare | Zealthy |
|---|---|---|
| Starting Price | ✓$149/mo | $286/mo |
| Features | ✓8 features | 3 features |
| States Available | ✓50 | 34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 2 letters |
About PlushCare
PlushCare is an established virtual primary-care telehealth platform and a subsidiary of Transcarent, Inc., a Delaware corporation that also owns Accolade, 2nd.MD, and 98point6 by Transcarent. Virtual visits with US board-certified physicians cost $30 per appointment insured and $129 self-pay. GLP-1 prescribing is a clinician-discretionary option within the broader primary-care relationship.
Read our full PlushCare 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
PlushCare
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- Serves all 50 states
- We found no FDA warning letters issued to PlushCare
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
- Baseline bloodwork is required before a prescription
Watch-outs
- Not included in the monthly price: medication, clinician visits, lab work
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- 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
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
PlushCare wins this one, 6.4 to 5.4, above all for coverage in all 50 states, which most sellers will not confirm. 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 PlushCare if…
You want coverage in all 50 states, which most sellers will not confirm 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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HealthRX
Compounded semaglutide at $133/month
From $133/mo
Get started →RNK Health
An oral route if you will not self-inject
From $197/mo
Get started →He & She MD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →PlushCare vs Zealthy: FAQ
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