Ro vs Zealthy
Ro costs $137 less a month.
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Ro
Best for: knowing which pharmacy fills the vial: it names Roman Health Pharmacy LLC
Visit Ro →
Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between Ro and Zealthy, the first difference is cost: Ro is $137 a month cheaper at the entry price. Ro leads our six-part score, 6.7 to 5.4. One of the two has an FDA warning letter on record, covered below.
Ro vs Zealthy price
Ro 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.
Medications and formats
Ro and Zealthy do not overlap on medication; only Ro lists orforglipron; only Zealthy lists semaglutide and tirzepatide.
On format, Ro prices brand-name pens, while Zealthy prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, Ro is the only one of the two with a brand-name price.
Where each one treats patients
Ro does not publish where it ships, and Zealthy lists 34 states.
Pricing
Ro
Additional membership fees apply
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Both prices cover the clinician visit and coaching.
Ro's price also covers lab work, which Zealthy does not claim.
Zealthy's price also covers shipping, which Ro does not claim.
Ro is silent on shipping.
Zealthy is silent on the medication itself and lab work.
Ro
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, Ro scores 6.7 and Zealthy 5.4 out of 10.
Ro is stronger on value (5.0 vs 3.0), user experience (8.0 vs 3.0) and trust & safety (8.0 vs 3.0).
Zealthy is stronger on effectiveness (10.0 vs 8.0) and accessibility (7.4 vs 5.0).
Support is within half a point.
Ro
6.7/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Zealthy has 2 FDA warning letters on record.
Ro has no FDA warning letter on record with us.
Features & Coverage
| Feature | Ro | Zealthy |
|---|---|---|
| Starting Price | ✓$149/mo | $286/mo |
| Features | ✓7 features | 3 features |
| States Available | Not disclosed | 34 |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 2 letters |
About Ro
Foundayo (orforglipron), the new oral GLP-1 from Eli Lilly, joined Ro on April 9 2026 at $149/month for the lowest dose, membership on top. Beside it sit compounded semaglutide and the brand-name pair, Zepbound and Wegovy. No obesity care formulary in the category is more comprehensive. In the US, only a handful of direct-to-patient telehealth companies are larger.
Read our full Ro 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
Ro
What we like
- Orforglipron costs $149 a month, close to the $149 median for brand-name orforglipron across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes clinician visits, lab work and coaching
- Names Roman Health Pharmacy LLC as the pharmacy that fills its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Ro
Watch-outs
- Not included in the monthly price: medication
- Confirm it serves your state before you start the intake
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
Ro wins this one, 6.7 to 5.4, above all for knowing which pharmacy fills the vial: it names Roman Health Pharmacy LLC. 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 Ro if…
You want knowing which pharmacy fills the vial: it names Roman Health Pharmacy LLC 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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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 →Ro vs Zealthy: FAQ
Close alternatives to Ro and Zealthy
- Ro vs Amazon One Medical
- Ro vs LillyDirect Foundayo
- Ro vs GoodRx
- Ro vs Found
- Zealthy vs Aspen
- Zealthy vs Joey Med
Or see the full category ranking.
Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.