Zealthy Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 5.4/10
Best for: coaching bundled into the price rather than sold separately
Zealthy falls below our bar on oversight: the FDA has issued it a warning letter. Read the breakdown below before you give it money.
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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
Prices checked July 2026
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.
Is Zealthy legit?
Zealthy is a real, operating US company, and the FDA has issued it 2 warning letters. The letter is summarized at the top of this review. Read what it alleges before you decide, and raise it with the clinician who would prescribe for you. We rate Zealthy 5.4/10 overall.
Is there a Zealthy promo or coupon code?
Zealthy has no code to type in. The current offer: new patients get $96 off the first month, bringing it to $49 (then about $135/mo), applied automatically at signup. It applies at checkout on its own. Coupon sites advertising a "Zealthy promo code" are not a source we can vouch for.
See how Zealthy compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to Zealthy
Trimi Health
Best for: knowing which pharmacy fills the vial: it names VialsRx
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Zealthy at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $286/mo ($151 medication + $135 monthly membership)
- What's included
- Consult · Shipping · Coaching
- Availability
- 34 states
- FDA status
- 2 FDA warning letters (details below)
How Zealthy scores
Six columns, each one computed from something Zealthy has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
3.0/10The listed figure is not a comparable monthly price for a named GLP-1 (it may be a membership fee, an insured copay, a per-vial rate or a starting-dose price), so Value is capped rather than scored against other sellers.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
3.0/10No price appears until the medical intake is finished.
Trust & Safety15%
3.0/10The FDA has issued it 2 warning letters. No pharmacy is named for its prescriptions. Its price appears only after the medical intake. It lists the states it serves.
Accessibility10%
7.4/10Serves 34 of 50 states.
Support10%
5.5/10The price covers clinician visits, shipping and coaching.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Zealthy
Last checked July 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: 34 states
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for Zealthy
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Zealthy involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Zealthy shows a price only after you finish its medical questionnaire, so you cannot compare costs until you have shared health information.
- 2Ask Zealthy which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes clinician visits, shipping and coaching.
- Before you commit, get the ongoing monthly price of the medication itself, not a first-month rate, a membership fee or a per-vial price.
- Zealthy serves 34 of 50 states, so check that yours is one of them.
- The FDA has issued Zealthy 2 warning letters. They are covered in the enforcement section below; read what they allege before you decide.
Contacting Zealthy
- Phone
- (877) 870-0323
- Zealthy offers email support
Cancelling Zealthy
Taken from the terms Zealthy publishes. Terms change, so check the current policy before you subscribe.
- Minimum commitment
- Membership
- Refund policy
- Not published by the seller
GLP-1 medications Zealthy offers
Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.
Pricing
Prices re-verified
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
Check the price yourself before you pay
Every figure here was read off Zealthy's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- The monthly price includes clinician visits, shipping and coaching
Against it
- 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
What Zealthy charges
The standing price at Zealthy is $286/month.
- Compounded semaglutide: $286/month
- Compounded tirzepatide: $351/month
MangoRx, at about $299/month, is the closest like-for-like alternative we review.
What Zealthy dispenses
Zealthy prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that.
Safety and disclosure
Zealthy tells you the 34 states it serves. It also offers coaching as part of the plan. The FDA has issued Zealthy 2 warning letters, summarized at the top of this page. A letter flags a problem rather than ruling a seller out, so read what it says before deciding what it means for you. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If Zealthy will not tell you, treat that as a warning sign. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Zealthy bills your plan before you start.
- A seller's regulatory history matters to you more than price. Read the warning letter summarized above before deciding.
It fits if
- you want coaching bundled in rather than billed on top
Our read
Zealthy charges $286/month. Too few sellers offer the same drug and form to say whether that is cheap or expensive, so judge it on what the package includes. The catch is disclosure, which is why Zealthy scores low on Trust & Safety: settle the pharmacy and pricing questions above before the price decides for you. Whatever you decide, read the warning letter summarized at the top of this page first, and raise it with the clinician who would prescribe for you.
The Bottom Line
Zealthy falls below our bar on oversight: the FDA has issued it a warning letter. Read the breakdown below before you give it money.
Before you pay Zealthy
Starting at $286 a month. Check today's price, then start the intake.
Where Zealthy is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider Sesame Care.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo).
- If your state is outside the area this one covers, consider Trimi Health.
Compare Zealthy head to head
The sellers closest to Zealthy on medication and price.
Frequently Asked Questions
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Zealthy review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of July 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See Zealthy's current pricing
Plans start at $286 a month. Whether you qualify is a clinician's decision, made after your intake.