Compounded semaglutide
Zealthy review
Zealthy's compounded semaglutide is $244 a month on the pay-as-you-go plan, but that is only the medication. A separate Weight Loss membership renews every month, so a normal month lands near $379. The $151 price quoted in the FAQ assumes you buy three months at once.
Is it right for you?
Worth a look if
- You'd use the coaching and monthly provider check-ins, not just the prescription.
- You hope to move to Wegovy or Ozempic through insurance later and want help with the paperwork.
- You pay with an HSA or FSA card.
Skip it if
- You'd rather pay one price that covers both the doctor and the drug.
- Your coverage is Medicare or Medicaid.
What's included
At checkout, Compounded Semaglutide (GLP-1) sits on a Monthly Auto-Refill plan that you can pause or cancel. Beneath the price options Zealthy prints “Medication Only (Excludes Savings & Support).” Medical care comes through the membership instead, and the FAQ confirms that GLP-1 medication isn't included in it.
Members get a licensed Zealthy provider, a weight loss coach and unlimited secure messaging. There are monthly video or phone visits too. When insurance is involved, a care coordinator handles prior authorizations. After a denial, Zealthy can submit up to three requests for you.
Quarterly, 6-month and annual supplies are cheaper per month but paid in one go. Buying three months can also earn a membership discount for two months, according to the FAQ.
From sign-up to refills
- Take the online intake. There's no in-person appointment at any stage.
- Pick compounded semaglutide at checkout. Choose monthly refills or a prepaid supply.
- Expect a provider decision within 1 to 2 business days. Answer follow-up questions quickly to avoid delays.
- Once the prescription reaches a partner pharmacy, most members receive semaglutide within 2 to 9 business days.
- Log side effects in the portal. Your provider can adjust the dose over messaging or at a monthly visit.
What's good, what isn't
What's good
- Zealthy's care coordinators will file up to three prior authorization requests for brand-name GLP-1s.
- Members get a dedicated coach plus monthly video or phone visits with a Zealthy provider.
- Shipments can be delayed from the portal under “Manage subscription” if you need a break.
What isn't
- The Zealthy membership renews monthly on top of the $244 semaglutide charge.
- An FDA warning letter went to “FitRX, LLC dba Zealthy” in September 2025.
- Memberships can't be paused, and canceling one stops semaglutide refills at Zealthy.
Read these terms first
- The real monthly total
- The first membership month is discounted. After that the standard rate renews monthly alongside the $244 medication charge.
- FDA warning letter
- FitRX, LLC dba Zealthy received FDA warning letter 716501 in September 2025. It concerned unapproved and misbranded drugs sold to consumers online.
- Bundle versus membership
- A separate Doctor + GLP-1 semaglutide bundle includes the medication in one monthly price. Compare it with the checkout plan before you pay.
- FDA warning letter
- FDA sent Zealthy a warning letter in September 2025. Read what it covers.
Price
Zealthy costs $379 a month for compounded semaglutide. It advertises $151. The difference is a charge you cannot decline.
How we got $379
The arithmeticOne month = 30.4375 days
Zealthy advertises
Read on Zealthy's own site
$151.00
The card is charged $244.00, not $151.00
The advertised figure is not the amount that leaves the account.
+ $93.00
And it is charged once a calendar month
+ $0.00
Zealthy Weight Loss membership, billed monthly, medication not included (standard $135/month; first month introductory) is billed separately and cannot be declined
A charge you cannot avoid is part of what the medication costs.
+ $135.00
A real month$379.00
A real month costs $228.00 more than the figure advertised.
Where it sits, and what costs less
$54median $199$325+
373 cheaper · 98%5 dearer · 1%
Zealthy costs more than this chart is drawn to show, so its bar sits in the final column rather than at its true position. The chart stops at $325 because 10 sellers charge more than that, up to $540.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- Zealthy$379
Another 368 sellers are cheaper than Zealthy. The whole cheapest list →
Where it says it operates
Listed in 34 states.
State pages this seller appears on: AL AZ AR CA CO CT FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO NE NV NJ NM NY NC OH OK OR PA TX VA
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $489 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
FDA has written to this seller
In , FDA sent warning letter 716501 to FitRX, LLC dba Zealthy (New York, NY). The letter’s subject:
Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet (Telehealth)
Read the letter on fda.gov · The letter names getzealthy.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
Common questions about Zealthy
- Is Zealthy legit for semaglutide?
- Zealthy runs an online weight loss program staffed by U.S.-licensed, board-certified physicians and nurse practitioners. Partner pharmacies compound the semaglutide. The FDA issued warning letter 716501 to FitRX, LLC dba Zealthy in September 2025 about online drug sales. Compounded semaglutide is not Wegovy or Ozempic and isn't FDA-approved.
- How much does Zealthy semaglutide cost per month?
- The medication is $244 a month on Monthly Auto-Refill. The Weight Loss membership is billed separately each month, so the combined figure is about $379. The $151 rate in the FAQ requires a 3-month supply.
- Does Zealthy accept insurance?
- Only for brand-name medications, where the team files prior authorizations. Compounded semaglutide is self-pay, and government plans such as Medicare and Medicaid aren't accepted for this program.
- How do I cancel Zealthy?
- Open your profile in the Zealthy portal, choose Manage membership, then Manage plan. After canceling, refills end and your provider can no longer monitor treatment.