Zealthy Cost: What You Actually Pay Per Month and Per Year

How much does Zealthy actually cost per month, all-in?

Zealthy sells compounded medicine two ways. On the standard plan, you pay a $135 monthly membership plus the medicine. Or you pick an all-in bundle that covers care and medicine in one monthly price.

On the standard plan, the low medicine prices need a 3-month supply. Semaglutide is then about $150 a month and tirzepatide about $215. With the membership, that comes to about $285 a month for semaglutide. Tirzepatide comes to about $350. Zealthy also sells one-month supplies, but it does not publish their price. The bundles are paid month to month, with no prepay: about $300 a month for semaglutide and about $450 for tirzepatide.

What's included in that price, and what's billed separately?

The $135 membership is the part that's easy to miss in an ad built around a discounted first month. It covers your provider visit, unlimited async coaching for dosing and nutrition questions, and — if you go the brand-name route — the team that works your insurance case. It is not a one-time intake fee. It renews every month for as long as you're an active patient, medication or not.

Zealthy discounts that first month of membership. Most of its pages show $39, and its pricing page shows $49. The bundles have their own first-month prices, about $215 for semaglutide and about $350 for tirzepatide. None of these intro prices is what you will pay going forward. Budget against the regular price.

• Included in the $135 membership: provider visit and prescribing decision, unlimited async coach messaging, insurance formulary check and prior-authorization filing for the brand-name path
• Billed separately: the medication itself — compounded semaglutide, compounded tirzepatide, or a brand-name drug's cash price if insurance doesn't cover it
• Not clearly included anywhere in Zealthy's public pricing: lab work — if your provider orders baseline bloodwork, confirm in writing whether that's bundled or an add-on before assuming either way
• First-month promo ($39-$49): a one-time introductory rate on the membership only, not a preview of the ongoing price

Does the price go up as your dose increases?

Yes, on the bundles, and Zealthy says by how much. The semaglutide bundle costs about $100 a month more at the 2 to 2.5 mg doses. The tirzepatide bundle costs about $200 a month more at 10 mg. On the standard plan, Zealthy uses "as low as" wording and does not publish its full dose ladder. So the standard-plan figures above are floors, not averages.

This is the single most important thing to nail down before you enroll: ask your provider, in writing, what your specific starting dose costs and what the next two dose increases would cost. A platform that won't give you that number before you commit is telling you something about how the pricing works.

Compounded semaglutide vs. compounded tirzepatide vs. the brand-name track — which costs less?

Compounded semaglutide is the cheaper entry point, at about $150 a month with a 3-month supply, on top of membership. It is the more established of the two molecules. It works like Ozempic and Wegovy, but a compounding pharmacy prepares it, so it is not an FDA-reviewed finished drug. Compounded tirzepatide costs about $65 a month more. It acts on two gut hormones, GIP and GLP-1, like Mounjaro and Zepbound.

The brand-name track is a different kind of bet entirely. Zealthy's coordination team files for insurance coverage on FDA-approved Wegovy, Zepbound, Ozempic, or Mounjaro, and advertises a copay as low as $25 a month if your plan says yes. If your plan says no, you're paying that drug's full cash price — which runs well above either compounded tier — on top of the same $135 membership. Treat the $25 figure as a best case, not a starting assumption, until your specific plan's answer comes back.

What's the real annual cost?

If you stay on the starting dose all year, the first year costs roughly $3,300 to $5,300. The low end is semaglutide on the standard plan, bought 3 months at a time. The semaglutide bundle comes to about $3,500. The tirzepatide bundle comes to about $5,300. Higher doses push every figure up.

Labs aren't part of that math. If your provider orders baseline or follow-up bloodwork and it isn't routed through your own primary care provider, a basic metabolic and lipid panel through a direct-pay lab commonly runs somewhere in the $40 to $100 range per draw — a general market figure, not a Zealthy-specific quote, but worth adding to your budget if you're paying for labs out of pocket.

Is there a discount, promo, or cheaper way to pay?

The clearest lever is buying a 3-month medicine supply. The advertised standard-plan prices already include that 20% discount. Zealthy also takes 20% off your next two months of membership. You commit to three months of medicine upfront, and all medicine sales are final once a prescription is filled.

Zealthy's pricing page also references discounted quarterly, semi-annual, and annual membership tiers, without listing the exact rate for any of them. If a longer commitment appeals to you, ask for that number in writing before you commit — an unlisted discount isn't a discount you can plan around.

Does insurance or FSA/HSA bring the price down?

Not on the compounded side. Insurance does not pay for compounded semaglutide or tirzepatide, at Zealthy or elsewhere. Zealthy's own policy says its membership fee is not a covered expense under most HSA or FSA plans. Ask your plan administrator before counting on pre-tax money.

The brand-name track is where insurance actually changes the number. If your plan covers Wegovy, Zepbound, Ozempic, or Mounjaro, Zealthy's coordination team files the prior authorization and a covered copay can run as low as $25 a month — a genuinely different equation from cash-pay compounded pricing. Get your plan's actual answer before counting on it.

Can you cancel anytime, and are there refunds if you stop?

You can cancel anytime by logging into your account and selecting "Manage Membership." Access continues through the end of the billing cycle you've already paid for, with no partial refund for the unused portion. Membership and consultation fees are non-refundable, and once a prescription has been filled, that medication sale is final — there's no refund for a wrong-length supply or a change of mind.

Worth knowing before you prepay a 3-month supply for the discount: some customers report charges continuing after they believed they'd cancelled. Screenshot your cancellation confirmation and check your next statement, rather than assuming the request went through cleanly.

How does Zealthy's total cost compare to Mochi Health, Henry Meds, and Ro?

Mochi Health runs a similar two-part structure — a $79 membership, free the first month for new members right now — but its medication is now priced per dose rather than flat: compounded semaglutide runs $60 to $189 a month and tirzepatide runs $90 to $199 a month, depending on your prescribed dose. All-in, that's roughly $139 to $268 a month for semaglutide and $169 to $278 a month for tirzepatide — below Zealthy's starting price on both molecules, and its membership alone is $56 a month cheaper.

Henry Meds skips the membership question entirely: one all-in price per format, with no separate charge layered on top. Oral semaglutide starts at about $250 a month, injectable semaglutide at about $300, and tirzepatide tablets at about $350. Henry no longer lists a tirzepatide shot. Provider visit, supplies, and shipping are included. On tirzepatide, Henry's tablet costs about the same as Zealthy's standard plan with a 3-month supply, about $350. But there's no separate membership fee to track, and no second subscription to remember to cancel.

Ro doesn't offer a compounded option at all — every medication on its menu is FDA-approved brand-name Wegovy or Zepbound, dispensed through manufacturer partnerships. Its membership is $149 a month (discounted to $39 the first month), or $74 to $99 a month if you prepay. On the monthly plan, membership plus cash-pay medication runs roughly $298 to $448 a month for oral Wegovy, or $448 to $598 a month for Zepbound. That's a real premium over Zealthy's compounded tiers, but it buys an FDA-reviewed finished drug rather than a compounded one — which is close to what Zealthy's own brand-name track is trying to offer, minus the compounded fallback option.

The short version: on starting-dose compounded pricing, Mochi is cheaper than Zealthy on both molecules. Henry Meds is cheaper on semaglutide and about the same on tirzepatide. Ro costs more across the board because it sells only brand-name drugs. Zealthy's real difference is having both a compounded option and an insurance path to brand-name drugs under one account.

Is the price worth it given the pending DOJ billing lawsuit?

It's a fair question to ask specifically on a cost page, because the DOJ and FTC's case against Zealthy centers on billing practices — hiding subscription terms, making cancellation difficult, and, per an April 2026 amended complaint, an emergency motion asking the court to freeze the company's assets over its financial exposure in the case. None of that has been decided in court as of this writing, and it doesn't make the underlying medical care fake. But it's a reasonable factor to weigh specifically before you prepay for a 3-month supply or commit to a longer membership term, since a receivership could affect ongoing service in ways a month-to-month commitment wouldn't. The full legal picture, including the FDA warning letter and customer complaint pattern, is in the complete Zealthy review.