HealthRX vs Zealthy: Which GLP-1 Provider Is Better?
By Iacob Pastina, Independent Researcher
Zealthy beats HealthRX overall, scoring 7.2/10 vs 5.2/10. HealthRX is more affordable at $99/mo vs $286/mo. Choose HealthRX for cash-pay patients who want low flat-dose compounded glp-1 pr. Choose Zealthy for insured users who want dedicated coordinators handling prior.
A side-by-side look at HealthRX and Zealthy to help you decide. We compare them on:
- •Starting price per month
- •Our overall score, out of 10
- •Medication type, brand-name or compounded
- •Whether they accept insurance
- •Who each one is best for
HealthRX
#50 of 53HealthRX is a cash-pay telehealth platform for compounded injectable semaglutide and tirzepatide. Its July 2026 landing page lists semaglutide at $133/mo on a 3-month plan or $99/mo on a 12-month plan, plus tirzepatide at $209/mo or $179/mo. Prices stay flat across doses and include clinician review, dose adjustments, and overnight shipping. MD Integrations supplies the clinician network, while the dispensing 503A pharmacy remains unnamed on the public site.
Visit HealthRXZealthy
#41 of 53Flexible GLP-1 provider allowing patients to switch between compounded and brand-name medications as needed.
Visit Zealthy| Feature | HealthRX | Zealthy |
|---|---|---|
| Our Score | 5.2/10 | 7.2/10 |
| Starting Price | $99/mo | $286/mo |
| Medication Type | Compounded | Both |
| Insurance Accepted | No | No |
| Best For | Cash-pay patients who want low flat-dose compounded GLP-1 pricing, all-50-state access, fast shipping, and self-service cancellation | Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo) |
| Ranking | #50 | #41 |
| Get started | Visit HealthRX | Visit Zealthy |
Pros & Cons Compared
HealthRX
Pros
- +$99/mo compounded semaglutide on the 12-month plan, with a $133/mo 3-month option
- +Flat pricing across doses, clinician review, dose adjustments, and overnight shipping included
- +Licensed clinicians in all 50 states through MD Integrations, with most files reviewed within about 24 hours
- +LegitScript certificate 50087439 links to the issuer's verification checker
- +Single-click account cancellation and refunds for unshipped doses
- +Published HIPAA notice, telehealth consent, safety information, and emergency instructions
Cons
- −The dispensing 503A pharmacy is described by type while its name and license remain absent from the public site
- −Legal entity, headquarters, executive team, and medical director remain undisclosed
- −The tirzepatide product page advertises $149/mo while the current affiliate landing and FAQ say $179/mo, so confirm the checkout rate
- −The 4.8/5 from 12,000+ members block uses illustrative composites rather than an independent review platform
- −Cash-pay only, with no insurance billing or prior-authorization support
- −Compounded medications sit outside FDA premarket approval as finished products
Zealthy
Pros
- +Dedicated insurance coordinators handle prior authorizations, potentially bringing brand-name GLP-1 costs to $25/mo
- +Multi-month supply options (3, 6, or 12 months), unique convenience most monthly-shipping competitors can't match
- +Both compounded and brand-name (Wegovy, Zepbound) available with clinician-guided selection
- +LegitScript certified with 4.5-star Review.io rating
Cons
- −The $135 membership stacks on medication cost, so cash-pay semaglutide totals ~$286/mo, above average. The math works when you use the insurance coordination; cash payers should compare flat-rate platforms first.
- −Young company (founded 2023) with a relatively small review base and less track record than established platforms. Confirm the coordination promise against your own insurance plan before enrolling.
- −Prescription products are non-refundable once ordered, for any reason. Double-check dose and supply length before checkout.
Our Verdict
Zealthy edges out HealthRX with a score of 7.2/10 vs 5.2/10. If budget is your priority, HealthRX starts at $99/mo compared to Zealthy's $286/mo. Zealthy offers both brand-name and compounded medications, giving you more flexibility. Choose HealthRX if you want: cash-pay patients who want low flat-dose compounded glp-1 pricing, all-50-state access, fast shipping, and self-service cancellation. Choose Zealthy if you want: insured users who want dedicated coordinators handling prior authorizations for brand-name glp-1s (potentially $25/mo).
Still undecided? Editor's Featured Pick
TrimRx
$149/mo · 7.8/10 · Compounded
If neither HealthRX nor Zealthy feels like the right fit, our featured pick across all 53 GLP-1 telehealth providers is TrimRx. It is not the highest-scored provider in our full rankings. We feature it for its low-friction value: a flat $149/mo that stays the same at every dose.
Read Full Reviews
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- Zealthy vs Found$129/mo
- Zealthy vs Oak Longevity$133/mo
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