Sprout Health vs Zealthy: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: Zealthy scores higher on our rubric, 7.2/10 against 5.8/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit Sprout Health - $199 first month, then $249/mo →or find your match

Zealthy beats Sprout Health overall, scoring 7.2/10 vs 5.8/10. Published pricing is not a like-for-like monthly comparison: Sprout Health is $199 first month, then $249/mo; Zealthy is from $286/mo. Choose Sprout Health for users who want a dedicated care coordinator and locked titration pricing, and will judge service quality in month one. Choose Zealthy for insured users who want dedicated coordinators handling prior authorizations for brand-name glp-1s (potentially $25/mo).

A side-by-side look at Sprout Health 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

Sprout Health

#45 of 54

5.8/10

Well-established telehealth provider offering both compounded and brand-name GLP-1 medications with solid clinical support.

Visit Sprout Health

Higher Rated

Zealthy

#36 of 54

7.2/10

Flexible GLP-1 provider allowing patients to switch between compounded and brand-name medications as needed.

Visit Zealthy

Feature	Sprout Health	Zealthy
Why each one	The most consistent telehealth GLP-1 provider since 2022, no pricing changes, no service disruptions, and published outcome data that backs up their claims.	Dedicated insurance coordinators handle prior authorizations for brand-name GLP-1s, plus multi-month supply options up to 12 months.
Our Score	5.8/10	7.2/10
Headline Price	$199 first month, then $249/mo	from $286/mo
Medication Type	Both	Both
Insurance Accepted	No	No
Best For	Users who want a dedicated care coordinator and locked titration pricing, and will judge service quality in month one	Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo)
Watch out for	$250/mo all-in sits in the upper-mid range, $90 more than Willow for a similar model; the premium pays for the dedicated coordinator and published outcomes	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.
Ranking	#45	#36
Get started	Visit Sprout Health	Visit Zealthy

Pros & Cons Compared

Sprout Health

Pros

+Published average weight loss outcomes: 12-15% body weight at 6 months across their patient base
+Dedicated care coordinator assigned to each patient, not a rotating pool of providers
+Transparent pricing: $250/mo covers medication, shipping, and all consultations
+Operating since 2022 with a consistent track record, no sudden pricing changes or service disruptions

Cons

−$250/mo all-in sits in the upper-mid range, $90 more than Willow for a similar model; the premium pays for the dedicated coordinator and published outcomes
−No insurance accepted, and no superbill provided for FSA/HSA reimbursement

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 Sprout Health with a score of 7.2/10 vs 5.8/10. Published pricing is not a like-for-like monthly comparison: Sprout Health is $199 first month, then $249/mo; Zealthy is from $286/mo.