Telos RX 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 4.9/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit Telos RX - published $99/mo; total not verified →or find your match

Zealthy beats Telos RX overall, scoring 7.2/10 vs 4.9/10. Published pricing is not a like-for-like monthly comparison: Telos RX is published $99/mo; total not verified; Zealthy is from $286/mo. Choose Telos RX for people who want one care team across weight loss, longevity and recovery and will verify plan, consultation, lab and early-cancellation charges before paying. 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 Telos RX 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

Telos RX

#51 of 54

4.9/10

Telos RX rebuilt itself between our July and August 2026 checks, from a four-SKU compounded GLP-1 storefront into a multi-category telehealth platform covering weight loss, longevity, recovery and sexual health. On the GLP-1 side it prescribes compounded tirzepatide, semaglutide, oral (under-the-tongue) tirzepatide formulated with ondansetron, and a microdosed tirzepatide tier. It says medication pricing does not rise with clinician-directed titration, a physician typically reviews intake within four hours, and clinical messaging is unlimited and 24/7. But the August 1 terms say consultations and ordered labs may be charged separately, including after a prescription-ineligible decision, so the $99 floor is not a verified all-in total. Prescriptions run through Arora Health Group and named pharmacies; the operating entity is Superior Health Solutions LLC.

Visit Telos RX

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	Telos RX	Zealthy
Our Score	4.9/10	7.2/10
Headline Price	published $99/mo; total not verified	from $286/mo
Medication Type	Compounded	Both
Insurance Accepted	No	No
Best For	People who want one care team across weight loss, longevity and recovery and will verify plan, consultation, lab and early-cancellation charges before paying	Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo)
Watch out for	'Cancel anytime, no penalties' on the product pages is contradicted by the terms. Cancel a multi-month plan early and the months you already used are re-rated to the shortest plan that covers them, and you are billed the difference as a one-time charge. Their own worked example: leave a 12-month plan after three months and you are re-rated to the 3-month price	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	#51	#36
Get started	Visit Telos RX	Visit Zealthy

Pros & Cons Compared

Telos RX

Pros

+Flat pricing that does not increase as your dose is titrated, which is the opposite of how most compounded programs bill
+A physician typically reviews the intake within four hours, and labs can be ordered when clinically appropriate
+24/7 unlimited messaging with the clinical team, published as a standing commitment rather than a business-hours window
+Both pharmacies are named with full addresses: VialsRX at 6220 Westpark Dr, Houston TX 77057, and F&F Pharmacies Inc dba Jungle Jim's Pharmacy. Most competitors name none
+Oral tirzepatide comes formulated with ondansetron, an anti-nausea medication, built into the same dose rather than sold as a separate add-on
+Four GLP-1 formats including a needle-free daily option and a microdose tier, plus free 48-hour shipping and FSA/HSA eligibility on every plan
+One care team across metabolic, longevity, recovery and sexual health, so a patient who starts on a GLP-1 does not need a second provider later

Cons

−'Cancel anytime, no penalties' on the product pages is contradicted by the terms. Cancel a multi-month plan early and the months you already used are re-rated to the shortest plan that covers them, and you are billed the difference as a one-time charge. Their own worked example: leave a 12-month plan after three months and you are re-rated to the 3-month price
−The plan pricing that used to be fully public is now behind intake. The page shows 'as low as $99' against a struck-through $299, says your price depends on plan length, and exposes no plan selector. The month-to-month rate is not published anywhere
−The August 1 terms say consultations and ordered labs may be separately payable. Those charges may remain due even when a clinician decides you are not eligible for a prescription, so the medication floor is not an all-in quote
−LegitScript certification is claimed 22 times across the site, including in the footer trust bar, but a search of LegitScript's own registry for telosrx returned no matching record on August 12, 2026
−The homepage advertises 'Trustpilot Rated 4.9'. The actual Trustpilot profile is 4.4 from 11 reviews. The direction of the gap is small but it is the second time we have caught this same overstatement on this site
−Fees already paid are non-refundable and dispensed medication cannot be returned, exchanged or credited, including an unopened subscription cycle that has already shipped
−Availability is still unresolved. Marketing implies broad access; the terms say only that 'certain of our Services are currently only available to individuals located in certain states', with no list
−No individual clinician is named anywhere. 'Board-certified medical team' is as specific as it gets, and prescriptions route through Arora Health Group with no named medical director
−Shares the Arora Health Group medical group with Trimi Health, a white-label backend relationship neither brand discloses on its own site

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 Telos RX with a score of 7.2/10 vs 4.9/10. Published pricing is not a like-for-like monthly comparison: Telos RX is published $99/mo; total not verified; Zealthy is from $286/mo. Zealthy offers both brand-name and compounded medications, giving you more flexibility.