TMates vs Zealthy: Which GLP-1 Provider Is Better?
By Iacob Pastina, Independent Researcher
TMates beats Zealthy overall, scoring 7.8/10 vs 7.2/10. TMates is more affordable at $158/mo vs $286/mo. Choose TMates for users who want flexible pricing across compounded glp-1s (me. Choose Zealthy for users who want the option to switch between compounded and b.
A side-by-side comparison of TMates and Zealthy covering pricing, scores, medication types, insurance, and more to help you decide.
TMates
#16 of 48Telemedicine platform offering two distinct archetypes: compounded semaglutide and tirzepatide with medication included (commitment pricing $158-$249/mo), and a clinical-service-only path to brand-name Wegovy/Zepbound at $99/mo where the prescription is sent to the patient's pharmacy. Phentermine also available. 2026 expansion added brand-name FDA-approved options.
Visit TMatesZealthy
#42 of 48Flexible GLP-1 provider allowing patients to switch between compounded and brand-name medications as needed.
Visit Zealthy| Feature | TMates | Zealthy |
|---|---|---|
| Our Score | 7.8/10 | 7.2/10 |
| Starting Price | $158/mo | $286/mo |
| Medication Type | Both | Both |
| Insurance Accepted | Yes | No |
| Best For | Users who want flexible pricing across compounded GLP-1s (medication included, $158-$249/mo with commitment discounts) and a cheap clinical-service-only path to brand Wegovy or Zepbound ($99/mo, patient fills at own pharmacy) | Users who want the option to switch between compounded and brand-name GLP-1s |
| Ranking | #16 | #42 |
Pros & Cons Compared
TMates
Pros
- +Steep multi-month commitment discounts on compounded sema — $158/mo on 12-month plan ($1,900 upfront) vs $249/mo month-to-month
- +Clinical-service-only path to brand Wegovy and Zepbound at $99/mo — prescription goes to patient's pharmacy (you fill separately using insurance or cash)
- +Same price at all dose levels for compounded — no cost escalation as you titrate up
- +Phentermine available at $149/mo for patients who benefit from a different appetite-suppressant approach
Cons
- −Brand Wegovy/Zepbound $99/mo is CLINICAL SERVICE ONLY — medication cost is separate (paid at your pharmacy, which can be $1,000+/mo cash without insurance)
- −Best compounded pricing requires 6-12 month prepayment (upfront $1,050-$1,900)
- −90-second assessment quiz suggests convenience over clinical thoroughness compared to competitors with full medical intakes
- −Not affiliated with Novo Nordisk (Wegovy) or Eli Lilly (Zepbound) — TMates prescribes but does not dispense brand-name
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
- −$135 membership fee on top of medication cost makes cash-pay total ~$286/mo for semaglutide — above average
- −Young company (founded 2023) with a relatively small review base — less track record than established platforms
- −Prescription products are non-refundable for any reason once ordered
Our Verdict
TMates edges out Zealthy with a score of 7.8/10 vs 7.2/10. If budget is your priority, TMates starts at $158/mo compared to Zealthy's $286/mo. TMates accepts insurance, which can significantly reduce your out-of-pocket costs. Choose TMates if you want: users who want flexible pricing across compounded glp-1s (medication included, $158-$249/mo with commitment discounts) and a cheap clinical-service-only path to brand wegovy or zepbound ($99/mo, patient fills at own pharmacy). Choose Zealthy if you want: users who want the option to switch between compounded and brand-name glp-1s.
Still undecided? Editor's #1 Overall Pick
Eden Health GLP-1
$249/mo · 8.9/10 · Both
If neither TMates nor Zealthy feels like the right fit, our overall #1 pick across all 48 GLP-1 telehealth providers is Eden Health GLP-1 — strongest balance of clinical oversight, transparent pricing, and verified availability.
Read Full Reviews
Related comparisons
Other matchups readers comparing TMates or Zealthy tend to look at next.
- TMates vs Shed$199/mo
- TMates vs Henry Meds$199/mo
- TMates vs TrimRx$199/mo
- Zealthy vs Eden Health GLP-1$249/mo
- Zealthy vs Found$264/mo
- Zealthy vs Sprout Health$249/mo