TMates vs Zealthy: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher

48 providers verified independently·Independent researchHow we rank →

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.

Higher Rated

TMates

#16 of 48
7.8/10

Telemedicine 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.

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Zealthy

#42 of 48
7.2/10

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

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FeatureTMatesZealthy
Our Score7.8/107.2/10
Starting Price$158/mo$286/mo
Medication TypeBothBoth
Insurance AcceptedYesNo
Best ForUsers 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.

Try TMates

Starting at $158/mo

Visit TMates

Try Zealthy

Starting at $286/mo

Visit Zealthy

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