Independent provider comparison

Updated September 26, 2026

Trimi Health vs Zealthy: Which GLP-1 provider is better?

A side-by-side look at total cost, medication format, care, commitment and the situations where each option makes more sense.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
36 providers verified independently·Independent researchHow we rank →

The decision

Which should you choose, Trimi Health or Zealthy?

Short answer: Published pricing is not a like-for-like monthly comparison: Trimi Health is $175/mo month-to-month; Zealthy is from $286/mo. Compare the exact medication, renewal bill and cancellation terms before choosing.

Consider Trimi Health if

Cash-pay patients who want the cheapest flat-price compounded semaglutide we track ($99/mo on the annual plan) and will accept a Trustpilot rating the platform has withheld for a guidelines breach, plus no-pro-rating cancellation terms, in exchange.

Consider Zealthy if

Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo).

Scores follow our published methodology. Partnership status does not change the score or the factual comparison.

Cost

First charge, renewal and commitment

Treatment

Medication, form and approval status

Care

Clinical review and ongoing support

Terms

Cancellation and material cautions

Trimi Health logo

Trimi Health

Last published score
4.2/10

Best for cash-pay patients who want the cheapest flat-price compounded semaglutide we track ($99/mo on the annual plan) and will accept a trustpilot rating the platform has withheld for a guidelines breach, plus no-pro-rating cancellation terms, in exchange.

Visit Trimi Health
Zealthy logo

Zealthy

Last published score
4.7/10

Best for insured users who want dedicated coordinators handling prior authorizations for brand-name glp-1s (potentially $25/mo).

View Zealthy terms

Side by side

Trimi Health vs Zealthy at a glance

Compare the price unit as well as the number. A medication-only price, prepaid monthly equivalent and complete recurring program are not the same thing.

FeatureTrimi HealthZealthy
Last Published Score4.2/104.7/10
Headline Price$175/mo month-to-monthfrom $286/mo
Medication TypeCompoundedBoth
Insurance AcceptedNoYes
Best ForCash-pay patients who want the cheapest flat-price compounded semaglutide we track ($99/mo on the annual plan) and will accept a Trustpilot rating the platform has withheld for a guidelines breach, plus no-pro-rating cancellation terms, in exchange
Insured users who want dedicated coordinators handling prior authorizations for brand-name GLP-1s (potentially $25/mo)
Watch out forTrustpilot has withheld Trimi's star rating for a breach of its review guidelines and says it removed a number of fake reviews. Of the 55 reviews displayed, 64 percent are one star (checked 2026-09-23). Recent reviewers report fulfillment, refund and certificate-of-analysis concerns; these individual accounts do not establish medication quality
FDA warning letter 716501, issued September 9, 2025 to FitRX, LLC dba Zealthy, found the claims about compounded semaglutide on getzealthy.com false or misleading under sections 502(a) and 502(bb) of the Food, Drug, and Cosmetic Act. It concerns marketing, not an allegation that the medication was unsafe, and no public close-out letter had been posted as of September 4, 2026.
Get startedVisit Trimi HealthView Zealthy terms

How do the plan costs and terms compare?

Compare the full bill, not just the advertised monthly number. These are published terms, not a personal prescription quote. We may earn a commission from marked partner links; other providers appear here for comparison. Scores use our last published assessment; source dates below distinguish price checks from that assessment. How our links work.

Trimi Health: price and commitment

month-to-month; $99/mo on an annual plan billed yearly

See all published plans and prices

Compounded Semaglutide, Month-to-Month: $175. $175/mo with no commitment. Consult + overnight shipping included. Flat across doses. The lowest-risk way to try Trimi given the no-pro-rating terms.

Compounded Semaglutide, 3-Month Plan: $145. $145/mo on a 3-month plan.

Compounded Semaglutide, 6-Month Plan: $120. $120/mo on a 6-month plan.

Compounded Semaglutide, Annual Plan: $99. $99/mo billed $1,188 once yearly. Cheapest rate, highest risk: payments are final once a prescription is signed, with no pro-rating if you cancel mid-year.

Compounded Tirzepatide, Month-to-Month: $235. $235/mo with no commitment. Flat across doses.

Compounded Tirzepatide, 3-Month Plan: $199. $199/mo billed $597 every 3 months. A commitment for its stated term, per the pricing page.

Compounded Tirzepatide, 6-Month Plan: $175. $175/mo billed $1,050 every 6 months. A commitment for its stated term, per the pricing page.

Compounded Tirzepatide, Annual Plan: $125. $125/mo billed $1,500 once yearly. Same no-pro-rating caveat as the semaglutide annual plan.

Cancellation: Full refund any time BEFORE a prescription is signed. After that, payments are final with no pro-rating, and the quarterly, 6-month and annual tiers are commitments for their stated term, though the refund policy says multi-month bundles are reviewed case by case if you want to exit early. A 6-month money-back weight-loss promise is published, and it requires a logged starting weight and a logged six-month weight in the patient portal. Terms include mandatory arbitration and a class action waiver, with a written opt-out available within 30 days of first accepting them

Price source checked September 23, 2026. Confirm current eligibility, medication, term and total before paying.

Trimi Health official pricing source

Zealthy: price and commitment

derived: $135/mo standard weight loss membership quoted on the FAQ page, plus compounded semaglutide from $151/mo on the weight loss page, a floor that requires a 3-month order

See all published plans and prices

Weight Loss Membership (first month promo): $39. First month of the weight loss membership, 60% off the $135 standard rate, quoted on the FAQ page (verified 2026-09-03)

Weight Loss Membership (standard): $135. Ongoing monthly membership fee, quoted as the standard membership on the FAQ page

Compounded Semaglutide Add-On: $151. Monthly compounded semaglutide add-on, from $151 a month on the weight loss page when bought as a 3-month supply, stacks with membership

Compounded Tirzepatide Add-On: $216. Monthly compounded tirzepatide add-on, from $216 a month on the weight loss FAQ under the same 3-month supply condition, stacks with membership

Brand-Name (with insurance): $25. Potentially as low as $25/mo through Zealthy's insurance coordination

Cancellation: Cancel anytime through Manage Membership in your account. No prorated refund of the membership fee. Prescription products are non-refundable for any reason. Once a membership is cancelled, prior authorizations for GLP-1 medications are discontinued and refills stop (verified 2026-09-03).

Price source checked September 3, 2026. Confirm current eligibility, medication, term and total before paying.

Zealthy official pricing source

Score evidence last assessed September 3, 2026.

Compounded medications are not FDA-approved; FDA does not review them for safety, effectiveness or quality before marketing. FDA's explanation of compounded-drug risks.

Trade-offs

Strengths and cautions compared

Trimi Health

Pros

  • +$99/mo compounded semaglutide on the annual plan (billed $1,188 once yearly) is among the cheapest flat recurring rates we track; tirzepatide annual is $125/mo ($1,500 yearly)
  • +Flat pricing across all doses, your monthly price does not rise as your dose titrates up
  • +Consult and overnight shipping included in the plan price, no add-on fees; HSA/FSA accepted, Klarna and Affirm financing available
4 more documented strengths
  • +Two named physicians, Dr. Sean Arora MD (medical director) and Dr. Shannon Arora MD (chief medical officer) of the Arora Health medical group, most compounded-only platforms name no one
  • +Trimi names BelieveRx (formerly VialsRx, according to Trimi) and GreenwichRx as its 503A pharmacy partners; check the dispensing pharmacy on your own prescription label
  • +Available in all 50 states plus DC per trytrimi.com/states
  • +6-month money-back weight-loss promise published (conditions apply, read them before counting on it)

Cons

  • −Trustpilot has withheld Trimi's star rating for a breach of its review guidelines and says it removed a number of fake reviews. Of the 55 reviews displayed, 64 percent are one star (checked 2026-09-23). Recent reviewers report fulfillment, refund and certificate-of-analysis concerns; these individual accounts do not establish medication quality
  • −Once a prescription is signed, payments are final, no pro-rating, cancelling an annual plan mid-year forfeits the remainder. Full refund is available only BEFORE the prescription is signed
  • −The site names New York City as its base but publishes no street address and no legal entity name, calling itself only 'Trimi Health' with no LLC or Inc suffix on its contact, about, terms or FAQ pages (rendered check 2026-09-03)
5 more documented cautions
  • −Vial-and-syringe format only, no autoinjector pens, no oral option, no brand-name medications
  • −Trimi says it is LegitScript certified on its treatment pages and links to LegitScript's own checker, but that checker page shows no certification record for trytrimi.com (checked 2026-09-03)
  • −The terms carry a mandatory arbitration clause and a class action waiver, with a written opt-out available within 30 days of first accepting them
  • −The site contradicts itself on commitment: the treatment page FAQ says you can cancel any time with no long-term commitments, while the pricing page and refund policy say the quarterly, 6-month and annual tiers are commitments for their stated term and payments are final once a prescription is issued (checked 2026-09-03)
  • −Free overnight shipping only starts counting after clinician review and after the pharmacy compounds the order, so Trimi's own reviews page puts the honest end to end wait at a few days rather than one night (verified 2026-09-03)

Zealthy

Pros

  • +Dedicated insurance coordinators handle prior authorizations, potentially bringing brand-name GLP-1 costs to $25/mo
  • +Compounded semaglutide and tirzepatide ship as a 1-month or 3-month supply, and the weight loss FAQ says a 3-month order can qualify for 20% off membership for two months
  • +Both compounded and brand-name (Wegovy, Zepbound) available with clinician-guided selection
1 more documented strengths
  • +LegitScript certified, with the verification seal carried in the footer of every page (checked 2026-09-03)

Cons

  • −FDA warning letter 716501, issued September 9, 2025 to FitRX, LLC dba Zealthy, found the claims about compounded semaglutide on getzealthy.com false or misleading under sections 502(a) and 502(bb) of the Food, Drug, and Cosmetic Act. It concerns marketing, not an allegation that the medication was unsafe, and no public close-out letter had been posted as of September 4, 2026.
  • −The $135 membership stacks on top of medication, and the $151 semaglutide floor on the weight loss page applies only to a 3-month order, so a quarterly cash payer runs about $286 a month. The price for a monthly shipment is not shown on the site's weight loss, FAQ or weight loss FAQ pages (rendered check 2026-09-03).
  • −Billing is the recurring complaint: a 3.2 out of 5 Trustpilot score across roughly 5,800 reviews, and a D- BBB rating with more than 2,400 complaints, most of them unexpected charges and billing that continued after cancellation. Cancel through Manage Membership in your account, and note that cancelling also ends any prior authorization Zealthy filed for you.
1 more documented cautions
  • −Prescription products are non-refundable once ordered, for any reason. Double-check dose and supply length before checkout.

Our Verdict

Published pricing is not a like-for-like monthly comparison: Trimi Health is $175/mo month-to-month; Zealthy is from $286/mo. Check the medication, renewal bill and cancellation commitment for the plan you would actually choose. The dated assessments below are not a fresh head-to-head score audit.

Keep narrowing the decision

What should you compare next?

Use the unresolved part of this choice, not a generic related article. These guides own the broader medication, coverage or complete-cost question.

Cheapest complete recurring price in our index

Eden Health GLP-1

$99/mo month-to-month, from $34 on a plan · 6.9/10 · Both

Both Trimi Health and Zealthy start above the cheapest complete recurring program we track. Across all 36 providers in our index, the lowest price with affirmative medication, consultation, and shipping inclusion is Eden Health GLP-1 at $99/mo, price checked August 28, 2026. It scores 6.9/10 and is not the highest-scored provider in our full rankings, so this is a cost floor rather than a recommendation. Worth knowing before you decide.

Try Trimi Health

Headline price: $175/mo month-to-month

Visit Trimi Health

Zealthy plan details

Headline price: from $286/mo

View Zealthy terms

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