Zealthy vs MEDVi
$216/mo against $399/mo for tirzepatide. Which is worth it, and for whom.
Updated 2026-09-18 · every price checked by hand
Both sell tirzepatide. Zealthy costs $216 a month and MEDVi costs $399, a difference of $183 a month or about $2,196 a year. Over a year that is the whole question.
Zealthy is low-cost entry with insurance routing. MEDVi is tablet and injection choice. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though for a cash payer it usually is.
The yearly view. Over twelve months that gap is $2,196. On a treatment most people stay on for years rather than months, that compounds: five years at this difference is $10,980. That is the number worth deciding on, not the monthly one.
Side by side
| Zealthy | MEDVi | Difference | |
|---|---|---|---|
| Per month | $216 | $399 | $183 |
| Per year | $2,592 | $4,788 | $2,196 |
| Over five years | $12,960 | $23,940 | $10,980 |
| Membership included? | No fee | No fee |
Prices verified 2026-09-18. "True monthly cost" is what you are billed in month two, once any introductory rate has lapsed and any membership has renewed.
Where the money actually goes
3 real differences between them. Everything else is identical, so the rest of the decision is money.
| Zealthy | MEDVi | |
|---|---|---|
| Offers an oral or sublingual option | No | Yes |
| Will pursue insurance coverage | Yes | No |
| Can dispense FDA-approved branded medication | Yes | No |
What each one charges for: Zealthy
- Compounded tirzepatide priced from about $216/month.
- Where insurance covers branded semaglutide, patient cost can fall to roughly $25/month.
Where it wins: Compounded pricing is competitive without a separate membership charge. Watch for: The widely quoted $25/month is an insured price. Cash payers should plan on $151+ for semaglutide.
What each one charges for: MEDVi
Where it wins: Injection pricing is consistent between the first month and renewals. Watch for: You have to complete intake before seeing tablet pricing. Injection pricing is published at $399.
What each does well
Zealthy.
- Compounded pricing is competitive without a separate membership charge.
- Will pursue insurance coverage rather than defaulting to cash pay.
MEDVi.
- Injection pricing is consistent between the first month and renewals.
- Tablet option for people who will not inject.
Zealthy scores higher overall at 3.5 out of 5. The weights are published on how we rate, and so is the note about which of these is our paid featured partner.
Which saves you more
On money alone: Zealthy, by $2,196 a year. That is the entire calculation and we are not going to dress it up. The only reason to pay more is if MEDVi does something in the table above that you will actually use — and most people, most of the time, will not.
The verdict
On the yearly arithmetic, Zealthy at $216 a month is the more defensible choice on arithmetic alone. MEDVi earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Zealthy and MEDVi.
How they sit against everyone else
| Programme | Per month | Per year | Extra vs cheapest |
|---|---|---|---|
| Coreage Rx Cheapest no membership fee | $199 | $2,388 | +$888 |
| SuperHealthy Rx no membership fee | $135 | $1,620 | +$120 |
| Likeness Rx no membership fee | $199 | $2,388 | +$888 |
| Trimi no membership fee | $125 | $1,500 | — |
| Ozari Health no membership fee | $125 | $1,500 | — |
Read next
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