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Fitish RX vs Zealthy

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Fitish RX vs Zealthy: Overview

Choosing between Fitish RX and Zealthy for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Fitish RX focuses on semaglutide at $219/month with a rating of 7.6/10. Zealthy also provides both semaglutide and tirzepatide at $151/month with a 8/10 rating.

The price difference of $68/month is significant - Zealthy is the more budget-friendly option, while Fitish RX positions itself as a premium service.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$68/mo

Rating Difference

0.4

Winner

Zealthy

Best For

Budget

Fitish RX

View full Fitish RX review →

Rating

7.6/10

Monthly Price

$219

Medications

semaglutide

Pros

✓One number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees
✓A cheaper, honestly-labelled microdose lane at $179 a month for people who want a gentler approach - and it says outright that the microdose "does not titrate up"
✓It draws the distinction between the two lanes plainly rather than upselling: full dose for "serious, sustained weight management", microdose for a "gentle, mindful, cosmetic approach"
✓The compounding disclosure is unusually complete - it names the FDA-approved alternatives (Ozempic, Wegovy, Rybelsus) and states they are commercially available
✓A licensed provider reviews every intake, and the care team stays reachable through the patient portal for dose questions at no added cost
✓Medication ships monthly from a state-licensed sterile compounding pharmacy
✓Payment plans are offered (five payments of $43.80 shown on the product page)
✓Free standard shipping on orders over $100

Cons

✗Compounded semaglutide is not FDA-approved and does not undergo FDA review for safety, effectiveness or manufacturing quality
✗The microdosing lane is marketed for cosmetic weight loss, which is not an evidence-based clinical indication - no trial has tested fixed sub-therapeutic semaglutide dosing for that purpose
✗Only semaglutide. There is no tirzepatide option, so if semaglutide does not suit you there is nowhere to go inside the service
✗No phone number is published
✗The dispensing pharmacy is described only as "a state licensed sterile compounding pharmacy" and is never named
✗No refund, cancellation or money-back policy is published on the product page
✗No insurance billing and no HSA/FSA guidance
✗Marketed specifically to women, which is a positioning choice rather than a clinical one

Choose Fitish RX

Zealthy

View full Zealthy review →

Rating

8/10Better

Monthly Price

$151Cheaper

Medications

semaglutidetirzepatide

Pros

✓Offers both routes: FDA-approved brand-name Ozempic, Wegovy, Zepbound and Mounjaro, and compounded semaglutide, rather than forcing you down the compounded path
✓Works with insurance and assigns coordinators to help maximise coverage - brand-name medication can be as low as $25/month with insurance
✓Compounded semaglutide is quoted from $151/month when purchased quarterly, and the same figure is quoted for patients without insurance
✓A published phone number ((877) 870-0323), support email and a real New York business address (30 Irving Pl, New York, NY 10003)
✓The subscription, cancellation and refund policy is published in full as a standalone page rather than buried in terms of service
✓Cancellation is self-service through "Manage Membership" in your account, with the steps spelled out
✓Prior authorisations are submitted on your behalf, and the FAQ covers what happens when insurance denies them
✓A broad service (weight loss, sexual health, hair, mental health) with real operational scale behind it

Cons

✗Consultation fees and any charges associated with your provider visit or membership are explicitly non-refundable
✗The membership fee is separate from medication cost, and Zealthy warns it is "not a covered benefit under most health insurance plans or other healthcare benefit plans such as the Health Saving Account or Flexible Spending Account"
✗You must cancel before renewal to avoid being charged for the next period - there is no grace-period refund
✗Once medication has proof of delivery from the carrier, no refund is possible; a replacement means a new charge
✗Membership terms include binding individual arbitration, which waives your right to sue or join a class action
✗Zealthy reserves the right to change fees at any time and to modify the refund policy without prior notice
✗The $151 figure depends on buying quarterly, and permanent "limited time" discount banners ($96 off, "sale ends soon") make the real price hard to pin down
✗The operating entity is FitRX, LLC dba Zealthy, which is not obvious from the branding

Feature-by-feature comparison

Feature	Fitish RX	Zealthy
Monthly Price	$219	$151
Rating	7.6/10	8/10
Medications	semaglutide	semaglutide, tirzepatide
Insurance Accepted	No	Yes
Support Hours	Patient portal messaging; hours not published	Not published
Live Chat	No	No
Free Shipping	Yes	No
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	Shipped from partner pharmacies; timing not published
Mobile App	No	Available
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Ongoing provider support through the membership; frequency not published
Money-back Guarantee	None published	None. Consultation and membership fees are explicitly non-refundable
Cancellation Policy	Not published	Cancel any time in your account under "Manage Membership", but you must cancel before renewal to avoid the next charge

Which should you choose?

Choose Fitish RX if you:

→Value: one number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees

Get started with Fitish RX

Choose Zealthy if you:

→Want to save $68/month with a more affordable option
→Prefer a higher-rated service (8/10 vs 7.6/10)
→Want more medication options to choose from
→Need insurance coverage for your treatment
→Value: offers both routes: fda-approved brand-name ozempic, wegovy, zepbound and mounjaro, and compounded semaglutide, rather than forcing you down the compounded path

Get started with Zealthy

Website previews

Fitish RX

Fitish RX website

Zealthy

Zealthy website

Our recommendation

Zealthy comes out ahead with a higher rating of 8/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Zealthy

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