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Midi Health vs Zealthy

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

Midi Health vs Zealthy: Overview

Choosing between Midi Health and Zealthy for GLP-1 weight loss medication? Both are highly-rated providers, but they differ in pricing, medication options, and service features.

Midi Health offers both semaglutide and tirzepatide at $164/month with a rating of 8.6/10. Zealthy also provides both semaglutide and tirzepatide at $151/month with a 8/10 rating.

With only a $13/month price difference, your choice will likely come down to features, support quality, and medication options.

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

$13/mo

Rating Difference

0.6

Winner

Midi Health

Best For

Quality

Midi Health

View full Midi Health review →

Rating

8.6/10Better

Monthly Price

$164

Medications

compounded GLP-1compounded GLP-1/GIPbrand-name GLP-1s

Pros

✓The GLP-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked July 28, 2026)
✓Compounded GLP-1 injectable runs $165.90 for the lowest doses, $270.90 in the mid range and $355.00 at the top; the dual-action GLP-1/GIP injectable runs $210.00 to $434.00, all for a 4-week supply
✓Sublingual options are offered as well, from $164.00 for GLP-1 and $209.00 for dual-action GLP-1/GIP, for people who will not inject
✓Its partner compounding pharmacies are 503B-accredited. 503B outsourcing facilities register with the FDA, are subject to current good manufacturing practice requirements and are FDA-inspected - a materially higher standard than the 503A pharmacies most competitors use
✓There is no membership fee. You pay for care and medication only
✓Visits are insurance-covered for qualifying patients, and HSA/FSA funds can be used for copays and services
✓Midi will also prescribe brand-name GLP-1s sent to a pharmacy of your choice, so you are not locked into compounded product if you would rather have the approved drug
✓The efficacy claim is the best-sourced in this category. Midi reports patients lost an average of 16 lbs after six or more months, and footnotes it to a retrospective analysis of 6,958 patients who completed two or more weight management visits between 1 May 2025 and 30 April 2026, while stating plainly that weight data were self-reported and results are not guaranteed
✓Care is genuinely whole-person for midlife women - perimenopause, menopause, weight, mood and memory, sexual wellness, hair and skin, sleep, and cancer survivorship - with lab orders and lifestyle support included where appropriate
✓Available in all 50 states

Cons

✗The compounded products are still not FDA-approved. 503B accreditation raises the manufacturing standard considerably but does not mean the FDA has reviewed these preparations for safety or efficacy
✗Midi never names the active drug anywhere in its pricing. Everything is labelled 'GLP-1' or 'GLP-1/GIP'. The dose ladders shown - 0.25 through 2.5 mg, and 2.5 through 15 mg - match the standard semaglutide and tirzepatide titrations exactly, but you should confirm with the clinician what you are actually being prescribed
✗Microdosing is offered from $34 a week for eligible patients. Microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses, and the 16 lb outcome figure covers patients on 'a range of treatments', not microdosing specifically
✗Medicaid and Medi-Cal patients cannot be treated at all, even if they offer to pay cash
✗Medicare does not cover Midi, and beneficiaries cannot submit claims for visits, medications or associated services
✗Prices rise steeply as you titrate up. Injectable GLP-1 more than doubles from $165.90 to $355.00, and the dual-action sublingual runs from $209.00 to $460.00, so the entry price is not what you will pay long term
✗The 16 lb average comes from self-reported weights in a retrospective chart review with no control group - well documented, but not a controlled trial
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks

Choose Midi Health

Zealthy

View full Zealthy review →

Rating

8/10

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	Midi Health	Zealthy
Monthly Price	$164	$151
Rating	8.6/10	8/10
Medications	compounded GLP-1, compounded GLP-1/GIP, brand-name GLP-1s	semaglutide, tirzepatide
Insurance Accepted	Yes	Yes
Support Hours	Not published	Not published
Live Chat	No	No
Free Shipping	Yes	No
Shipping Speed	Discreet shipping included in every quoted medication price	Shipped from partner pharmacies; timing not published
Mobile App	No	Available
Dedicated Coach	Not included	Not included
Follow-up Frequency	Continued care visits with the same clinician, covered by insurance for qualifying patients	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	No membership fee and no subscription lock-in; you pay for care and medication only	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 Midi Health if you:

→Prefer a higher-rated service (8.6/10 vs 8/10)
→Want more medication options to choose from
→Value: the glp-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked july 28, 2026)

Get started with Midi Health

Choose Zealthy if you:

→Want to save $13/month with a more affordable option
→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

Midi Health

Midi Health website

Zealthy

Zealthy website

Our recommendation

Midi Health comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Midi Health

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