MEDVi vs Zealthy: Which GLP-1 Clinic Is Better in 2026?
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Short answer
MEDVi wins overall, scoring 7.0/10 vs 6.0/10. Mainly on clinical oversight and medication options.
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MEDVi
A large compounded GLP-1 clinic that fronts $99 for the first month and bills $199 a month after that, names its medical groups and three pharmacies, and holds an open FDA warning letter plus a BBB F rating.
$199/mo refills after a $99 first month
Read Review →
Zealthy
A multi-specialty telehealth service with a $135/mo membership and medication billed on top, so compounded semaglutide really costs about $286/mo. It is under an open FDA warning letter over claims implying its compounded semaglutide is the same as Wegovy and Ozempic, and one of the quoted claims is still on its own pages.
from $151/mo for medication, bought as a 3-month supply, plus a $135/mo membership
Read Review →MEDVi vs Zealthy, side by side
| Feature | MEDVi | Zealthy |
|---|---|---|
| Our score | 7.0/10 | 6.0/10 |
| Starting price | $199/mo refills after a $99 first month | $151/mo for medication, bought as a 3-month supply, plus a $135/mo membership |
| Medication types | compounded semaglutide, compounded tirzepatide, oral GLP-1 dissolvable tablets, Wegovy (brand), Wegovy pill (brand), Zepbound (brand) | compounded semaglutide, compounded tirzepatide, brand-name Wegovy/Ozempic/Zepbound/Mounjaro |
| Best for | — | — |
| Overall ranking | #41 | #59 |
| Price & Value (25%) | 7.0 | not scored (counted at 4.0) |
| Clinical Oversight (30%) | 8.0 | 7.5 |
| Medication Options (20%) | 9.0 | 8.5 |
| Transparency (25%) | 4.0 | 4.0 |
Sources: MEDVi pricing verified on glp1.medvi.org, Zealthy pricing verified on getzealthy.com
MEDVi vs Zealthy: what a year costs
MEDVi: no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
Zealthy: no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
MEDVi: no verified non-sale 12-month tirzepatide cost with a documented billing period is recorded.
Zealthy: no verified non-sale 12-month tirzepatide cost with a documented billing period is recorded.
Sources: glp1.medvi.org, read October 26, 2026; getzealthy.com, read October 25, 2026.
Which states MEDVi and Zealthy treat
MEDVi publishes no list of states, so you have to check yours at the start of intake. Zealthy: All 50 states.
Sources: home.medvi.org, read October 25, 2026; getzealthy.com, read October 25, 2026.
Medications and doses: MEDVi vs Zealthy
Both list compounded semaglutide injection, Wegovy injection and Zepbound injection.
Only MEDVi lists compounded GLP-1 dissolvable tablet (molecule not named) and Wegovy pill (oral semaglutide).
Only Zealthy lists compounded tirzepatide injection, Ozempic and Mounjaro.
For compounded semaglutide injection, only Zealthy publishes doses (0.25 mg, then 0.5 mg, then 1 mg a week; 2 to 2.5 mg for $100 a month more).
Sources: glp1.medvi.org, read October 25, 2026; try.getzealthy.com, read October 25, 2026; getzealthy.com, read October 25, 2026.
Labs, fees and what MEDVi and Zealthy include
Zealthy bills a $135 monthly fee separately from the medication; MEDVi's plan prices include the medication.
MEDVi does not say whether labs are required; Zealthy asks for labs only when the clinician needs them, and bills them separately, from $72.50.
Sources: home.medvi.org, read October 25, 2026; getzealthy.com, read October 25, 2026; glp1.medvi.org, read October 25, 2026.
Cancelling and refunds: MEDVi vs Zealthy
To stop the next charge, MEDVi needs 3 days' notice; Zealthy states no notice period.
Sources: home.medvi.org, read October 25, 2026; getzealthy.com, read October 25, 2026.
FDA warning letters: MEDVi and Zealthy
FDA's database shows one FDA warning letter to MEDVi's company and 3 FDA warning letters to Zealthy's, with no closeout letter posted for any of them.
MEDVi's letters: February 20, 2026, to MEDVi, LLC dba MEDVi, "False & Misleading Claims/Misbranded (Telehealth)".
Zealthy's letters: September 9, 2025, to FitRX, LLC dba Zealthy, "Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet (Telehealth)"; February 20, 2026, to FitRX, LLC dba FitRx, "False & Misleading Claims/Misbranded (Telehealth)"; June 8, 2026, to FitRX, LLC dba AM RX, "False & Misleading Claims/Misbranded (Telehealth)".
We searched FDA's database for "MEDVi" (MEDVi) and "Zealthy" and "FitRX" (Zealthy).
Sources: fda.gov, read October 25, 2026; fda.gov, read October 25, 2026.
Independent review data: MEDVi vs Zealthy
On Trustpilot, MEDVi rates 4.3 from 14,928 reviews, against 3.2 from 6,054 for Zealthy.
Better Business Bureau: MEDVi, rated F with 760 complaints closed in 3 years (read October 12, 2026); Zealthy, not rated by the BBB (not enough information to issue a rating).
Sources: trustpilot.com, read October 4, 2026; bbb.org, read October 12, 2026; trustpilot.com, read October 4, 2026; bbb.org, read October 4, 2026.
Who each one suits
MEDVi suits you if
- you want compounded GLP-1 dissolvable tablet (molecule not named) and Wegovy pill (oral semaglutide).
- you want one price that includes the medication, with no separate $135 monthly fee.
- you weigh customer ratings (Trustpilot 4.3 against 3.2).
Zealthy suits you if
- you want compounded tirzepatide injection, Ozempic and Mounjaro.
Verdict from the data
MEDVi comes out ahead on an all-in price and customer ratings. Zealthy comes out ahead on medication choice.
Pick Zealthy if medication choice matters most to you. For everyone else our overall pick is MEDVi (7.0/10 against 6.0), a score that also weighs clinical oversight and transparency.
Pros & cons
MEDVi
Pros
- + Names its clinician networks (OpenLoop Health and CareGLP Affiliated P.C.s) and three partner pharmacies with full street addresses and phone numbers
- + Month-to-month with no contract. Cancel by email or portal chat at least 72 hours before the next billing date
- + Compounded semaglutide and tirzepatide injections, a daily dissolvable tablet, and brand-name Wegovy and Zepbound on a separate $99 membership
Cons
Zealthy
Pros
- + Prescribes brand-name Wegovy, Ozempic, Zepbound and Mounjaro and handles insurance prior authorizations (up to three attempts), alongside compounded semaglutide and tirzepatide
- + Publishes its membership, medication and bundle prices, and a cancellation path you can complete in the patient portal without calling
- + Describes ongoing care: unlimited messaging with your provider, monthly video or phone check-ins, and a weight-loss coach
Cons
- − Weaker on Clinical Oversight (7.5/10 vs 8.0)
- − Weaker on Medication Options (8.5/10 vs 9.0)
The bottom line
After scoring all 61 clinics on our 4-criterion rubric (price & value, clinical oversight, medication options and transparency), MEDVi (7.0/10) comes out ahead of Zealthy (6.0/10). But the right choice still depends on what matters most to you.
MEDVi. $199/mo refills after a $99 first month.
Read Review →Zealthy. From $151/mo for medication, bought as a 3-month supply, plus a $135/mo membership.
Read Review →Editor's overall pick
Not sold on either? Our highest-rated partner clinic outside this pair is Wellorithm (7.9/10) from $247/mo after month 1. Read the review →
Ready to start GLP-1 weight loss?
MEDVi scores higher on our rubric. It is not one of our partners.
Frequently asked questions
Which is better, MEDVi or Zealthy?
MEDVi scores higher overall (7.0/10 vs 6.0/10) on our rubric.
How much does MEDVi cost vs Zealthy?
MEDVi is $199/mo refills after a $99 first month and Zealthy is from $151/mo for medication, bought as a 3-month supply, plus a $135/mo membership. Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between MEDVi and Zealthy?
MEDVi (7.0/10, #41 of 61) and Zealthy (6.0/10, #59 of 61) are scored independently across our 4 criteria: price & value, clinical oversight, medication options and transparency. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does MEDVi or Zealthy take insurance?
Insurance terms differ by clinic and by drug: some clinics are cash-pay only, and some help with insurance for brand-name drugs. Each clinic's review says what it publishes. HSA and FSA funds are often eligible. Confirm at checkout.
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How we score: every clinic is rated on 4 weighted criteria from documented evidence. Prices checked weekly. See each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.