Explainer

Zealthy vs Coby Health

$216/mo against $239/mo for tirzepatide. Which is worth it, and for whom.

Updated 2026-09-18

Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.


Both sell tirzepatide. Zealthy costs $216 a month and Coby Health costs $239, a difference of $23 a month or about $276 a year. What matters more is whether the two are dispensing the same category of product at all.

Zealthy is low-cost entry with insurance routing. Coby Health is multi-month value with supplies included. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though it usually is once you have established that both dispense the same thing.

Side by side

ZealthyCoby Health
Advertised from$216$179
Membership on topNoneNone
True monthly cost$216$239
Roughly, per year$2,592$2,868
Price includes medicationYesYes
Names its pharmacyNot publishedNot published
Our score3.5 / 53.6 / 5

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 two differ on record

They differ on 2 of the 7 things we track, and behave the same on the other 5. The differences are what the price gap is actually buying.

ZealthyCoby
Will pursue insurance coverageYesNo
Can dispense FDA-approved branded medicationYesNo

What each discloses: Zealthy

  • First month advertised at $39.
  • Compounded semaglutide priced from about $151/month.
  • 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 discloses: Coby Health

  • Compounded tirzepatide listed at $239/month on the monthly plan, down from $299.
  • Multi-month plans bring compounded tirzepatide to about $179/month.
  • An at-home injection kit with alcohol pads and syringes is included.
  • Monthly plans can be cancelled at any time.
  • States plainly on its own product pages that compounded medication is not FDA-reviewed or approved.

Where it wins: Injection supplies are included rather than something you source yourself. Watch for: The $179 figure is a multi-month rate. Month-to-month is $239.

Each one’s strengths

Zealthy.

  • Compounded pricing is competitive without a separate membership charge.
  • Will pursue insurance coverage rather than defaulting to cash pay.

Coby Health.

  • Injection supplies are included rather than something you source yourself.
  • Monthly plan is genuinely cancel-anytime.

How they score

What we weighWeightZealthyCoby
True monthly cost30%3.83.7
Price honesty20%3.53.6
Clinical support20%3.43.3
Pharmacy sourcing15%3.53.4
Cancelling15%3.33.7

Coby Health scores higher overall at 3.6 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 to choose

  • Pick Zealthy if cost is the binding constraint. Over a year the gap is about $276, which is real money for the same class of medication.
  • Pick Coby Health if what it does better matters to you — injection supplies are included rather than something you source yourself.
  • Ask both which pharmacy compounds the medication and whether it is a 503A or 503B facility. Neither publishes it.

The verdict

On price alone, Zealthy at $216 a month is the more defensible choice on arithmetic alone. Coby Health earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Zealthy and Coby Health.

How they sit against everyone else

Dispensed byProductPer monthScore
Coreage Rx
Best overall on true monthly cost
Compounded$1994.5
Trimi
Lowest flat price with named pharmacies
Compounded$1254.6
PlexusDx
Pharmacy transparency and genetic testing
Compounded$1894.4
Ozari Health
Lowest advertised semaglutide price
Compounded$1254.4
Fifty 410
Prepaid blocks with no subscription
Compounded$1334.2
Ivím Health
Unlimited clinician access
Compounded$1994
Mochi Health
Insurance concierge support
Compounded$278
+$79 fee
3.6
Coby Health
Multi-month value with supplies included
Compounded$2393.6
Hims & Hers
Widest range of formats
Compounded$238
+$39 fee
3.5
Ro
Branded medication with insurance help
FDA-approved brand$448
+$149 fee
3.5
Zealthy
Low-cost entry with insurance routing
Compounded$2163.5
LifeMD
Insurance coordination
Compounded$1493.5

Read next

  • Zealthy tirzepatide review

    Low-cost entry with insurance routing. What is actually dispensed, how the prescription works, and what the price really is — $216 a month.

  • Coby Health tirzepatide review

    Multi-month value with supplies included. What is actually dispensed, how the prescription works, and what the price really is — $239 a month.

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  • The twelve-month cost

    Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.

  • Tirzepatide programmes compared

    21 programmes side by side — what each dispenses, under what authority, and what it really costs.