Zealthy vs Willow
$216/mo against $399/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 Willow costs $399, a difference of $183 a month or about $2,196 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. Willow is straightforward single-price plans. 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.
What is actually being dispensed. Neither publishes which pharmacy compounds the medication, so ask both before you order and get the answer in writing.
Side by side
| Zealthy | Willow | |
|---|---|---|
| Advertised from | $216 | $399 |
| Membership on top | None | None |
| True monthly cost | $216 | $399 |
| Roughly, per year | $2,592 | $4,788 |
| Price includes medication | Yes | Yes |
| Names its pharmacy | Not published | Not published |
| Our score | 3.5 / 5 | 2.9 / 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.
| Zealthy | Willow | |
|---|---|---|
| Will pursue insurance coverage | Yes | No |
| Can dispense FDA-approved branded medication | Yes | No |
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: Willow
- Compounded tirzepatide listed at $399/month.
Where it wins: A single price with no membership arithmetic. Watch for: There is little published detail on how dose changes are handled. Ask before committing.
Each one’s strengths
Zealthy.
- Compounded pricing is competitive without a separate membership charge.
- Will pursue insurance coverage rather than defaulting to cash pay.
Willow.
- A single price with no membership arithmetic.
How they score
| What we weigh | Weight | Zealthy | Willow |
|---|---|---|---|
| True monthly cost | 30% | 3.8 | 2.4 |
| Price honesty | 20% | 3.5 | 3 |
| Clinical support | 20% | 3.4 | 3.1 |
| Pharmacy sourcing | 15% | 3.5 | 3.1 |
| Cancelling | 15% | 3.3 | 3 |
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 to choose
- Pick Zealthy if cost is the binding constraint. Over a year the gap is about $2,196, which is real money for the same class of medication.
- Pick Willow if what it does better matters to you — a single price with no membership arithmetic.
- 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. Willow earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Zealthy and Willow.
How they sit against everyone else
| Dispensed by | Product | Per month | Score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | Compounded | $199 | 4.5 |
| Trimi Lowest flat price with named pharmacies | Compounded | $125 | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | Compounded | $189 | 4.4 |
| Ozari Health Lowest advertised semaglutide price | Compounded | $125 | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | Compounded | $133 | 4.2 |
| Ivím Health Unlimited clinician access | Compounded | $199 | 4 |
| Mochi Health Insurance concierge support | Compounded | $278 +$79 fee | 3.6 |
| Coby Health Multi-month value with supplies included | Compounded | $239 | 3.6 |
| 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 | $216 | 3.5 |
| LifeMD Insurance coordination | Compounded | $149 | 3.5 |
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.
- Willow tirzepatide review
Straightforward single-price plans. What is actually dispensed, how the prescription works, and what the price really is — $399 a month.
- How to spot a bad seller
The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.
- 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.