Almost every provider in this market treats insurance as someone else's problem. Zealthy is the exception, and that makes this comparison unusually clean: it is a question about your coverage, not about the companies.
Zealthy operates an insurance coordination team that submits prior authorisations for branded Ozempic, Wegovy, Zepbound and Mounjaro, and advertises a resulting cost as low as $25 a month against a retail reference it cites at $1,349. Prior authorisation is the main barrier between an insured patient and a covered GLP-1, and most people abandon it.
CoreAge Rx does the opposite on purpose. It states it has removed insurers from the transaction and starts at $79 for compounded semaglutide and $129 for tirzepatide, both monthly equivalents on 12-month plans and flat across included doses, with no membership.
Price it twice before choosing
If it fails, Zealthy's published self-pay rate is compounded semaglutide from $151 a month, and that figure itself carries a condition: it applies when purchased quarterly. Against CoreAge Rx's $79 on a 12-month plan month-to-month, that is $52 more on a three-month commitment.
Zealthy publishes remarkably little about itself
Its membership price, cancellation process, refund policy, eligibility criteria, lab requirements and pharmacy partners are all absent from the pages we reviewed. Its FAQ lists every one of those as a topic, but the answers sit behind accordions that do not render in readable form.
For a company whose value proposition is navigating opacity on your behalf, that is an awkward position. Get the membership cost and cancellation terms in writing before signing up.
One scope note: Zealthy's compounded offering covers semaglutide only. If you want compounded tirzepatide, it is not an option there — see our cheapest compounded tirzepatide ranking.
What it actually costs per year
Advertised prices in this category are usually medication only. Add the membership back in and the ranking changes. Pick a provider, or enter the quote you were given.
One-month semaglutide rate. Starting at $79/month equivalent requires a 12-month plan ($948 total); confirm payment and renewal terms.
- First month
- $139
- Every month after
- $139
- Total over 12 months
- $1,668
No membership on this plan, so every dollar goes to medication and care.
Figures are the providers' own published prices as of our last review of each. Promotional rates, multi-month prepayment and dose changes can all move these numbers — confirm at checkout.