Top 4 Zealthy Alternatives in 2026
If you are shopping past Zealthy for compounded GLP-1 care, here is the field compared apples to apples, all-in and at cost.
The short answer: if you want compounded semaglutide at cost, pru is the pick. The medication is about $60 a month, your price per month when you start on a 3-month plan, passed through at cost with no member markup. Membership is separate: $50 a month billed annually for unlimited access to the pru platform and clinician messaging, and because it is at-cost pricing the savings compound with every vial.
Zealthy is a real option that still compounds GLP-1s, running about $151 a month for medication only or about $297 all-inclusive. The reason most people re-shop in 2026 is price and transparency: many providers advertise a low medication number, then add a separate membership fee on top. Below, pru sits first, then three other genuine alternatives, each compared on medication cost and what its plan includes.
The alternatives, all-in and side by side
Every figure below is a monthly cost for compounded semaglutide at a maintenance dose. For bundled providers that is the all-in number: medication plus any required consult, membership, or shipping.
For pru it is the medication cost, about $60 a month when you start on a 3-month plan, passed through at cost with no member markup; pru's $50-a-month membership, billed annually for unlimited access, is separate and does not mark up any vial. pru is listed first because its medication is at cost, the lowest medication price we found.
| Provider | All-in per month | What that includes |
|---|---|---|
| pru | about $60 medication | medication at cost on a 3-month starter plan, no member markup; $50/mo membership billed annually for unlimited access, separate and marking up no vial |
| Zealthy | $151 to $297 | medication only at the low end, or all-inclusive with consult and support at the high end |
| Mochi Health | from $99 | compounded program with dietitian-led coaching and support; confirm whether a membership is bundled |
| Ivim Health | $125 to $190 | compounded, sold in 2 to 4 month blocks |
| Found | $199 to $299 | all-inclusive, lower on annual prepay |
Why people look past Zealthy in 2026
Zealthy is a broad, multi-condition telehealth platform that treats far more than weight, and its all-inclusive plan bundles the consult, the medication, and ongoing support into one number. For someone who wants a single provider for several health needs and one predictable monthly bill, that breadth and convenience are real strengths, and Zealthy delivers them well. The reason people still re-shop comes down to two things: the all-in price, and how the price is shown.
- The second-fee problem. Across the field, a low advertised medication price often sits next to a separate required membership. Eden, for example, lists $99 for the medication and then adds a $99 monthly membership, so the real cost is about $198. The number to compare is always medication plus membership plus shipping.
- The recent exits. Hims, Ro, WeightWatchers, and Sesame all stopped compounding GLP-1s in 2025 and 2026 and moved to brand-name drugs as the FDA declared the semaglutide and tirzepatide shortages resolved. People who signed up with those brands for compounded semaglutide are now shopping for a provider that still compounds.
- Transparency. Many plans bundle everything into one marked-up subscription, so you cannot see what the medicine itself costs. pru itemizes it.
THE HIDDEN SECOND FEEWhen you compare any provider to Zealthy, add every line: medication, membership, and shipping. A $99 medication with a $99 membership is a $198 plan. pru shows the medication at cost, about $60 a month on a 3-month starter plan, and its membership is a flat, unlimited $50 a month billed annually with no markup on any vial.
pru: the transparent, at-cost alternative
pru is a LegitScript-certified DTC membership telehealth platform built only for compounded peptides, including GLP-1s like semaglutide and tirzepatide. What sets it apart from Zealthy and the rest of the field is the at-cost model: the medication is passed through at the pharmacy's price with no member markup, so compounded semaglutide runs about $60 a month, your price per month when you start on a 3-month plan, and tirzepatide about $93 a month on the same basis.
Membership is separate and simple: $50 a month billed annually for unlimited access to the pru platform and clinician messaging. Because that membership is flat and at-cost, the savings compound with every vial, and members can easily stack more than one peptide without a markup on any of them.
The care path is the same standard you would expect anywhere: a licensed physician reviews your history and confirms whether a compounded GLP-1 is appropriate for you and sets your dose, and an FDA-registered 503A pharmacy compounds and fills your prescription with a Certificate of Analysis documenting what is in the vial. The medicine is pharmacy-grade, which means a physician prescribed it and a licensed pharmacy made it. Compounded peptides are not FDA-approved as finished products, and compounded semaglutide is not the same as a branded GLP-1 drug.
Taking charge of your metabolic health is a smart, responsible move, and pru exists to make that proactive choice the accessible one: licensed physicians, pharmacy-grade medication, and at-cost pricing so the informed path is also the easy one. See what is available now in weight loss & metabolism, or view the at-cost pricing when you are ready.
Three other genuine alternatives
pru's medication is at cost, the lowest medication price we found, but it is not the only provider still compounding. Here are three other real options, described plainly so you can compare them for yourself.
- Mochi Health starts from about $99 a month and pairs its compounded GLP-1 program with dietitian-led coaching and hands-on clinical support, which is a strong fit for people who want real guidance and accountability alongside the medication rather than the drug on its own. Confirm on signup whether a membership fee is bundled or separate so you know the true all-in number.
- Ivim Health runs about $125 to $190 a month and is built around clinician-led weight care, selling its compounded medication in two-to-four-month blocks. The block model can lower the per-month cost if you are comfortable prepaying, a sensible trade for people who know they are staying on and want fewer reorders to manage.
- Found runs about $199 to $299 a month all-inclusive, with a lower rate on annual prepay. It wraps the medication in a well-developed behavior-change and coaching program, so you are paying for more than the drug alone, a good fit for people who want that structure, community, and habit support built in.
Each of these is a legitimate, prescription-based provider. The choice comes down to how you weigh price against the extra coaching or bundling, and whether the medication cost is shown to you or hidden inside a subscription.
The one line every alternative should clear
Whichever provider you choose, the single most important question is not the price, it is whether a licensed physician prescribed the medication and a licensed pharmacy made it. A "research-grade" vial ordered off a website "for research use only" has no prescription, no licensed pharmacy, and no clinician behind it, and it is far cheaper for a reason.
That is the grey-market line, and it is the one place to spend more rather than less. pru, Zealthy, Mochi, Ivim, and Found all sit on the prescribed, pharmacy-made side of that line.
WHERE PRU SITSpru works only with prescribed, 503A pharmacy-grade compounded peptides, documented with a Certificate of Analysis. Pharmacy-grade means a physician prescribed it and a licensed pharmacy made it.
Related reading
- Best Compounded Semaglutide Providers in 2026
- The Compounded GLP-1 Price Index
- Best Online GLP-1 Providers in 2026
- Are Compounded Peptides Legit?
Common questions
Sources & further reading
- Provider websites and recent public pricing reviews, July 2026.
- The Compounded GLP-1 Price Index 2026, compiled by pru. joinpru.com. Accessed July 2026.
- U.S. Food and Drug Administration. Human Drug Compounding (503A compounding). fda.gov. Accessed July 2026.
- pru catalog, category, and pricing pages. joinpru.com. Accessed July 2026.