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Midi Health vs Zealthy

An in-depth comparison of two leading GLP-1 Providers

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7.0

Midi Health

Best for women in menopause / perimenopause with commercial insurance who want GLP-1 prescribing as part of a broader hormone + metabolic care plan, not as a standalone weight-loss product
★★★3.5

Starting at $128/mo

Menopause SpecialtyCompounded SemaglutideAll 50 StatesCommercial Insurance Accepted
Visit Midi Health
4.8

Zealthy

Best for not currently recommended — listed for transparency and reader awareness only
★★☆☆☆2.4

Starting at $286/mo

CompoundedSemaglutideTirzepatide
Visit Zealthy

Side-by-Side Comparison

FeatureMidi HealthZealthy
Overall Score7.0/104.8/10
Starting Price$128/mo$286/mo
Editorial Rating3.5 ★ /52.4 ★ /5
Features4 features3 features
States Available034
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNone2 warnings

Pros & Cons

Midi Health

Pros

  • Nationwide availability in all 50 states (verified on the public homepage)
  • Accepts commercial insurance — differentiator vs most cash-pay-only GLP-1 telehealth
  • Menopause + metabolic health specialty framing — useful for women in the demographic where GLP-1 efficacy and weight regulation overlap most
  • Compounded semaglutide pricing starts at $127.90/mo for uninsured patients per the public pricing/insurance page

Cons

  • Does NOT accept Medicare, Medicaid, or Medi-Cal — eliminates roughly 40% of the insured US adult population
  • GLP-1 prescribing is clinician-discretionary inside a broader menopause care plan, NOT a guaranteed offering at intake — readers signing up purely for GLP-1 access may not get it
  • Menopause-focused — not the right fit for men or younger women whose primary need is weight loss

Zealthy

Pros

  • 34 states served — meaningful nationwide footprint
  • Asynchronous model removes friction for patients comfortable without a synchronous video visit
  • Independent licensed prescribers retain full clinical authority

Cons

  • TWO FDA warning letters for false/misleading marketing of compounded GLP-1s (Feb 2026 letter 717987 verified at fda.gov; September 2025 letter from secondary sources)
  • Active Novo Nordisk false-advertising lawsuit: Novo Nordisk A/S et al v. Zealthy Inc., case 1:25-cv-06391 (S.D.N.Y., filed 2025-08-04), alleging trademark infringement and marketing of compounded products as 'FDA-approved alternatives'
  • Active DOJ/FTC enforcement: United States v. Cerebral, Inc. et al, case 1:24-cv-21376 (S.D. Fla., amended complaint adding Zealthy Inc., Gronk Inc., founder Kyle Robertson, and others), alleging ROSCA violations (failure to disclose subscription terms, no informed consent for billing, locked cancellation), and unauthorized health-data sharing for targeted advertising
  • Founder pattern of conduct: Kyle Robertson previously founded Cerebral, which settled with the FTC in June 2024 ($5M consumer redress + $10M civil penalty suspended to $2M) for similar deceptive practices. Robertson then founded Zealthy and is alleged to have continued the same conduct
  • Company recently renamed FitRX/Zealthy to Gronk Inc. — rebrand pattern is itself a concerning signal in the context of active enforcement
  • Continued marketing of compounded semaglutide after FDA removed it from the shortage list on 2025-02-21 (post-shortage compounding without legal authorization)
  • Adds a $135/month membership fee on top of medication cost — total cash price is $286-$351/month
  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option

Our Verdict

Winner: Midi HealthScore: 7.0/10

Midi Health edges out Zealthy with a higher overall score of 7.0/10 and is particularly strong for women in menopause / perimenopause with commercial insurance who want GLP-1 prescribing as part of a broader hormone + metabolic care plan, not as a standalone weight-loss product. Zealthy remains a solid alternative, especially if you're looking for not currently recommended — listed for transparency and reader awareness only.

Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.