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Head-to-head comparison

SexyMD vs Zealthy

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Ranked #135Desk pick
SexyMD

SexyMD publishes every plan length before intake and names the professional entities behind its prescriptions, but the $199 in each headline is a 48-week commitment rate.

From $269/mo sema · From $369/mo tirz · Verified September 2026

Marked down on: Every headline quotes $199 and $299, which are the 48-week rates, not the four-week ones.

vs
Ranked #468
Zealthy

Zealthy (legal entity FitRX, LLC, recently renamed to Gronk Inc.) offers compounded semaglutide and tirzepatide via an asynchronous telehealth model.

From $286/mo (lowest dose rung) sema · From $351/mo (lowest dose rung) tirz · Verified July 2026

Marked down on: Active Novo Nordisk false-advertising lawsuit alleging trademark infringement and marketing compounded drugs as FDA-approved alternatives

FDAWarning letter issued to FitRX, LLC dba Zealthy in September 2025. See the FDA warning-letter database.

SexyMD takes this head-to-head with the higher Desk Score, 74/100 (C) against 51/100 (C) for Zealthy. Zealthy still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

SexyMD

74/100

C

Overall

Zealthy

51/100

C

Price transparency

78
20

State access

78
66

Molecule range

66
66

Onboarding speed

75
72

Support responsiveness

69
69

Licensing & trust

75
20

The spec sheet

FieldSexyMDZealthy
SemaglutideFrom $269/moFrom $269/mo (28-day cycle, compounded)From $286/molowest dose rung$286/mo (starting dose, plus a separate fee, compounded)
TirzepatideFrom $369/moFrom $369/mo (28-day cycle, compounded)From $351/molowest dose rung$351/mo (starting dose, plus a separate fee, compounded)
Coverage47 states (not Arkansas, Mississippi or New Jersey)34 states
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forAnyone who will check the plan length behind a headline before comparing it with anything else.Not currently recommended — listed for transparency and reader awareness only.
Desk Score74/100C51/100C

The verdict

Desk pick — SexyMD

SexyMD takes this head-to-head with the higher Desk Score, 74/100 (C) against 51/100 (C) for Zealthy. Zealthy still holds its ground where its strengths line up with yours.

Choose SexyMD if…

Anyone who will check the plan length behind a headline before comparing it with anything else.

From $269/mo sema · From $369/mo tirz · 47 states (not Arkansas, Mississippi or New Jersey)

Choose Zealthy if…

Not currently recommended — listed for transparency and reader awareness only.

From $286/mo (lowest dose rung) sema · From $351/mo (lowest dose rung) tirz · 34 states

FDAWarning letter issued to FitRX, LLC dba Zealthy in September 2025. See the FDA warning-letter database.

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: SexyMD · Zealthy.

Also here

CoreAge Rx leads the whole ranking at 94/100

Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.