24hrDOC vs Zealthy
An in-depth comparison of two leading GLP-1 Providers
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24hrDOC
Best for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatideStarting at $149/mo
Zealthy
Best for not currently recommended — listed for transparency and reader awareness onlyStarting at $286/mo
Side-by-Side Comparison
| Feature | 24hrDOC | Zealthy |
|---|---|---|
| Overall Score | ✓7.1/10 | 4.8/10 |
| Starting Price | ✓$149/mo | $286/mo |
| Editorial Rating | ✓3.6 ★ /5 | 2.4 ★ /5 |
| Features | ✓8 features | 3 features |
| States Available | 0 | ✓34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | ✓None | 2 warnings |
Pros & Cons
24hrDOC
Pros
- ✓Low compounded semaglutide price, around 149 per month
- ✓Fast model: 10-minute assessment, Rx within 45 minutes
- ✓Injectable and oral semaglutide plus tirzepatide options
- ✓24/7 availability with unlimited provider messaging
Cons
- ✗Compounded only, not FDA-approved branded GLP-1s
- ✗Self-pay only, no insurance accepted
- ✗States served not disclosed on the site
- ✗Fast-prescribing model offers less in-depth clinical workup
Zealthy
Pros
- ✓Serves 34 states — meaningful nationwide footprint
- ✓Asynchronous model removes friction for patients who don't want a video visit
- ✓Independent licensed prescribers retain full clinical authority
Cons
- ✗Two FDA warning letters for false or misleading marketing of compounded GLP-1s
- ✗Active Novo Nordisk false-advertising lawsuit alleging trademark infringement and marketing compounded drugs as FDA-approved alternatives
- ✗Active DOJ/FTC enforcement alleging undisclosed subscription terms, locked cancellation, and unauthorized health-data sharing
- ✗Founder previously ran Cerebral, which settled with the FTC in 2024 over similar deceptive practices
- ✗Recently rebranded to Gronk Inc. amid active enforcement
- ✗Kept marketing compounded semaglutide after the FDA shortage ended in Feb 2025
- ✗Adds a $135/month membership fee on top of medication — total cash price $286–$351/month
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
Our Verdict
24hrDOC edges out Zealthy with a higher overall score of 7.1/10 and is particularly strong for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide. Zealthy remains a solid alternative, especially if you're looking for not currently recommended — listed for transparency and reader awareness only.
Glossary references
Key terms in this article, linked to their canonical definitions.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
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.