Head-to-head · computed 2026-08-11
Sprout Health vs Zealthy
Sprout Health: Sprout Health sells flat-rate compounded GLP-1s with no membership: $249/month semaglutide (commonly $199 first month; $615 three-month supply, about $205/month) and $299/month tirzepatide (commonly $249 first month), with a published price-lock so the rate holds as the dose climbs — and, unusually for this market, two named partner pharmacies. Zealthy: Zealthy pairs a $135/month membership with compounded medication sold separately or in bundles: all-in ongoing costs run about $297/month semaglutide and $449/month tirzepatide bundled, or about $286 and $351 on three-month-supply pricing once the membership is counted.
Tirzepatide
| Sprout Health | Zealthy | |
|---|---|---|
| All-in maintenance | $299/mo | $449/mo |
| Best plan rate | $299/mo | $351/mo |
| 12-month total | $3,588 | $5,388 |
| Status | Reported · 2026-08-11 | Reported · 2026-08-11 |
The arithmetic
On the figures our desk holds, Sprout Health's $299 a month undercuts Zealthy's $449 by $150 a month at the 10 mg/wk maintenance basis — $1,800 across a year. Sprout Health's figure is reported (captured 2026-08-11) and Zealthy's is reported (captured 2026-08-11); a status below 'verified' means our independent checkout capture is still pending, so treat the gap as the best current evidence rather than settled fact.
Sprout Health's tirzepatide ladder runs $299 a month billed monthly. Zealthy's runs $449 a month billed monthly, and $351 a month on a three-month plan. On the twelve-month basis Sprout Health's $3,588 beats Zealthy's $5,388 by $1,800 — with the winner's figure resting on twelve months at the month-to-month rate with no commitment, a structural difference that matters if you might stop early.
Sprout Health promotional terms: First month commonly $249.
Semaglutide
| Sprout Health | Zealthy | |
|---|---|---|
| All-in maintenance | $249/mo | $297/mo |
| Best plan rate | $205/mo | $286/mo |
| 12-month total | $2,988 | $3,564 |
| Status | Reported · 2026-08-11 | Reported · 2026-08-11 |
The arithmetic
On the figures our desk holds, Sprout Health's $249 a month undercuts Zealthy's $297 by $48 a month at the 2.4 mg/wk maintenance basis — $576 across a year. Sprout Health's figure is reported (captured 2026-08-11) and Zealthy's is reported (captured 2026-08-11); a status below 'verified' means our independent checkout capture is still pending, so treat the gap as the best current evidence rather than settled fact.
Sprout Health's semaglutide ladder runs $249 a month billed monthly, and $205 a month on a three-month plan. Zealthy's runs $297 a month billed monthly, and $286 a month on a three-month plan. On the twelve-month basis Sprout Health's $2,988 beats Zealthy's $3,564 by $576 — with the winner's figure resting on twelve months at the month-to-month rate with no commitment, a structural difference that matters if you might stop early.
Sprout Health promotional terms: First month commonly $199; three-month supply $615 (~$205/mo).
Where the structures genuinely differ
Sprout Health carries no membership fee against Zealthy's $135 a month — $1,620 a year of structural cost before any medication ships, which is why this site prices everything all-in. On dose economics, Sprout Health is dose-flat — the price survives titration — while Zealthy's pricing can move with the dose, a difference that compounds through a standard escalation schedule and matters most to buyers expecting to reach the higher maintenance doses. On verifiability, Sprout Health names its dispensing pharmacy — which means the fifteen-minute license-and-records check is possible — while Zealthy's pharmacy is not disclosed on record, the single structural fact this desk weighs heaviest after the FDA's 2026 letters cited exactly that practice.
Structure, side by side
Sprout Health
- MembershipNone
- Dose policyDose-flat with a published price-lock guarantee: the enrolled rate does not increase as the dose escalates
- CommitmentMonth-to-month; 3-month semaglutide supply available
- CancellationPer provider terms
- PharmacyFoothills Pharmacy and Promise Pharmacy (named partners)
Zealthy
- Membership$135/mo
- Dose policyNot stated on captured materials
- CommitmentMonthly membership; medication discounts require 3-month supply purchases
- CancellationPer published terms; membership and medication bill separately on unbundled plans — confirm both at checkout
- PharmacyPartner compounding pharmacies (NABP-accredited and LegitScript-certified per co
What our desk is watching on each
Sprout Health: Resolution on record: our July 16 homepage read ('starting-at entry-dose prices; funnel personalizes') is superseded — five independent 2026 sources converge on flat $249/$299 pricing with an explicit dose price-lock, identifying the homepage 'starting at' as first-month promo framing rather than dose tiering. LegitScript-certified; MD Integrations clinician network; Sprout Health Partners LLC, Encinitas, CA. Cautions that survive the upgrade: a consistent slow-customer-service complaint pattern across review sources, an NAD+ add-on on the menu (see the verification masterclass's add-on cautions), oral compounded tirzepatide tablets offered (less outcome data than injectables), and no labs or telehealth visit required before treatment — fast is not the same as thorough.
Zealthy: The advertised $151 (semaglutide) and $216 (tirzepatide) figures are three-month-supply medication-only rates that exclude the $135 monthly membership — the canonical case for this site's all-in accounting. Bundled ongoing rates: $297/mo semaglutide, $449/mo tirzepatide after discounted first months ($217/$349). Brand-name pens run ~$1,349 cash through the platform. Reported from third-party reviews and Zealthy's own pricing page; our checkout capture is pending.
Questions people ask
Is Sprout Health or Zealthy cheaper in 2026?
The tirzepatide and semaglutide verdict blocks above give the computed answer at the maintenance basis, with the verification status of each figure; the short version is that whichever program's all-in monthly number is lower on this page is cheaper on the evidence we hold today, and both rows carry capture dates so you can judge freshness.
What does Sprout Health vs Zealthy miss that checkout will show?
Taxes, state availability, current promotions, and any dose surcharge introduced after our capture date. Screenshot the order summary before paying — that capture, not any comparison page, is your contract.
Why do you compare at the maintenance dose instead of the starting dose?
Because starter pricing lasts one or two months and maintenance pricing lasts the rest of the year; comparing starts against maintenances is the single most common way GLP-1 comparisons mislead.
What do Sprout Health and Zealthy cost over a full year of tirzepatide?
On the plans our database holds, a year of tirzepatide runs $3,588 at Sprout Health and $5,388 at Zealthy — computed from each program's best published twelve-month route, with promotional figures labeled in the sections above and every number carrying its capture date.
Does a promotion affect this comparison?
Yes — at least one program on this page (Sprout Health) is running promotional pricing with its standard rate card stored alongside it. The verdict uses the price a buyer pays today, labeled as promotional; the analysis block prints the reversion figure, because a comparison won on a sale that ends is a comparison that expires.
Both records live in the normalized database; re-run the math yourself from the downloads. Full record pages: Sprout Health · Zealthy. Official sites: Sprout Health ↗ · Zealthy ↗. Nothing here is medical advice.