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Josie vs ZipHealth: Which Is Better?

Head-to-head comparison of Josie and ZipHealth based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

ZipHealth scores higher overall in our independent evaluation (59/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value.

58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie
59

A high-volume, low-cost generalist telehealth pharmacy platform covering hair loss, ED, and other common prescription needs.

Visit ZipHealth

Score Breakdown

DimensionJosieZipHealth
Overall Score57.6/10059/100 ✓
Trust & Safety30%50/10055/100 ✓
Value25%70/100 ✓55/100
Experience20%58/10062/100 ✓
Product Range15%60/10070/100 ✓
Reputation10%45/10058/100 ✓

At a Glance

Founded——
Headquarters—Delray Beach, FL
Publicly tradedNoNo
Treatment categories34
Treatments listed74
Starting price$90/mo$20/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryJosieZipHealth
Women's Health—$20–$45
UTI Treatment

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

ZipHealth

+Large scale for a generalist telehealth pharmacy platform: 560,000+ customers claimed and one of the higher Trustpilot review volumes in the category (3,700+ reviews, 4.2 average).
+Broad prescription menu spanning hair loss (finasteride), ED, migraine, antiviral, UTI, and other common conditions through a single flat consultation fee.
+Fast, self-service intake flow praised by many reviewers as easy to navigate.
−Reviewers describe automatic subscription renewals with insufficient warning and difficulty canceling — a billing-friction issue distinct from having a subscription model at all.
−Individual medication pricing (including finasteride) is not shown until after intake is completed, limiting upfront price transparency.
−Multiple reviewers report multi-day waits for provider consultations despite marketing an 'express' service.
Read the full ZipHealth review →

Josie vs ZipHealth — FAQ

Is Josie better than ZipHealth?

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ZipHealth scores higher overall in our independent evaluation (59/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value.

Is Josie or ZipHealth cheaper?

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ZipHealth has the lower starting price (from $20/mo vs $90/mo for Josie). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Josie and ZipHealth both offer?

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Both platforms treat Women's Health. Josie covers 3 treatment categories total and ZipHealth covers 4.

Still deciding?

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