Zera Health review: price, pros & cons
Compounded semaglutide at $179 a month and tirzepatide at $255 on monthly billing, the same price at every dose, filled by Strive Pharmacy, with an oral tablet and a microdose option.
- Scores never bought
- 599 providers tracked
- Every factor auditable
Zera Health is a telehealth platform that connects you with licensed providers for compounded GLP-1s filled by Strive Pharmacy.
- Semaglutide
- $179/mo (month-to-month)
- Tirzepatide
- $255/mo (month-to-month)
- Coverage
- Most states — availability varies by treatment, list not published
- Brand-name
- Not listed
- Oral option
- Yes
- Verification
- Not independently listed
Best for: People who want a flat monthly price that does not rise with the dose, a named pharmacy, and the choice of injections, a tablet or a lower-dose microdose plan.
MatchScript's take: Zera's flat monthly pricing and named pharmacy are real positives; just budget for $179, not $149, and cancel three days early.
The factor breakdown
Zera Health on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Month-to-month semaglutide is $179, in the $176–200 band; the $149 headline needs a quarterly prepay or is a first-month rate, for 55.
Same-day approvals and shipping within days, but the states served are described only as most of the country, for 70.
Compounded semaglutide and tirzepatide injections, an oral semaglutide tablet and a microdose plan, plus NAD+ and sermorelin; no brand-name option.
Support Level scores 80/100 in our comparison. Confirm who answers clinical questions, how to reach them and whether follow-up visits cost extra.
Cancel anytime with no fee, but the request needs 72 hours' notice and cancellations are not refunded.
Monthly and quarterly prices and the pharmacy are published; the state list is not.
Pricing in context
How Zera Health's monthly price sits against the category median and the cheapest provider we track.
| Monthly price | Semaglutide | Tirzepatide |
|---|---|---|
| Zera Healththis providerVisit | $179/mo (month-to-month)−$11 vs median | $255/mo (month-to-month)−$4 vs median |
| Category median240 tracked | $190/mo | $259/mo |
| Cheapest trackedMondaeVisit | $87/mo | $126/mo |
For a fair comparison, check the full cost of semaglutide or tirzepatide, including care fees, dose changes and the amount due at each renewal.
What we found on their site
Read on Zera Health's own website in October 2026. Quoted text is theirs.
- The semaglutide page shows a "MONTHLY" plan at "$179/mo" ("billed monthly") beside "$149/mo" "billed every 3 months"; the tirzepatide page shows "$255/mo" monthly and "$215/mo" quarterly.
- Its cancellation policy requires "your cancellation request to be received at least 72 hours prior to your billing date," and states that refunds are given only for medical disqualification.
- The FAQ answers the coverage question with "Zera Health operates in most US states. Availability varies by treatment type."
What we like
- Flat pricing: the homepage says the price does not go up as the dose increases
- All compounded medication is filled by Strive Pharmacy, a 503A pharmacy named on its policy pages
- 24/7 messaging and unlimited consultations with licensed providers are included
- Injections, an oral GLP-1 tablet and a microdose GLP-1 plan from one account
- A full refund if a medical provider disqualifies you
The caveats
- The headline "From $149" figures are first-month or quarterly-billed prices; month-to-month billing is $179 for semaglutide and $255 for tirzepatide
- Cancellations must reach it at least 72 hours before the billing date, or the next month is charged
- No refunds on cancellation except for medical disqualification
- Its FAQ says it operates in most states and availability varies by treatment, but no state list is published
- Describes itself as a technology platform rather than a medical provider, and no brand-name option is offered
Zera Health · semaglutide $179/mo (month-to-month) · tirzepatide $255/mo (month-to-month)Check the current price and eligibility on their site.
Visit Zera HealthWho it's for — and who should skip it
Zera Health is for people who want a flat monthly price that does not rise with the dose, a named pharmacy, and the choice of injections, a tablet or a lower-dose microdose plan.
Skip it if that doesn't sound like you. A closer fit may be Gala Health (Match Score 72) — or take the quiz to see where Zera Health lands for your priorities.
Before you choose care
What semaglutide costs. Compare medication costs, ongoing fees and prepaid plans before choosing care.
What tirzepatide costs. See how dose, medication type and billing terms affect the total price.
Oral GLP-1s vs. injections. Understand the differences between approved oral medicines, compounded forms and injections.
Compounded vs. brand-name GLP-1s. Learn how approval, evidence and pharmacy oversight differ between these options.
How it compares to CoreAge Rx & the closest scorer
Zera Health against CoreAge Rx and the provider that scores closest to it. Green marks the row leader.
| How it compares | Zera Healththis provider | CoreAge Rxfeatured | Gala Healthclosest scorer |
|---|---|---|---|
| Sema price | $179/mo (month-to-month) | $99/mo at every dose | Not disclosed |
| Coverage | Most states — availability varies by treatment, list not published | U.S. only — restrictions vary by state and therapy, list not published | All 50 states |
| Formulary | Injectable + oral | Injectable | Injectable + brand |
| Match Score | 72 · C | 91 · A− | 72 · C |
Zera Health, answered
Is Zera Health legit?
Zera Health is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.
How much does Zera Health cost?
Zera Health lists compounded semaglutide from $179/mo (month-to-month) and tirzepatide from $255/mo (month-to-month) — below our category median of $190/mo. These are the provider's public figures at our last review; confirm on their site, since some teaser tiers step up after month one.
Does Zera Health ship to my state?
Zera Health doesn't publish a full state list, so confirm your state is covered during intake before you pay.
Zera Health vs Gala Health — which should I pick?
They score within a few points of each other: Zera Health at 72/100 and Gala Health at 72/100, so neither wins on the headline number. Zera Health is the better fit for people who want a flat monthly price that does not rise with the dose, a named pharmacy, and the choice of injections, a tablet or a lower-dose microdose plan. Gala Health suits women who want nationwide compounded GLP-1 access with brand-name and hormone-therapy care under the same roof. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data come from Zera Health's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Zera Health's site. Not medical advice; see our disclosure.
Zera Health is a telehealth platform that connects you with licensed providers for compounded GLP-1s filled by Strive Pharmacy. On monthly billing, semaglutide is $179 and tirzepatide $255, and the price stays the same as your dose climbs; quarterly billing brings those down to $149 and $215. An oral tablet and a lower-dose microdose plan are also offered, and the price includes 24/7 messaging, unlimited consultations and free shipping. It suits someone who wants a predictable bill and a named pharmacy. The fine print matters: you need to cancel at least 72 hours before billing, cancellations are not refunded, and the site does not list which states it covers. Bottom line — a solid flat-rate option if you read the monthly row rather than the headline.
Compare with other providers
Five more providers to compare (providers we have a commercial relationship with are listed first), then the 24 programs that sit nearest Zera Health here.
- Match91/ 100CoreAge RxCompounded semaglutide at $99 and tirzepatide at $149 a month, the same price at every dose, with no membership fee and a full refund if the doctor doesn't approve you.91/100
- Match86/ 100EdenCompounded semaglutide at $99 and tirzepatide at $129 a month at every dose, with care, coaching and shipping included, a brand-name Wegovy option, and medication from Eden's own pharmacy network.86/100
- Match81/ 100yourEraA personalized-health brand selling compounded semaglutide and tirzepatide alongside NAD+, sermorelin and microdosing protocols, with an optional coaching-and-labs bundle, nationwide.81/100
- Match80/ 100HealthRXA LegitScript-certified program selling compounded semaglutide and tirzepatide on one flat plan price — consult, medication and overnight shipping included — with a full refund if a provider doesn't approve you.80/100
- Match80/ 100ShedRxCompounded semaglutide and tirzepatide as injections, oral drops or lozenges, plus brand-name Wegovy, Zepbound and the Foundayo pill — month to month or cheaper on longer plans.80/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Mint Med | 72 | $106/mo | $145/mo | 35 states | Alternatives | Visit |
| Polly | 72 | $179/mo | $279/mo | All 50 states | Alternatives | Visit |
| NiceRx | 72 | $199/mo | $299/mo | 46 states (not Alaska, Kansas, Mississippi or New Jersey) | Alternatives | Visit |
| NuvaHealth | 72 | $139/mo (first-month rate, compounded) | $229/mo (first-month rate, compounded) | Coverage not published | Alternatives | Visit |
| Luma Health Co | 72 | $125/mo (starting dose) | $195/mo (starting dose) | 30 states plus Washington, D.C. | Alternatives | Visit |
| Kina | 72 | $199/mo | $249/mo | Coverage not published | Alternatives | Visit |
| Corsica Health | 72 | $199/mo | $299/mo | Coverage not published | Alternatives | Visit |
| Knownwell | 72 | $349/mo (brand Wegovy) | $299/mo (brand Zepbound) | All 50 states | Alternatives | Visit |
| Remote Pharmacy | 72 | Not disclosed | Not disclosed | Most states; compounded semaglutide excludes Mississippi and New Mexico | Alternatives | Visit |
| AskRx | 72 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Emerge Weight Loss | 72 | Not disclosed | $224/mo (starting dose) | Excludes California; other availability may vary | Alternatives | Visit |
| Noom Med | 72 | Not disclosed | Not disclosed | Not available in all 50 states; confirm plan eligibility | Alternatives | Visit |
| Lumora MD | 72 | Not disclosed | Not disclosed | All 50 states; medications and protocols vary | Alternatives | Visit |
| Hello Alpha | 72 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Rewinding RX | 72 | $139/mo | $189/mo | U.S. coverage claimed; confirm your state | Alternatives | Visit |
| Klarity Health | 72 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Actin | 72 | $169/mo | $269/mo | Confirm state and formulation eligibility | Alternatives | Visit |
| Chronos Body Health & Wellness | 72 | Not disclosed | Not disclosed | Louisiana and Texas | Alternatives | Visit |
| SexyMD | 72 | $149/mo (month-to-month) | $249/mo (month-to-month) | All 50 states | Alternatives | Visit |
| SurpassMD | 72 | $219/mo | $309/mo | All 50 states plus Washington, D.C. | Alternatives | Visit |
| Tomorrow | 72 | $199/mo | $299/mo | Advertises all-state clinician network; treatment availability varies by licensure | Alternatives | Visit |
| Peter MD | 69 | $149/mo starting (first-time tier) | $249/mo billed quarterly | 46 states for semaglutide (not AL, ID, AK or HI); tirzepatide excludes AL and ID | Alternatives | Visit |
| HealthSource | 71 | $216/mo | $324/mo | All 50 states | Alternatives | Visit |
| Southern Vitality and Weight Loss | 71 | $199/mo (1-month package) | $299/mo (1-month package) | Georgia-based; physician licensed in 11 states, list not published | Alternatives | Visit |
Zera Health appears on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs and best oral GLP-1 providers boards, scored on the same six factors as every other provider there.