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Match Score 68 · Grade C

ZYP Medical review: price, pros & cons

By MatchScript EditorialUpdated

ZYP Medical is a Nebraska nurse-practitioner practice that prescribes compounded semaglutide and tirzepatide, including an oral tirzepatide tablet, in seven states after a free one-hour consult — but it publishes starter-plan prices only, not a monthly refill price.

Visit ZYP Medical Or see your best match We may earn a commission at no extra cost to you. Partners appear first on most boards; commissions never change Match Scores. Read our disclosure.

ZYP Medical is a small Gretna, Nebraska practice run by nurse practitioner Josh Peterson, offering compounded semaglutide and tirzepatide by telehealth in seven Midwest and Mountain West states.

Semaglutide
Not disclosed
Tirzepatide
Not disclosed
Coverage
7 states (NE, IA, SD, MN, KS, CO, AZ)
Brand-name
Not listed
Oral option
Yes
Verification
Not independently listed

Best for: People in Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado or Arizona who want one named provider they can text directly.

MatchScript's take: A real one-hour consult and a provider you can text — but ask what a refill costs at your dose before you start.

The factor breakdown

ZYP Medical on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.

Budget Fit48/100

Only paid-in-full starter plans are priced and refills vary by dose, so Budget Fit takes the unpriced score of 48.

Speed to Start58/100

A booked one-hour consult comes first and only seven states are served, which holds Speed to Start at 58.

Formulary Match77/100

ZYP Medical lists an oral/sublingual route, for a middling 77 on Formulary Match.

Support Level82/100

A free hour-long consult and direct texting with one named provider score well for support.

Flexibility70/100

Flexibility scores 70/100 in our comparison. Check the renewal, cancellation and refund terms before paying; dose changes require a prescriber's approval.

Transparency74/100

Thinner public disclosure than the highest-scoring programs keeps Transparency at a below-par 74.

Pricing in context

How ZYP Medical's monthly price sits against the category median and the cheapest provider we track.

Monthly priceSemaglutideTirzepatide
ZYP Medicalthis providerVisit Not disclosedNot disclosed
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 ZYP Medical's own website in October 2026. Quoted text is theirs.

  • The semaglutide card shows "$160 /month" with the line "$399 for a 10-week starter plan, paid in full. Affirm financing available."
  • The tirzepatide card shows "$225 /month" over "$450 for the 2-month starter plan, paid in full", and the section ends "Refill pricing depends on your dose and how much medication you order at once."
  • The disclaimer reads "Services available to residents of NE, IA, SD, MN, KS, CO, and AZ only" and "All medication sales are final."

What we like

  • Every new plan starts with a free one-hour consult, in person near Omaha or by telehealth
  • You work with one named provider, Josh Peterson, FNP-C, and can text him directly
  • Starter plans include the medication with no membership fee: $399 for ten weeks of semaglutide and $450 for two months of tirzepatide
  • Offers an oral tirzepatide tablet as well as weekly injections, with in-between doses rather than only the standard steps
  • No contract, cancel any time, and medication comes from a licensed 503A compounding pharmacy

The caveats

  • No standing monthly price is published: the $160 and $225 "per month" figures are starter plans paid in full, and refill prices depend on your dose and how much you order
  • Telehealth covers only seven states — Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado and Arizona
  • All medication sales are final
  • The compounding pharmacy is not named, and the formulation is blended with vitamin B6
  • Compounded semaglutide and tirzepatide are not FDA-approved, and there is no brand-name Wegovy or Zepbound

ZYP MedicalCheck the current price and eligibility on their site.

Visit ZYP Medical

Who it's for — and who should skip it

ZYP Medical is for people in Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado or Arizona who want one named provider they can text directly.

Skip it if that doesn't sound like you. A closer fit may be Direct Meds (Match Score 68) — or take the quiz to see where ZYP Medical lands for your priorities.

See every alternative to ZYP Medical.

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

ZYP Medical against CoreAge Rx and the provider that scores closest to it. Green marks the row leader.

How it comparesZYP Medicalthis providerCoreAge RxfeaturedDirect Medsclosest scorer
Sema priceNot disclosed$99/mo at every dose$249/mo
Coverage7 states (NE, IA, SD, MN, KS, CO, AZ)U.S. only — restrictions vary by state and therapy, list not publishedNot published on the site
FormularyInjectable + oralInjectableInjectable + oral
Match Score68 · C91 · A−68 · C

ZYP Medical, answered

Is ZYP Medical legit?

ZYP Medical 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. It doesn't publish whether it dispenses compounded or brand-name medication, so ask which one you're being prescribed.

How much does ZYP Medical cost?

ZYP Medical doesn't publish a clear compounded-semaglutide price up front. You'll typically see full pricing after the intake questionnaire. Get the all-in monthly number in writing before you pay.

Does ZYP Medical ship to my state?

ZYP Medical operates in a limited set of states (7 states (NE, IA, SD, MN, KS, CO, AZ)). If yours isn't on that list, you'll need a nationwide provider instead.

ZYP Medical vs Direct Meds — which should I pick?

They score within a few points of each other: ZYP Medical at 68/100 and Direct Meds at 68/100, so neither wins on the headline number. ZYP Medical is the better fit for people in Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado or Arizona who want one named provider they can text directly. Direct Meds suits people who want a needle-free sublingual semaglutide option or a quick start, and who are fine learning the tirzepatide price during intake. Run the quiz and the weighting shifts to whichever of those matters more to you.

Pricing & state data come from ZYP Medical'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 ZYP Medical's site. Not medical advice; see our disclosure.

Verdict · Grade C · 68/100

ZYP Medical is a small Gretna, Nebraska practice run by nurse practitioner Josh Peterson, offering compounded semaglutide and tirzepatide by telehealth in seven Midwest and Mountain West states. Its pitch is time and access: a free hour-long first consult, direct texting with the same provider, gradual in-between doses, and an oral tirzepatide tablet for people who would rather not inject. Starter plans are priced openly — $399 for ten weeks of semaglutide, $450 for two months of tirzepatide — with no membership. What it does not publish is the monthly refill price, which depends on your dose and how much you order. Sales are final and the pharmacy is not named. It suits someone in one of its states who wants a personal provider relationship. Bottom line: unusually personal care, with the ongoing price left for the consult.

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