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Fierce Health vs TeleZen MD

Fierce Health costs $1 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Fierce Health logo

Fierce Health

6.7
★★★☆☆3.4/5

Best for: starting below a standard dose, with microdose tiers

Visit Fierce Health →
VS
TeleZen MD logo

TeleZen MD

5.8
★★★☆☆2.9/5

Best for: compounded semaglutide at $198/month

Visit TeleZen MD →

If you are choosing between Fierce Health and TeleZen MD, the first difference is cost: Fierce Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Fierce Health leads our six-part score, 6.7 to 5.8.

Fierce Health vs TeleZen MD price

Fierce Health is the cheaper way in: $197 a month against $198 a month at TeleZen MD. That is $1 less each month (1% lower), or about $12 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Fierce Health ($197 a month vs $198 a month); tirzepatide is cheaper at Fierce Health ($297 a month vs $298 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Fierce Health lists 30 states, and TeleZen MD does not publish where it ships.

Pricing

Fierce Health

Semaglutide Weight Loss Program, monthlyCompounded
$297/mo
semaglutide

Also sold as 3-month and 6-month paid-in-full cadences. Free US shipping.

Tirzepatide Weight Loss Program, monthlyCompounded
$497/mo
tirzepatide

Also sold as 3-month and 6-month paid-in-full cadences.

Semaglutide Microdose Program, monthly (low-dose protocol)Compounded
$197/mo
semaglutide

Listed as "From $197.00"; one vial per month.

Tirzepatide Microdose Program, monthly (low-dose protocol)Compounded
$297/mo
tirzepatide

Listed as "From $297.00"; one vial per month.

TeleZen MD

Compounded GLP-1 plan, standard monthly rateCompounded
$198/mo
semaglutide

$148 first month, $198/month after. Multi-month plans (paid in full): quarterly $166/mo ($498), semi-annual $149/mo ($898), annual $133/mo ($1598). Prices are estimated monthly-equivalent of the 3-/6-month plans.

Compounded GLP-1 + GIP plan, standard monthly rateCompounded
$298/mo
tirzepatide

$248 first month, $298/month after. Multi-month plans (paid in full): quarterly $249/mo ($748), semi-annual $233/mo ($1398), annual $216/mo ($2598).

What each price covers

Both prices cover shipping.

TeleZen MD's price also covers the clinician visit and the medication itself, which Fierce Health does not claim.

Fierce Health is silent on the clinician visit, the medication itself, lab work and coaching.

TeleZen MD is silent on lab work and coaching.

That matters most for the drug: unless Fierce Health confirms otherwise, budget for medication on top of its listed price.

Fierce Health

Covered by the monthly price

Medication

Not stated

Clinician visits

Not stated

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

TeleZen MD

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Fierce Health scores 6.7 and TeleZen MD 5.8 out of 10.

Fierce Health is stronger on user experience (8.0 vs 2.5), trust & safety (4.5 vs 4.0) and accessibility (6.8 vs 5.0).

TeleZen MD is stronger on support (7.0 vs 5.0).

Value and effectiveness are within half a point.

How we score

Fierce Health

6.7/10

Overall

TeleZen MD

5.8/10

Value25%

4.5A
vs
B
4.5

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
2.5

Trust & Safety15%

4.5A
vs
B
4.0

Accessibility10%

6.8A
vs
B
5.0

Support10%

5.0A
vs
B
7.0

FDA warning letters

Neither Fierce Health nor TeleZen MD has an FDA warning letter on record with us.

Features & Coverage

FeatureFierce HealthTeleZen MD
Starting Price✓$197/mo$198/mo
Features✓5 features3 features
States Available30Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Fierce Health

Fierce Health prices its GLP-1 programs at $197-$497/mo. It sells compounded semaglutide and tirzepatide in both standard and microdose programs, a four-program ladder broader than peers selling only one or two SKUs, with the microdose tier among the lower entry points. A longevity catalog sits alongside it. Service is limited to 30 enumerated states, and the platform is LegitScript Certified.

Read our full Fierce Health review →

About TeleZen MD

Steady-state monthly pricing never appears on the marketing home page. TeleZen MD runs entirely online, 100% so by its own description, and routes GLP-1 therapy through pharmacies inside the U.S. that are FDA-registered. Coverage is claimed for all 50 states, with the caveat, in the provider's words, 'subject to medical eligibility and state regulations.' Anyone ordering for the first time is offered $100 off with the code WELCOME100.

Read our full TeleZen MD review →

Pros & Cons

Fierce Health

What we like

  • Semaglutide costs $197 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes shipping
  • We found no FDA warning letters issued to Fierce Health

Watch-outs

  • Tirzepatide costs $297 a month, 19% above the $250 median for compounded tirzepatide across the sellers we compare
  • Serves only 30 states, so check that yours is one of them
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

TeleZen MD

What we like

  • Semaglutide costs $198 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to TeleZen MD
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake

Watch-outs

  • Tirzepatide costs $298 a month, 19% above the $250 median for compounded tirzepatide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Fierce Health

Fierce Health wins this one, 6.7 to 5.8, above all for starting below a standard dose, with microdose tiers. It also costs $1 less each month than TeleZen MD. TeleZen MD fits better if compounded semaglutide at $198/month is your priority.

Choose Fierce Health if…

You want starting below a standard dose, with microdose tiers and an opening price near $197 a month.

Choose TeleZen MD if…

You want compounded semaglutide at $198/month and an opening price near $198 a month.

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Fierce Health vs TeleZen MD: FAQ

Fierce Health. It starts at $197 a month; TeleZen MD starts at $198 a month, $1 more per month.
Yes, both sell semaglutide and tirzepatide.
Fierce Health lists 30 states; TeleZen MD does not publish where it ships. Confirm your state before paying.
Both include shipping. Only TeleZen MD includes the clinician visit and the medication itself.
Fierce Health has none. TeleZen MD has none.
No. Neither Fierce Health nor TeleZen MD pays us anything.

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