LeanDose vs Zappy Health
LeanDose and Zappy Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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LeanDose
Best for: seeing what it charges before you answer any medical questions
Visit LeanDose →
If you are choosing between LeanDose and Zappy Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Zappy Health leads our six-part score, 7.5 to 6.6. One of the two has an FDA warning letter on record, covered below.
LeanDose vs Zappy Health price
LeanDose only publishes an introductory price, $159 for the first month, and does not say what month two costs. Zappy Health lists $159 a month. Until LeanDose posts a standing rate, the two numbers are not a like-for-like comparison.
Drug by drug: Semaglutide costs the same at both, $159 for the first month; tirzepatide is cheaper at LeanDose ($279 for the first month vs $299 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
LeanDose does not publish where it ships, and Zappy Health lists 42 states.
Pricing
LeanDose
Transparent first-month all-inclusive pricing from $159; ongoing monthly cost may differ. FDA-registered compounding pharmacy.
Transparent first-month all-inclusive pricing from $279; ongoing monthly cost may differ.
Zappy Health
From $159/mo (9-mo); $199 (3-mo); $249 month-to-month; flat across doses
From $299/mo (9-mo); $329 (3-mo); $359 month-to-month; flat across doses
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
LeanDose is silent on lab work and coaching.
Zappy Health is silent on lab work and coaching.
LeanDose
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
Zappy Health
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, Zappy Health scores 7.5 and LeanDose 6.6 out of 10.
LeanDose is stronger on trust & safety (6.5 vs 4.5).
Zappy Health is stronger on value (6.1 vs 3.0) and accessibility (8.7 vs 5.0).
Effectiveness, user experience and support are within half a point.
LeanDose
6.6/10
Zappy Health
7.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Zappy Health a warning letter dated February 20, 2026 (letter 717991), and it is still open.
LeanDose has no FDA warning letter on record with us.
Features & Coverage
| Feature | LeanDose | Zappy Health |
|---|---|---|
| Starting Price | $159 first month | $159/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 42 |
| Compounded | ✓ Yes | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 1 letter |
About LeanDose
The all-inclusive figures LeanDose posts, $159 for compounded GLP-1 semaglutide and $279 for tirzepatide, apply to the first month, and what you pay afterwards may not match. Doctors prescribe and supervise for adults who qualify, care plans are individual, clinical support crosses several states, and an FDA-registered compounding pharmacy delivers to the home. LegitScript certification here is verifiable, and by its own account the service holds 119 five-star reviews. Compounded drugs have no FDA approval, and the pharmacy is unnamed.
Read our full LeanDose review →About Zappy Health
Your dose can climb at Zappy Health without the price following; longer subscriptions cost less still. Compounded GLP-1 semaglutide opens at $159/month and tirzepatide at $299/month, and brand Wegovy and Zepbound are stocked as well. An online visit goes to a licensed clinician who prescribes where appropriate. Roughly 42 states are covered, with Hawaii, Alabama, Arkansas, California, Kansas, Michigan, Minnesota and Mississippi left out. Some third-party reports raise concerns about where its pharmacy sourcing leads.
Read our full Zappy Health review →Pros & Cons
LeanDose
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to LeanDose
Watch-outs
- 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
Zappy Health
What we like
- Semaglutide costs $159 a month, 14% below 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 the medication, clinician visits and shipping
- Serves 42 states
Watch-outs
- Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Zappy Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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
Zappy Health wins this one, 7.5 to 6.6, above all for compounded semaglutide at $159/month. LeanDose fits better if seeing what it charges before you answer any medical questions is your priority.
Choose LeanDose if…
You want seeing what it charges before you answer any medical questions.
Choose Zappy Health if…
You want compounded semaglutide at $159/month and an opening price near $159 a month.
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