Strive Pharmacy
“All compounded medications are dispensed through Strive Pharmacy ([website]), a licensed 503A compounding pharmacy, coordinated through our telehealth platform TelegraMD ([website]).”
Zera Health Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.2/10
Best for: flat pricing at every dose, with oral and microdose options
8.2
★★★★☆8.2/10
Zera Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $149 a month, paid up front; its compounded semaglutide, at $179, is 10% below the $199 median among the sellers we compare.
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$149/mo
charged as a multi-month plan up front
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
See plans →See plans at Zera Health →
Compare top-rated alternatives ↓Prices checked October 2026
Zera Health is a telehealth platform. It sells compounded semaglutide and tirzepatide, plus oral and microdose GLP-1 options, filled by Strive Pharmacy. It says the price does not rise with the dose. Semaglutide costs $179 a month, or $149 a month billed every 3 months; tirzepatide costs $255, or $215 billed quarterly. Medication, provider messaging and shipping are included.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Price shown up frontFlat across dosesIncludes medication + consultAll 50 statesPharmacy namedNo FDA warning letters found
Is Zera Health legit?
Yes. Zera Health is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 8.2/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a Zera Health promo or coupon code?
We know of no promo or coupon code for Zera Health. Its listed price is $149 a month. Coupon sites advertising "Zera Health discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Zera Health compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to Zera Health
9.1/ 10
Verified partnerCollective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
★★★★★9.1/10
Editorial score · methodology
$59/mo+ membership
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →9.3/ 10
Verified partnerEmbody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
★★★★★9.3/10
Editorial score · methodology
$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →7.9/ 10
Verified partnerLuvo Health
Best for: moving between compounded and brand without changing seller
★★★★☆7.9/10
Editorial score · methodology
$179/mo
CompoundedSemaglutideTirzepatideGonadorelinNAD+LegitScript Verified
Get StartedRead full Luvo Health review →Zera Health at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $149/mo
- Pricing model
- Flat: the price stays the same as the dose goes up
- What's included
- Medication · Consult · Shipping
- Availability
- All 50 states
- FDA status
- No FDA warning letters found
How Zera Health scores
Six columns, each one computed from something Zera Health has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
5.8/10$179/month is 10% below the $199 median for compounded semaglutide across the sellers we compare. A cheaper plan paid several months up front is also listed.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
9.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
10.0/10Serves all 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
6weighted dimensions
734sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Zera Health
Last checked October 2026- Checked the listed price across 4 dose or plan tiers
- Checked state coverage: all 50
- Checked what the monthly price covers, and what it leaves out
- Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
- Checked FDA warning letters for Zera Health
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Zera Health involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Zera Health shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Strive Pharmacy fills the prescriptions, and Zera Health names it publicly, which most sellers do not.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $149, tirzepatide $215. That leaves out membership fees, first-month rates and insurance copays.
- Zera Health serves all 50 states.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Cancelling Zera Health
Taken from the terms Zera Health publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- Monthly plan has no term; quarterly plan is charged 3 months at a time
- Refund policy
- Refunds only when a provider medically disqualifies you
- Early-termination fee
- None
Medications Zera Health lists
Zera Health lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
All doses, quarterly plan, billed every 3 monthsCompounded
$149/mo
semaglutide
"$149/mo 2.5mg/5mg vial — billed every 3 months". Weekly injection.
All doses, monthly plan, billed monthlyCompounded
$179/mo
semaglutide
"$179/mo 2.5mg/5mg vial — billed monthly". Weekly injection.
All doses, quarterly plan, billed every 3 monthsCompounded
$215/mo
tirzepatide
"$215/mo 5mg/10mg vial — billed every 3 months". Weekly injection.
All doses, monthly plan, billed monthlyCompounded
$255/mo
tirzepatide
"$255/mo 5mg/10mg vial — billed monthly". Weekly injection.
Check the price yourself before you pay
Every figure here comes from Zera Health's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
Zera Health compounding-pharmacy partners
Zera Health names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.
In its favor
- Semaglutide costs $179 a month, 10% below the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $255 a month, close to the $269 median for compounded tirzepatide 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 stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- Names Strive Pharmacy as the pharmacy that fills its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Zera Health
Against it
- 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
What Zera Health charges
Zera Health lists $149/month, flat regardless of dose. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.
- Compounded semaglutide (3-month): $149/month
- Compounded semaglutide (monthly): $179/month
- Compounded tirzepatide (3-month): $215/month
- Compounded tirzepatide (monthly): $255/month
For compounded semaglutide, the median across the sellers we compare is $199/month, so Zera Health's $179 is genuinely below the middle, not just advertised that way. Some of Zera Health's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one. Across the compounded market the dearest tenth of sellers charges about three times what the cheapest tenth does; how much GLP-1 prices actually vary explains the spread.
Found, at about $149/month + membership, is the closest like-for-like alternative we review.
What Zera Health dispenses
Zera Health prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. What arrives is compounded at a licensed pharmacy, not an approved pen. That is the reason it costs less, and the reason the finished preparation carries no FDA review behind it. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.
A needle-free oral option is genuinely uncommon and is the reason some readers will look at Zera Health at all. Set expectations on the evidence, though: the published weight-loss trials for these molecules used injections. Oral and sublingual delivery of peptides is far less studied, so treat it as a route that solves the needle problem rather than as a proven equal to the shot.
Safety and disclosure
Zera Health tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Zera Health. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Zera Health bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you want the price to stop moving as your dose climbs
- injections are the thing keeping you from starting
- you need access wherever you live
Our read
Zera Health competes on price without an obvious sacrifice elsewhere: $179/month for compounded semaglutide, no FDA warning letters, and wide state coverage.
The Bottom Line
Zera Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $149 a month, paid up front; its compounded semaglutide, at $179, is 10% below the $199 median among the sellers we compare.
Score: 8.2/10Best for: flat pricing at every dose, with oral and microdose optionsFrom: $149/mo
Before you pay Zera Health
Starting at $149 a month. Check today's price, then start the intake.
Where Zera Health is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to Zera Health sets more sellers in the same category beside Zera Health on price, states and what the price includes.
Frequently Asked Questions
Zera Health is a telehealth platform. It sells compounded semaglutide and tirzepatide, plus oral and microdose GLP-1 options, filled by Strive Pharmacy. It says the price does not rise with the dose. Semaglutide costs $179 a month, or $149 a month billed every 3 months; tirzepatide costs $255, or $215 billed quarterly. Medication, provider messaging and shipping are included. We rate it 8.2/10 overall.
Zera Health starts at $149 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Zera Health says it treats patients in all 50 states.
Zera Health lists compounded semaglutide and compounded tirzepatide. A needle-free oral form is listed as well.
Zera Health lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
Check whether Zera Health bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Zera Health says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. Zera Health runs that whole sequence on its own site.
We found no FDA warning letters issued to Zera Health. Before you buy, weigh these: 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. None of them rules Zera Health out, but each is worth settling before you pay.
Other sellers we cover include Sesame Care, ShedRx, and Found. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.
How to check Zera Health yourself
- We Read FDA's Register of Compounding Facilities. 43 of 100 Have Never Been Inspected.
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
- FDA Warning Letters to Peptide Sellers: What FDA Has Cited, 2023 to 2026
Every seller that ships to your state, side by side: Arkansas, Florida, Georgia, Idaho, Kentucky, Maine, North Carolina, Utah and every other state.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Zera Health review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See Zera Health's current pricing
Plans start at $149 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on Zera Health?
Vetted alternatives