ZYP Medical logo

ZYP Medical Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7/10

Best for: one named provider you can text, in seven states, with tablet or injection options

7.0
★★★★☆7.0/10

ZYP Medical scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability, and it serves 7 states. It charges from $160 a month, paid up front; its compounded tirzepatide, at $250, is 7% below the $269 median among the sellers we compare.

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$160/mo

charged as a multi-month plan up front

Price rises with dose

Covered by the monthly price

Medication

In the price

Clinician visits

Not stated

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Compare top-rated alternatives ↓

ZYP Medical is a direct-pay clinic in Gretna, Nebraska, run by Josh Peterson, FNP-C, who treats every patient himself by text and video. It sells compounded semaglutide, tirzepatide injections and tirzepatide tablets in seven Midwest and Western states. Starter plans are paid in full: semaglutide works out to $160 a month ($399 for 10 weeks), tirzepatide $225 ($450 for 2 months). Price rises with the dose.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Price shown up front7 statesNo FDA warning letters foundVideo visit required

Is ZYP Medical legit?

Yes. ZYP Medical is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.0/10 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 ZYP Medical promo or coupon code?

ZYP Medical has no code to type in. The current offer: Compounded semaglutide drops: introductory initial 3 months at $50/week, then $60/week for maintenance; tirzepatide drops $75/week flat. It applies at checkout on its own. Coupon sites advertising a "ZYP Medical promo code" are not a source we can vouch for.

See how ZYP Medical compares on our rankings of the best semaglutide providers and the best tirzepatide providers.

Vetted alternatives to ZYP Medical

9.0/ 10
Verified partner

YourEra

Best for: semaglutide at $99/month, well below the typical price

★★★★★9.0/10

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideNAD+LegitScript Verified
Get StartedRead full YourEra review →
9.1/ 10
Verified partner

Collective

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 →
7.3/ 10
Verified partner

Found

Best for: people who want clinician visits billed to commercial insurance, with compounded medication in the plan price

★★★★☆7.3/10

Editorial score · methodology

$149/mo+ membership
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Found review →
ZYP Medical logo
7.0 / 10
Our editorial rating
Visit ZYP Medical →

from $160/mo · no insurance needed

ZYP Medical at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide, Oral Tirzepatide
Starting price
$160/mo
Pricing model
Rises with the dose: higher doses cost more
What's included
Medication · Shipping
Availability
7 states
FDA status
No FDA warning letters found

How ZYP Medical scores

Six columns, each one computed from something ZYP Medical 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%

5.5/10

$250/month is 7% below the $269 median for compounded tirzepatide across the sellers we compare. A cheaper starter price is also listed; Value is scored on the standard dose.

Effectiveness25%

10.0/10

Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).

User Experience15%

7.5/10

A price is shown before the questionnaire starts. A live video visit is required, which is slower but the more careful intake.

Trust & Safety15%

8.5/10

No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.

Accessibility10%

3.1/10

Serves 7 of 50 states.

Support10%

4.5/10

The price covers the medication 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 ZYP Medical

Last checked October 2026
  • Checked the listed price across 3 dose or plan tiers
  • Checked state coverage: 7 states
  • Checked what the monthly price covers, and what it leaves out
  • Checked FDA warning letters for ZYP Medical

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 ZYP Medical 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.

  1. 1ZYP Medical 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.
  2. 2The intake requires a live video visit with a clinician before a first prescription, which takes longer than a written form and is the more careful route.
  3. 3Ask ZYP Medical which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
  4. 4The monthly price includes the medication and shipping.
Price shown before you startLive video visit required
  • Lowest ongoing monthly price: semaglutide $160, tirzepatide $225. That leaves out membership fees, first-month rates and insurance copays.
  • ZYP Medical serves 7 of 50 states, so check that yours is one of them.
  • 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.

Contacting ZYP Medical

Email
ZYP Medical offers email support

Cancelling ZYP Medical

Taken from the terms ZYP Medical publishes. Terms change, so check the current policy before you subscribe.

Cancel any time
Yes
Minimum commitment
None; starter plans are paid in full up front
Refund policy
All sales final; up to $100 back if a prepaid plan is canceled before a later vial ships
Early-termination fee
None

Medications ZYP Medical lists

ZYP Medical 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

10-week starter plan, $399 paid in fullCompounded
$160/mo
semaglutide

"$160 /month. $399 for a 10-week starter plan, paid in full." Weekly injection, 0.25 mg then 0.5 mg then 1 mg. Refills priced by dose; capped at $350 per order.

2-month starter plan, $450 paid in fullCompounded
$225/mo
tirzepatide

"$225 /month. $450 for the 2-month starter plan, paid in full." Weekly injection, 2.5 mg then 5 mg. 3-month plan also offered (price not shown).

Dissolving tablet (ODT), 30-day supply, 3, 4 or 5 mgCompounded
$250/mo
tirzepatide

"$250 /month. 30-day supply. Available in 3 mg, 4 mg, and 5 mg." A chewable tirzepatide tablet is also sold at $199 for 30 tablets.

Check the price yourself before you pay

Every figure here comes from ZYP Medical'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.

See ZYP Medical pricing →

In its favor

  • Semaglutide costs $160 a month, 20% below the $199 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $250 a month, 7% below 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 includes the medication and shipping
  • We found no FDA warning letters issued to ZYP Medical
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake

Against it

  • Serves only 7 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

What ZYP Medical charges

ZYP Medical lists $160/month.

  • Compounded semaglutide: $160/month
  • Compounded tirzepatide: $225/month
  • Compounded tirzepatide (tablet): $250/month

For compounded tirzepatide, the median across the sellers we compare is $269/month, so ZYP Medical's $250 lands mid-market. Price is unlikely to be the deciding factor. Some of ZYP Medical's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one.

Found dispenses semaglutide and tirzepatide from $149/month + membership, which makes it the fair comparison to run before you commit here.

What ZYP Medical dispenses

ZYP Medical prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that. 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 ZYP Medical 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

ZYP Medical tells you its price before you start the medical questionnaire and the 7 states it serves. We found no FDA warning letters issued to ZYP Medical. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If ZYP Medical will not tell you, treat that as a warning sign. A 503A pharmacy answers to a state board and a 503B facility to the FDA; which one fills it changes what you can check. 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 ZYP Medical bills your plan before you start.

It fits if

  • injections are the thing keeping you from starting

Our read

ZYP Medical lands mid-market on price without a standout advantage or an obvious problem. It comes down to whether its particular package fits you. HealthRX is the nearest comparison we review, and worth reading alongside this.

The Bottom Line

ZYP Medical scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability, and it serves 7 states. It charges from $160 a month, paid up front; its compounded tirzepatide, at $250, is 7% below the $269 median among the sellers we compare.

Score: 7/10Best for: one named provider you can text, in seven states, with tablet or injection optionsFrom: $160/mo

Before you pay ZYP Medical

Starting at $160 a month. Check today's price, then start the intake.

Where ZYP Medical 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 Found.

If none of these fits, our guide to alternatives to ZYP Medical sets more sellers in the same category beside ZYP Medical on price, states and what the price includes.

Frequently Asked Questions

ZYP Medical is a direct-pay clinic in Gretna, Nebraska, run by Josh Peterson, FNP-C, who treats every patient himself by text and video. It sells compounded semaglutide, tirzepatide injections and tirzepatide tablets in seven Midwest and Western states. Starter plans are paid in full: semaglutide works out to $160 a month ($399 for 10 weeks), tirzepatide $225 ($450 for 2 months). Price rises with the dose. We rate it 7.0/10 overall.
ZYP Medical starts at $160 a month, for its microdose tier. That number climbs with the dose, so treat it as a floor rather than the cost of a maintenance dose. The pricing table above lists every tier.
ZYP Medical names 7 states. Check that yours is on the list before you go any further.
ZYP Medical lists compounded semaglutide and compounded tirzepatide. A needle-free oral form is listed as well.
ZYP Medical 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 ZYP Medical bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
ZYP Medical says the price covers medication 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. ZYP Medical runs that whole sequence on its own site.
We found no FDA warning letters issued to ZYP Medical. Before you buy, weigh these: Serves only 7 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. None of them rules ZYP Medical out, but each is worth settling before you pay.
Other sellers we cover include HealthRX, MEDGm, and Sesame Care. 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 ZYP Medical yourself

Every seller that ships to your state, side by side: Arizona, Colorado, Iowa, Kansas, Minnesota, Nebraska, South Dakota.

Glossary

The words sellers use, defined. Tap any term.

Sources

Cited across this ZYP Medical review: primary regulatory filings, and peer-reviewed studies.

Sources & methodology — as of October 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 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. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.

See ZYP Medical's current pricing

Plans start at $160 a month. Whether you qualify is a clinician's decision, made after your intake.