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Alternatives

Alternatives to Zappy Health

Zappy Health scores 70/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Zappy Health review →CoreAge Rx vs Zappy Health →

Zappy Health at a glance

Semaglutide
$249/moAll doses, month to month, compounded; $229/mo on a 3-month plan, $209/mo on 6 months, paid up front; new-user starter pack $159/mo for 3 months up front in select states
Tirzepatide
$349/moAll doses, month to month, compounded; $329/mo on a 3-month plan, $299/mo on 6 months, paid up front; new-user starter pack $279/mo for 3 months up front in select states
Coverage
42 states
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

5 of the 8 programs below list semaglutide for less than Zappy Health's $249 a month. 4 of the 8 list tirzepatide for less than its $349 a month.

Zappy Health (operated by Kare Solutions, LLC, based in La Jolla, CA) is a telehealth platform selling both compounded GLP-1s (semaglutide $249/mo and tirzepatide $349/mo month to month at every dose, less on prepaid plans) and brand pathways to Wegovy and Zepbound.

Best for: Shoppers who want both compounded and brand GLP-1 options on one platform and are comfortable weighing a recent FDA misbranding finding.

What Zappy Health does well

  • Both compounded semaglutide/tirzepatide and brand Wegovy/Zepbound pathways offered on one platform
  • No insurance or membership required; the full price ladder, the same at every dose, is displayed before intake
  • LegitScript badge displayed on the site

Why readers look for an alternative

  • Does not name its dispensing pharmacy
  • No named medical director or prescriber
  • The 'as low as' $159 and $279 rates are a 3-month starter pack for new GLP-1 users, paid up front and sold only in select states; month to month is $249 and $349
  • It doesn't publish a list of the states it serves, so check yours before you start
  • FDA issued Kare Solutions, LLC dba Zappy a warning letter in February 2026; the letter is public in FDA's warning-letter database
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Zappy Health: $150/mo less for semaglutide · $200/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit CoreAge Rx CoreAge Rx vs Zappy Health →
  2. 02C

    Willow

    Partner

    Willow is a direct-to-consumer telehealth provider offering compounded semaglutide and tirzepatide in both injectable and oral-tablet form at identical prices per format.

    Sema
    $299/moCompounded, month to month
    Tirz
    $399/moCompounded, month to month
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Zappy Health: $50/mo more for semaglutide · $50/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit Willow Willow vs Zappy Health →
  3. 03C

    Live Vital

    Live Vital sells ten-week compounded starter protocols for $299 semaglutide or $549 tirzepatide. Those equal about $129.57 or $237.90 per calendar month of continuous supply, with actual payment due by protocol.

    Sema
    $299For a 10-week starter protocol (compounded; ongoing price not published)
    Tirz
    $549For a 10-week starter protocol (compounded; ongoing price not published)
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Zappy Health: compounded only, no brand-name GLP-1s

    Visit Live Vital Live Vital vs Zappy Health →
  4. 04C

    Queen RX

    Queen RX sells separate semaglutide and tirzepatide starter and maintenance packs. Each prepaid purchase includes a consultation, 12 weeks of compounded medication and supplies.

    Sema
    $133 per 4 weeksMaintenance, compounded; $399 prepaid for 12 weeks
    Tirz
    $199.67 per 4 weeksMaintenance, compounded; $599 prepaid for 12 weeks
    Coverage
    44 states
    Brand
    Compounded

    Compared with Zappy Health: $116/mo less for semaglutide · $149.33/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Queen RX Queen RX vs Zappy Health →
  5. 05C

    Rivo Health

    Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.

    Sema
    $149/moStarting dose, annual plan, compounded injection or oral
    Tirz
    $199/moStarting dose, annual plan, compounded injection or oral
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Zappy Health: $100/mo less for semaglutide · $150/mo less for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit Rivo Health Rivo Health vs Zappy Health →
  6. 06C

    Measured

    Measured is a metabolic-health membership pairing GLP-1 treatment with 1:1 nutrition support and board-certified provider care.

    Sema
    $119/moCompounded
    Tirz
    $219/moCompounded
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Zappy Health: $130/mo less for semaglutide · $130/mo less for tirzepatide · offers an oral option

    Visit Measured Measured vs Zappy Health →

    Regulatory note: the FDA issued a warning letter to Better Health Labs, Inc. dba Measured in February 2026. We still list and link to Measured; you should know the letter is on the public record before you decide.

  7. 07C

    Rex MD

    Rex MD offers a $349 monthly Wegovy pill plan including provider care, alongside separately billed brand-name injection options.

    Sema
    $349/moBrand Wegovy pill, all titration doses; provider care included
    Tirz
    $424/moBrand Zepbound, plus a separate fee
    Coverage
    All 50 states
    Brand
    Yes

    Compared with Zappy Health: $100/mo more for semaglutide · $75/mo more for tirzepatide · offers an oral option

    Visit Rex MD Rex MD vs Zappy Health →
  8. 08C

    PrideRx

    PrideRx is a telehealth membership service that prescribes brand-name Zepbound and the Wegovy and Foundayo pills, with the medication shipped and billed separately by LillyDirect or NovoCare.

    Sema
    $248/moWegovy pill 1.5 mg starter dose, brand-name, month-to-month; $149 drug from NovoCare plus the $99/mo membership, $25 the first month
    Tirz
    $398/moZepbound KwikPen 2.5 mg starter dose, brand-name, month-to-month; $299 drug from LillyDirect plus the $99/mo membership, $25 the first month
    Coverage
    All 50 states
    Brand
    Yes

    Compared with Zappy Health: $1/mo less for semaglutide · $49/mo more for tirzepatide · offers an oral option

    Visit PrideRx PrideRx vs Zappy Health →

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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