Alternatives
Alternatives to Zera Health
Zera Health scores 79/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Zera Health at a glance
- Semaglutide
- $179/moCompounded injection, monthly billing; $149 first month or on a prepaid quarterly plan
- Tirzepatide
- $255/moCompounded injection, monthly billing; $199 first month, $215/mo on a prepaid quarterly plan
- Coverage
- All 50 states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
4 of the 8 programs below list semaglutide for less than Zera Health's $179 a month. 4 of the 8 list tirzepatide for less than its $255 a month.
Zera Health is a cash-pay telehealth platform selling compounded semaglutide, tirzepatide, a lower-cost microdose tier, and an oral GLP-1 tablet option, dispensed through Strive Pharmacy (503A).
Best for: Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price.
What Zera Health does well
- Named dispensing pharmacy — Strive Pharmacy, a 503A compounder — disclosed in the footer
- LegitScript Certified badge displayed
- States coverage across all 50 states with no exclusions listed
- Multiple tiers (microdose, standard injectable, oral tablet) for different budgets
Why readers look for an alternative
- First-month, monthly and quarterly prices differ; confirm your plan and second charge before paying
- Quarterly plans require three months of payment at once
- No individual prescriber or medical director is named
- Partner01A94/ 100Index
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 Zera Health: $80/mo less for semaglutide · $106/mo less for tirzepatide · no oral option
- 02C77/ 100Index
Oak
PartnerOak's order form charges $250 a month for compounded semaglutide and $300 for tirzepatide at every dose, with no subscription and brand-name pens on the same menu, while its marketing pages advertise figures from $89 to $190 that the form does not offer.
- Sema
- $250/moSame price at every dose; $200/mo on a 3-month supply paid upfront
- Tirz
- $300/moSame price at every dose; $267/mo on a 3-month supply paid upfront
- Coverage
- Multi-state
- Brand
- Yes
Compared with Zera Health: $71/mo more for semaglutide · $45/mo more for tirzepatide · also lists brand-name GLP-1s
- 03C77/ 100Index
Embody
PartnerEmbody sells compounded semaglutide from $79 a month and tirzepatide from $129, marked as sale prices, with prescribers from the OpenLoop Health network.
- Sema
- $79/moSale price, compounded
- Tirz
- $129/moSale price, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Zera Health: $100/mo less for semaglutide · $126/mo less for tirzepatide
- 04B−80/ 100Index
Totara Health
Totara Health charges $190 a month for compounded semaglutide and $239 for tirzepatide on a one-month plan at every dose, with injection and under-the-tongue options and longer plans paid up front for less.
- Sema
- $190/mo1-month plan, same price at every dose, compounded
- Tirz
- $239/mo1-month plan, same price at every dose, compounded
- Coverage
- 48 states
- Brand
- Compounded
Compared with Zera Health: $11/mo more for semaglutide · $16/mo less for tirzepatide
- 05B−80/ 100Index
Vivanta Care
Vivanta Care prices compounded semaglutide from $79 to $299 a month and tirzepatide from $99 to $329 depending on your dose stage, with the visit and shipping included and every stage's price shown up front.
- Sema
- $79/moStarting dose; $169, $229 and $299 at higher dose stages, compounded
- Tirz
- $99/moStarting dose; $139, $249 and $329 at higher dose stages, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Zera Health: $100/mo less for semaglutide · $156/mo less for tirzepatide · no oral option
- 06C79/ 100Index
PlexusDx
PlexusDx is a nationwide compounded-GLP-1 telehealth platform offering semaglutide and tirzepatide as injections or daily tablets at one price per dose level, from $189 and $289 month to month, LegitScript certified.
- Sema
- $189/moSame price at every dose, month to month, compounded, all-inclusive; $169/mo on a 3-month plan, $149/mo on a 6-month plan
- Tirz
- $289/moSame price at every dose, month to month, compounded, all-inclusive; $269/mo on a 3-month plan, $249/mo on a 6-month plan
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Zera Health: $10/mo more for semaglutide · $34/mo more for tirzepatide
- 07C79/ 100Index
LifeRx.md
LifeRx.md is a LegitScript-certified telehealth brand in all 50 states whose compounded GLP-1 program starts at $147 a month with no higher-dose upcharges and no membership fee, after a required video visit.
- Sema
- From $147/moSame price at every dose (one GLP-1 program price; the drug isn't named on the page)
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Zera Health: $32/mo less for semaglutide · no oral option
- 08C79/ 100Index
Medsol RX
Medsol RX offers monthly and prepaid compounded GLP-1 plans, oral semaglutide and brand-name prescription options with provider care and coaching.
- Sema
- $199/moCompounded
- Tirz
- $259/moCompounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with Zera Health: $20/mo more for semaglutide · $4/mo more for tirzepatide · also lists brand-name GLP-1s
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.