Head-to-head · Cost-Efficiency Index
Peak Wellness vs Zera Health
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Peak Wellness
Cost-first shoppers who want a national compounded-GLP-1 brand and don't mind a promo-then-list pricing structure.
Visit Peak WellnessZera Health
Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price.
Visit Zera HealthThe verdict
Peak Wellness and Zera Health tie on the Cost-Efficiency Index at 61/100, so neither wins outright on the numbers. For most shoppers we'd start with Peak Wellness (ranked #233, a hair above #240) — Cost-first shoppers who want a national compounded-GLP-1 brand and don't mind a promo-then-list pricing structure. But Zera Health is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Peak Wellness.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Peak Wellness | Zera Health |
|---|---|---|
| Cost-Efficiency Index | 61/100 | 61/100 |
| Semaglutide / mo | Not disclosed | Not disclosed |
| Tirzepatide / mo | Not disclosed | Not disclosed |
| Semaglutide / yr (modeled) | — | — |
| Tirzepatide / yr (modeled) | — | — |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #233 | #240 |
Peak Wellness
61/100Where the value is
- Serves all 50 states with a '$0 collected until your provider approves' intake
- Both semaglutide and tirzepatide available, with genuine prepay discounts down to $199/mo (3-month) and $165/mo (6-month)
- Names four real compounding pharmacy partners (Emerald/EmeraldsRx, Epiq Scripts, Southend, AbsoluteRX) rather than hiding behind 'a licensed pharmacy'
The tradeoffs
- The advertised $179 entry price is a first-month promo only — the real month-to-month recurring rate is $249/month for semaglutide
- The cheapest per-month figure on the site ($165) is not a monthly price; it's a single $990 upfront charge for a 6-month term
Zera Health
61/100Where the value is
- Named dispensing pharmacy — Strive Pharmacy, a 503A compounder — disclosed in the footer
- LegitScript Certified badge displayed
- Stated coverage across all 50 states with no exclusions found
The tradeoffs
- The advertised '$149' semaglutide price is explicitly a first-month-only rate; the standing price is $179/mo
- Tirzepatide's '$199/mo' figure has no first-month/standing clarifier on the page, unlike semaglutide, so it's unclear if it will also step up after month one
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.