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WeighLab

Totara Health vs Zera Health

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Totara Health

Provider comparison

Shoppers who want a flat month-to-month GLP-1 price that doesn't climb with the dose, and the option of a tablet or drops instead of a shot.

Semaglutide / month
$190/mo1-month plan, same price at every dose, compounded
Tirzepatide / month
$239/mo1-month plan, same price at every dose, compounded
Index 80/100 · Grade B−Checked October 2026

Zera Health

Provider comparison

Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price.

Semaglutide / month
$179/moCompounded injection, monthly billing; $149 first month or on a prepaid quarterly plan
Tirzepatide / month
$255/moCompounded injection, monthly billing; $199 first month, $215/mo on a prepaid quarterly plan
Index 79/100 · Grade CChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Totara Health has the higher Cost-Efficiency Index: 80/100 versus 79/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Totara Health
48 states
Zera Health
All 50 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Totara Health

Zera Health

Semaglutide / month
Totara Health: $190/mo1-month plan, same price at every dose, compounded
Zera Health: $179/moCompounded injection, monthly billing; $149 first month or on a prepaid quarterly plan
Tirzepatide / month
Totara Health: $239/mo1-month plan, same price at every dose, compounded
Zera Health: $255/moCompounded injection, monthly billing; $199 first month, $215/mo on a prepaid quarterly plan
Semaglutide / year (modeled)
Totara Health: $2,280
Zera Health: $2,148
Tirzepatide / year (modeled)
Totara Health: $2,868
Zera Health: $3,060
State availability
Totara Health: 48 states
Zera Health: All 50 states
Oral / sublingual option listed
Totara Health: Yes
Zera Health: Yes
Brand-name access listed
Totara Health: Not confirmed
Zera Health: Not confirmed
Provider facts checked
Totara Health: October 2026
Zera Health: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Totara Health

Shoppers who want a flat month-to-month GLP-1 price that doesn't climb with the dose, and the option of a tablet or drops instead of a shot.

Reasons to consider it

  • One-month plans are priced on the product page before any intake: $190 for semaglutide and $239 for tirzepatide, the same at every dose
  • Semaglutide comes as an injection, oral drops or an under-the-tongue tablet; tirzepatide as an injection or under-the-tongue tablet
  • Names its dispensing pharmacy (Manifest Pharmacy in Greer, South Carolina) and its clinician network (MD Integrations)

What to weigh up

  • The lower monthly figures ($133, $119 and $99 for semaglutide) require a 3-, 6- or 12-month plan paid in one charge up front
  • The banner says all 50 states, but the FAQ's state list leaves out Alaska and Mississippi
  • All sales are final once medication ships

Zera Health

Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price.

Reasons to consider it

  • 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

What to weigh up

  • 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

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Totara HealthZera Health
Normalized Cost/Month
Totara Health:
75/100
Zera Health:
73/100
Price Transparency
Totara Health:
97/100
Zera Health:
92/100
Nationwide Access
Totara Health:
78/100
Zera Health:
86/100
Formulation Options
Totara Health:
77/100
Zera Health:
77/100
Clinical Oversight
Totara Health:
81/100
Zera Health:
82/100
Contract Flexibility
Totara Health:
67/100
Zera Health:
55/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.