Head-to-head · Cost-Efficiency Index
Zera Health vs Longevixx
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.
Zera Health
Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price.
Visit Zera HealthLongevixx
Readers who want a broad peptide catalog beside a GLP-1 and will check the second month's price before subscribing.
Visit LongevixxThe verdict
Zera Health and Longevixx tie on the Cost-Efficiency Index at 61/100, so neither wins outright on the numbers. For most shoppers we'd start with Zera Health (ranked #230, a hair above #231) — Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price. But Longevixx 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 Zera Health.
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 | Zera Health | Longevixx |
|---|---|---|
| Cost-Efficiency Index | 61/100 | 61/100 |
| Semaglutide / mo | Not disclosed | $199/mo month-to-month (charged every 30 days; the advertised $149 is the first month only) |
| Tirzepatide / mo | Not disclosed | $299/mo month-to-month (charged every 30 days) |
| Semaglutide / yr (modeled) | — | $2,388 |
| Tirzepatide / yr (modeled) | — | $3,588 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #230 | #231 |
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
Longevixx
61/100Where the value is
- The monthly figure covers the medication, physician review, care coaching, a dietitian visit and expedited shipping, with no separate consultation fee
- Prices 19 peptide programs publicly alongside the GLP-1s
- Cancellation is a switch in the patient portal, and an electronic notice arrives five to seven days before each charge
The tradeoffs
- The advertised "from $149/mo" is a first-month price; the standing month-to-month rate is $199, and the checkout labels the difference "$50 off first month"
- "Same price · All dosages · No hidden fees · Everything included" sits directly above a card whose price rises after the first month
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.