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Provider review

Zappy Health Review: Price, Pros & Cons

By The WeighLab Bench, Tools & Data Desk

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.

In this review

Compounded drugs are not FDA-approved. Treatment requires a clinician's assessment. Understand compounded GLP-1 treatment.

Check Zappy Health prices 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. See our disclosure.

Prices 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
Yes

Semaglutide · estimated annual cost

$2,988

Tirzepatide · estimated annual cost

$4,188

Who Zappy Health may suit

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

Where the value is

  • 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

The tradeoffs

  • 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

Zappy's compounded prices

Zappy Health sells compounded semaglutide and tirzepatide with no membership fee and no insurance. The advertised "from" prices belong to a starter pack for people new to GLP-1s, paid three months upfront and offered only in some states. Everyone else pays one of the regular rates, which are the same at every dose.

PlanSemaglutideTirzepatide
Starter pack, 3 months upfront$159/mo ($477)$279/mo ($837)
Month to month$249/mo$349/mo
3 months upfront$229/mo ($687)$329/mo ($987)
6 months upfront$209/mo ($1,254)$299/mo ($1,794)

On the multi-month plans, every vial ships together in one box. That keeps the per-month price down, but you're holding six months of medication you've already paid for. The starter packs begin at the lowest dose, 0.25 mg for semaglutide and 2.5 mg for tirzepatide.

Considering Zappy Health?

Check the plan total, billing period and cancellation terms before you enroll. A clinician decides whether treatment is appropriate.

Brand-name options

Zappy can also prescribe Wegovy and Zepbound, either through your insurance or self-pay. On the self-pay route, Zappy charges a monthly care plan and the drug is bought separately from the manufacturer's own pharmacy program. For Wegovy, the care plan is $99 a month, and Zappy estimates the medication at about $499 a month through NovoCare. For Zepbound, it puts the medication at $349 to $649 a month through LillyDirect, plus the care plan. The Wegovy pill is offered too.

What comes with treatment

You complete an online eligibility check, and a licensed provider reviews it. If you're prescribed, the medication comes from a state-licensed pharmacy in Zappy's network, which it doesn't name, and ships to your door.

Zappy bundles a no-cost membership with its plans. It lists video provider visits, an accountability coach, weekly support groups, mental health counseling, one-on-one dietitian visits, live Zoom workouts and a GLP-1 fitness app, with meal prep as an optional paid add-on. It serves adults in eligible states but doesn't publish the list, so check yours at the start. Compounded medications are not FDA-approved.

Refunds depend on where your order is

Zappy's refund rules hinge on the pharmacy's progress:

  • Before the pharmacy processes your medication: you can cancel for a refund.
  • After it's processed but before a tracking number exists: you're refunded, minus a $30 restocking fee.
  • Once a tracking number is assigned: no refund. Zappy can pause future charges and shipments.

To cancel, send written notice to support by email. On a three- or six-month plan everything ships at once, so the refund window closes early. Zappy says monthly plans can be paused or canceled anytime.

The Index scorecard

Zappy Health scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month62/100
Price Transparency94/100
Nationwide Access66/100
Formulation Options79/100
Clinical Oversight55/100
Contract Flexibility61/100

The bottom line

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.

Compare the total cost of other GLP-1 programs and alternatives to Zappy Health before deciding. A clinician should help you choose the right treatment.

Other programs to compare with Zappy Health

These are partners: we may earn a commission if you sign up, at no cost to you.

  • ShedRx (Shed)Partner

    Semaglutide modeled $199/mo · Tirzepatide modeled $299/mo

    Shed sells its GLP-1s as an injection, drops, lozenges or a daily pill, with brand-name Zepbound too; month to month, semaglutide is $199 and tirzepatide $299.

  • Strut HealthPartner

    Semaglutide modeled $99/mo · Tirzepatide modeled $149/mo

    Strut sells compounded semaglutide from $99 a month as a lozenge or $129 as a weekly injection, and tirzepatide from $149, all on auto-refill.

  • bmiMDPartner

    Semaglutide modeled $159/mo · Tirzepatide modeled $249/mo

    bmiMD charges $159 a month for compounded semaglutide and $249 for tirzepatide month to month, the same at every dose, with lower prices on three-, six- and twelve-month plans.

Compare with other providers

The providers whose Cost-Efficiency Index scores sit closest to Zappy Health's. See the alternatives to Zappy Health.

Explore more provider reviews

Pricing, states and verification reflect Zappy Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Zappy Health's site. Not medical advice; see our disclosure.

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