Zera Health review
Zera Health (zerahealth.org) 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).
- Semaglutide
- Not disclosed
- Tirzepatide
- Not disclosed
- Coverage
- All 50 states
- Brand-name
- Compounded only
Pricing verified August 2026
The Index scorecard
Zera Health scored on our six Cost-Efficiency Index factors. See the methodology.
Where 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
- Multiple tiers (microdose, standard injectable, oral tablet) for different budgets
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
- No individual prescriber or medical director named — only generic 'Board-Certified Physicians' language
- No lab-testing or Certificate of Analysis disclosure found on any page read
The bottom line
Best for: Shoppers who want a named 503A pharmacy and full 50-state coverage at a moderate compounded price. Zera Health (zerahealth.org) 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).
Ranked #240 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Zera Health.
- #200Semaglutide Online— Semaglutide Online (semaglutide-online.com) sells both FDA-approved brand-name GLP-1s (billed as medication plus a separate $44/mo provider subscription) and 'all-inclusive' compounded semaglutide and tirzepatide with no separate provider fee.63/100
- #201VitaStir— VITAstir is a Michigan-based, five-location med-spa/injection clinic chain that also ships at-home GLP-1 homekits.63/100
- #202Wisp— Wisp (hellowisp.com) is a US telehealth provider whose weight care vertical offers brand-name Wegovy, Zepbound, and Saxenda alongside a compounded sublingual semaglutide drops formulation at $225/month.63/100
- #203MEDGm— MEDGm charges $299 a month for compounded semaglutide injections and $399 for tirzepatide once the welcome coupon lapses, names the four pharmacies that fill its prescriptions, and advertises $179 without saying it applies to one month.60/100
- #204Allara Health— Allara Health is an insurance-accepting telehealth platform for women's hormonal and metabolic health (including PCOS), prescribing FDA-approved brand GLP-1s (Wegovy, Zepbound) among other treatments.62/100
- #205Care Clinics— Care Clinics PLLC is a LegitScript-certified telehealth clinic selling multi-week GLP-1 'programs' (7-week or 3-month for semaglutide, 4-week or 3-month for tirzepatide) as a single program price rather than a clearly-stated recurring monthly fee.62/100
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Pricing, states and verification reflect Zera Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Zera Health's site. Not medical advice; see our disclosure.