After a $149 first month, Zera Health charges $179 a month for compounded semaglutide on its monthly card, and tirzepatide $255 after a $199 first month. The “Starting at $99/mo” in the hero belongs to NAD+, not to any GLP-1, and Zera's own blog posts print still other figures for the same drugs.
One month, no commitment
$179/mo, month to month
They advertise
No rate quoted
Their headline: “GLP-1 medication, licensed providers, and free shipping. Starting at $99/mo.”
$179 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Names its 503A pharmacy: Strive Pharmacy
What it is
Zera Health sells compounded GLP-1s for cash, online: semaglutide and tirzepatide injections, a lower-dose “Microdose GLP-1” injection, and a daily dissolving semaglutide tablet. The same site sells NAD+, sermorelin, ED pills, hair-loss treatment and estradiol. A short assessment goes to an independent licensed provider, and approved medication ships from a pharmacy in insulated packaging.
It calls itself “a technology platform and not a medical services provider.” The refund policy names Strive Pharmacy as the dispensing 503A pharmacy and TelegraMD as the telehealth platform behind the scenes. There's no company name beyond “Zera Health” on the terms, consent or policy pages, and the telehealth notice sends disputes to arbitration in Miami under Florida law.
Coverage is described two ways. The home page FAQ says Zera “operates across all 50 states,” while the main FAQ page says “most US states” and that availability varies by treatment. The provider page says clinicians are licensed “in the states where they practice.”
Semaglutide is $149 for the first month, then $179 a month on the monthly plan. The quarterly card prints $149 a month “billed every 3 months” but never shows the charge itself. Tirzepatide is $199 for the first month, then $255 monthly or $215 a month on the quarterly card. The oral tablet opens at $169, and the only recurring figure on its page is a $179 card that still describes a vial.
Zera doesn't stick to one price per drug. A comparison post on its blog lists semaglutide at $194 and tirzepatide at $149, and puts the oral GLP-1 at $244. Another blog post gives the microdose injection as $179 while its product page opens at $129. We rank on the monthly plan cards, since those are what a new patient signs up for after the first month.
Plans are billed as all-inclusive: the provider visit, the prescription and shipping, with “no membership charges.” A site-wide banner advertises “Sale — 40% OFF” ending October 1, and the hero figures sit next to struck-through prices ($249 for semaglutide, $315 for tirzepatide). Dose doesn't move the price, per the home page.
Two refund policies are live at once, and they don't agree. One grants a full refund within 7 days if no provider has reviewed your case yet, and none once a prescription reaches the pharmacy. The other charges the first month when you finish the intake, refunds only a medical disqualification, and wants a cancellation 72 hours before the billing date or you pay for another cycle.
Who it's wrong for
Shopping for a $99 GLP-1 because of the hero banner? Zera doesn't sell one. That figure is NAD+, and semaglutide settles at $179 after the first month.
Skip it if you want one price you can hold the company to. The plan cards, the home FAQ and two blog posts give four different semaglutide figures between $149 and $194.
Not for you if you'd want your money back after a change of heart. The newer policy says no refund on cancellation unless a provider disqualifies you, and late notice under 72 hours costs another month.
Want the tablet? Its page prints a first-month $169 and then a card for a 2.5mg/5mg vial, so the tablet's own renewal price is never spelled out.
Need to know which legal entity you're contracting with? The terms, consent and policy pages give only the trade name.
The American checks
Prescriber licensed in your state
Not stated
Pharmacy named
Strive Pharmacy, which the refund policy calls “a licensed 503A compounding pharmacy”. No address or state is given for it on Zera's pages.
What you get
Compounded, in Zera's words “prepared by Strive Pharmacy, a licensed 503A compounding pharmacy”, coordinated through the TelegraMD platform. The semaglutide page's footer instead says “licensed, FDA-registered compounding pharmacies”. No brand-name GLP-1 is sold.
Overseas fulfillment
None disclosed
Support hours
Phone (561) 277-0156, “Monday–Friday, 9 AM – 6 PM EST”, with office hours also listed as “Sat – Sun: 10 AM – 2 PM EST”; the refund policy gives “Monday–Friday, 9 AM – 6 PM PST”. Email two support addresses.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Zera Health
How much does Zera Health cost a month?Month to month, compounded semaglutide is $179 a month, oral semaglutide $179 and compounded tirzepatide $255.
Does Zera Health charge a membership fee?No. Zera Health bills compounded semaglutide at $179 a month with nothing added for a membership.
Does Zera Health sell compounded or brand-name GLP-1s?Compounded, in Zera's words “prepared by Strive Pharmacy, a licensed 503A compounding pharmacy”, coordinated through the TelegraMD platform. The semaglutide page's footer instead says “licensed, FDA-registered compounding pharmacies”. No brand-name GLP-1 is sold.
Which pharmacy fills Zera Health prescriptions?Strive Pharmacy, which the refund policy calls “a licensed 503A compounding pharmacy”. No address or state is given for it on Zera's pages.
Has Zera Health received an FDA warning letter?No. FDA's published warning-letter index holds no letter to Zera Health on a search of “Zera Health”, “zerahealth”, “Strive Pharmacy”, “TelegraMD”, “Telegra”, and the search is linked under Sources.
Does GLP America earn money from Zera Health?No. Zera Health pays us nothing, and its $179 month sits where that price puts it. The Collective card on this page comes from a partner, which pays us a commission, and it's labeled Partner.
On the record12 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Zera Health's public site: Zera Health's home page, Zera Health's treatments page, Zera Health's semaglutide page, Zera Health's tirzepatide page, Zera Health's microdose GLP-1 page, Zera Health's GLP-1 oral page, Zera Health's womens health page, Zera Health's mens health page, Zera Health's about page, Zera Health's how it works page, Zera Health's our providers page, Zera Health's partners page, Zera Health's inner circle page, Zera Health's FAQ page, Zera Health's contact page, Zera Health's shipping info page, Zera Health's telehealth notice page, Zera Health's terms page, Zera Health's medical consent page, Zera Health's notice of privacy practices page, Zera Health's privacy page, Zera Health's cancellation policy page, Zera Health's cancellation and refund policy page, Zera Health's bill of rights page, Zera Health's medical disclaimer page, Zera Health's GLP-1 oral vs injection page and Zera Health's best online weight loss programs 2026 page. The intake at Zera Health's intakeform page and Zera Health's home page was not opened.
The prices, from the plan cards. /treatments/semaglutide.html: “MONTHLY $179/mo 2.5mg/5mg vial — billed monthly” and “QUARTERLY $149/mo 2.5mg/5mg vial — billed every 3 months”, under a hero reading “From $149 $249 /first mo.” /treatments/tirzepatide.html: “MONTHLY $255/mo 5mg/10mg vial — billed monthly” and “QUARTERLY $215/mo 5mg/10mg vial — billed every 3 months”, under “From $199 $315 /first mo.” /treatments/glp1-oral.html: hero “From $169 $249 /first mo.” above the same “MONTHLY $179/mo 2.5mg/5mg vial — billed monthly” card. /treatments/microdose-glp1.html: hero “From $129 $199 /first mo.” above the same $179 and $149 vial cards. In each hero the second figure is struck through (an <s> element). The home page FAQ: “GLP-1 Semaglutide starts at $149/first month, then $179/mo. All-inclusive — provider visit, prescription, and free shipping. No hidden fees, no membership charges.”
The headline, from the home page hero: “GLP-1 medication, licensed providers, and free shipping — personalized for you. Starting at $99/mo.” The page title reads “Zera Health — GLP-1 Weight Loss, Starting at $99”. The $99 tiles on the same page are “NAD+ Nasal Spray … From $99/mo” and “NAD+ Injectable / Nasal Spray From $99/mo”. The GLP-1 tiles read “GLP-1 Semaglutide … From $149/mo”, “Tirzepatide … From $199/mo”, “GLP-1 Oral Tablet … From $169/mo” and “Microdose GLP-1 … From $129/mo”. A banner reads “Sale — 40% OFF · Ends October 1”.
Other prices on Zera's own blog. /blog/best-online-weight-loss-programs-2026.html: “Semaglutide: From $194/mo”, “Tirzepatide: From $149/mo”, “Oral GLP-1: From $244/mo”, and a table row “Zera Health $194/mo $149/mo”. /blog/glp1-oral-vs-injection.html: “Injectable semaglutide: from $149/month (first month); renewal pricing varies by dose”, “Injectable tirzepatide: from $199/month (first month)”, “GLP-1 oral tablet: from $169/month” and “Microdose GLP-1: from $179/month”. The women's health page shows “GLP-1 Weight Loss … From $194/mo”. The partner page offers affiliates the hook “The same medication as Ozempic — for $149/month instead of $1,000.”
The tablet's molecule, from /blog/glp1-oral-vs-injection.html: “Yes — oral semaglutide (the same active ingredient as Ozempic and Wegovy) is available in tablet form. Zera Health offers compounded oral GLP-1 tablets that use semaglutide as the active ingredient, delivered as a daily dissolving tablet. Starting at $169/month.”
What the price covers, from the home page: “All Dosages, Same Low Price We don't charge you more as your dosage increases. Every titration, same flat monthly price.” and “Free care and support from licensed providers nationwide. 24/7 messaging, unlimited consultations included.” The FAQ: “You pay a flat monthly rate that includes everything: physician consultation, prescription, and free shipping.” The older refund policy still refers to a “consultation fee”; no amount for one appears on any page.
Refunds, policy one, from /cancellation-policy.html (“Effective Date: April 1, 2026”): “Full Refund: You are entitled to a full refund within 7 days of your initial purchase, provided that a Provider has not yet reviewed your case or issued a prescription.” “No Refund After Prescription: Once a prescription has been issued and transmitted to a pharmacy, no refund will be issued for that consultation fee or medication cycle.” “Cancellation takes effect at the end of your current billing period.” “Monthly subscription fees are non-refundable once a billing cycle has begun”.
Refunds, policy two, from /cancellation-and-refund-policy.html (“Last Modified: May 20, 2026”): the subscription “begins when you have completed the intake form, at which time you will be charged for the first month of the Subscription Services.” “if you are disqualified by our medical provider for any medical reason, you will receive a full refund.” “we require your cancellation request to be received at least 72 hours prior to your billing date. If this notice is not met, your subscription will be charged on the next billing date”. “IN NO EVENT SHALL YOU BE ISSUED A REFUND UPON CANCELLATION OF THE SUBSCRIPTION SERVICES, OTHER THAN CANCELLATION DUE TO MEDICAL DISQUALIFICATION.”
Pharmacy and platform, from /cancellation-and-refund-policy.html: “All compounded medications are dispensed through Strive Pharmacy, a licensed 503A compounding pharmacy, coordinated through our telehealth platform TelegraMD.” The footer on most pages: “Compounded medications are not FDA-approved but are prepared by Strive Pharmacy, a licensed 503A compounding pharmacy.” and “Zera Health is a technology platform and not a medical services provider.” The medical consent page: “Zera Health is a technology platform and is not the prescribing entity.”
Shipping, from /how-it-works.html: “Ships in 48–72 hours after approval”; /faq.html: “Most patients receive their first shipment within 5–7 business days.” and “Shipping typically takes 3–5 business days after prescription approval.” Support, from /contact.html: “(561) 277-0156 Monday–Friday, 9 AM – 6 PM EST” and “Office Hours Mon – Fri: 9 AM – 6 PM EST Sat – Sun: 10 AM – 2 PM EST”; /cancellation-policy.html: “Hours: Monday–Friday, 9 AM – 6 PM PST”. The home page also says “No insurance required. All Zera prescriptions are cash-pay. HSA/FSA cards are accepted.”
No FDA enforcement action on record: FDA's warning-letter search on “Zera Health”, “zerahealth”, “Strive Pharmacy”, “TelegraMD”, “Telegra”, returns no letter addressed to Zera Health, its operator, the named pharmacies or Zera Health. Search FDA's warning letters.
Sources
Zera Health's own pages
Zera Health's home pageCompounded semaglutide price
The companies whose month of compounded semaglutide is closest in price to Zera Health's, membership included. Picked by price alone; whether a company pays us plays no part.