What does the first month at Zera Health cost?

$179 for compounded semaglutide, the same as every month after it.

Is Zera Health cheaper if I pay up front?

The quarterly plan works out to $149 a month for compounded semaglutide. Bought month by month, the same 3 months would be $537: a difference of $90 by our math, if you stay the whole term.

Does the Zera Health price go up with the dose?

Yes. A month of compounded semaglutide runs from $149 to $179 depending on the dose; the full ladder is above.

Cost · Not a partner

Zera Health cost and pricing

Every plan, month one, fees and refunds · Prices read September 2026

One month, no commitment

$179/mo, month to month

The cheapest single month with no commitment. The lower monthly rates below need a longer plan.

GLP America, Publisher · Prices read on the company's own pages · How we review

Month one, then every month after

Zera Health: first month and later months
Drug	Month one	Each month after
Compounded semaglutide	$179	$179
Oral semaglutide	$179	$179
Compounded tirzepatide	$255	$255

Every plan, by drug and term

Compounded semaglutide

compounded semaglutide price ladder
Plan	Per month	Charged today
First month Source GLP-1 Semaglutide starts at $149/first month, then $179/mo.Zera Health's home page · read September 2026	$149	$149
Monthly plan Source MONTHLY $179/mo 2.5mg/5mg vial — billed monthlyZera Health's semaglutide page · read September 2026	$179	$179
Quarterly plan Source QUARTERLY $149/mo 2.5mg/5mg vial — billed every 3 monthsZera Health's semaglutide page · read September 2026	$149	$447

† The quarterly cards read “billed every 3 months” but never print the amount charged. The $447 (semaglutide) and $645 (tirzepatide) quarterly charges are three times the per-month card figure, our multiplication.

Two prices on its own pages

Zera Health prints 3 prices for compounded semaglutide: $149 home tile “From $149/mo”, home FAQ “$149/first month”, and the quarterly card, $179 monthly plan card and the home FAQ's “then $179/mo” and $194 Zera's comparison blog post and the women's health page. We rank it on $179 because it's the monthly plan card's price and the home FAQ's price after the first month, so it's what a new patient pays from month two without a quarterly commitment.

The plan cards describe a “2.5mg/5mg vial”, and the home page promises “Every titration, same flat monthly price.” A Microdose GLP-1 page, built on the same semaglutide copy, opens at $129 for the first month and repeats the $179 and $149 cards word for word, including the vial size.

Compounded tirzepatide

compounded tirzepatide price ladder
Plan	Per month	Charged today
First month Source From $199 $315 /first mo.Zera Health's tirzepatide page · read September 2026	$199	$199
Monthly plan Source MONTHLY $255/mo 5mg/10mg vial — billed monthlyZera Health's tirzepatide page · read September 2026	$255	$255
Quarterly plan Source QUARTERLY $215/mo 5mg/10mg vial — billed every 3 monthsZera Health's tirzepatide page · read September 2026	$215	$645

Two prices on its own pages

Zera Health prints 3 prices for compounded tirzepatide: $199 home tile and the product hero, labeled “/first mo.”, $255 monthly plan card and $149 Zera's comparison blog post. We rank it on $255 because the $199 is labeled a first-month price, and the monthly card is the only recurring price printed for tirzepatide without a quarterly commitment.

Both tirzepatide cards read “5mg/10mg vial”, and the flat-price promise on the home page covers every titration step. The $315 beside the $199 is struck through in the page's own markup.

Oral semaglutide

oral semaglutide price ladder
Plan	Per month	Charged today
First month Source From $169 $249 /first mo.Zera Health's GLP-1 oral page · read September 2026	$169	$169
Monthly plan (card as printed on the tablet page) Source MONTHLY $179/mo 2.5mg/5mg vial — billed monthlyZera Health's GLP-1 oral page · read September 2026	$179	$179

Two prices on its own pages

Zera Health prints 3 prices for oral semaglutide: $169 tablet page hero, labeled “/first mo.”, $179 monthly plan card on the tablet page (worded for a vial) and $244 Zera's comparison blog post. We rank it on $179 because it's the only recurring monthly figure on the tablet's own page, although the card is worded for a vial.

A compounded dissolving tablet taken daily. Zera's blog names the molecule: “Zera Health offers compounded oral GLP-1 tablets that use semaglutide as the active ingredient, delivered as a daily dissolving tablet.” The plan cards on the tablet page are the injection cards copied over, vial size and all, so the $179 month is the only recurring figure printed there for the tablet.

Paying up front

Zera Health prepaid plans against paying monthly
Plan	Commitment	Same months, paid monthly	Difference
Quarterly plan · compounded semaglutide	$447	$537	−$90
Quarterly plan · compounded tirzepatide	$645	$765	−$120

The last two columns are our arithmetic, not Zera Health's: the plan's charge against the same number of months bought one at a time at Zera Health's month-to-month price. A prepay only saves that much if you stay on the drug for the whole term.

Fees on top of the medication

Membership. None. The medication price is the whole monthly charge.
Consultation. No separate consultation fee is disclosed.

Billing, canceling and refunds

The first month is charged when the intake is completed, and later months renew automatically.
A patient disqualified by the provider gets a full refund; the older policy also refunds within 7 days if no provider has reviewed the case.
Once a prescription reaches the pharmacy there's no refund for that cycle, and the newer policy refuses refunds on any cancellation other than medical disqualification.
Cancel at least 72 hours before the billing date by email, phone or portal chat, or the next cycle is charged; access runs to the end of the paid period.

Zera Health cost questions

What does the first month at Zera Health cost?$179 for compounded semaglutide, the same as every month after it.
Is Zera Health cheaper if I pay up front?The quarterly plan works out to $149 a month for compounded semaglutide. Bought month by month, the same 3 months would be $537: a difference of $90 by our math, if you stay the whole term.
Does the Zera Health price go up with the dose?Yes. A month of compounded semaglutide runs from $149 to $179 depending on the dose; the full ladder is above.

The service, the checks and who should skip Zera Health are in the Zera Health review. To price a plan line by line with any membership and fee added, use the real cost calculator; it reads the same ladder. How the advertised figure compares with every other company's is on the September 2026 Price Gap Index.

More reviews on the index; the rules behind them are on how we review.