Compounded tirzepatide

Zappy Health review

By ·Editor·Reviewed

Zappy Health's pay-as-you-go tirzepatide plan is $349, billed monthly, and the price is the same at every dose. The $279 figure in its headline belongs to a 3-month starter pack for GLP-1 newcomers, paid up front and offered only in some states. There's no membership fee, and a monthly virtual visit comes with every plan.

A real month costs$349advertised $279 +$70.00 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesSame at every dose
Where it ships42 states
FDA warning letterOne on filestill listed here
Visit Zappy Health →

Visit Zappy Health →

On this page

Who it suits

Good fit if

  • You want one price from the first dose to the last.
  • You'd like a scheduled virtual visit each month rather than checking in only when something goes wrong.
  • You're new to GLP-1s, live in a state that offers the starter pack and can pay three months at once.

Look elsewhere if

  • You want to be free to stop at any point. Zappy's FAQ describes a two-month commitment once medication ships.
  • A federal warning letter about marketing claims would put you off a seller.

What you get

Zappy lists four tirzepatide plans. Most Flexible is $349 a month, billed monthly, for all doses. Multi-month plans cost less per month but are paid in full, and every vial ships together. The first-time starter pack is $279 a month over three months and begins at 2.5 mg.

Every plan includes monthly virtual visits, an AI assistant and premium customer support. Delivery is free and discreet, and Zappy takes FSA and HSA cards. The tirzepatide page names the dispensing pharmacy as The Pharmacy Hub, a licensed 503A pharmacy. Zappy says its partner pharmacies run third-party potency, pH and sterility tests.

Zappy also prescribes brand-name Zepbound vials bought through Lilly Direct, so switching later doesn't mean changing sellers.

How it works

  1. Fill in the online medical intake about your health history, lifestyle and goals.
  2. A medical professional reviews it and decides whether tirzepatide is appropriate.
  3. If you're prescribed, the pharmacy ships your vial. Zappy's FAQ says to expect it within 5 to 7 business days after your visit.
  4. Monthly plans renew each month, with a virtual visit every month to review progress and dosing.

Pros and cons

Pros

  • Zappy's Most Flexible plan charges $349 a month at every tirzepatide dose, from 2.5 mg up.
  • The tirzepatide page names its dispensing pharmacy, The Pharmacy Hub, a licensed 503A.
  • Every Zappy plan includes a monthly virtual visit with no separate membership fee.

Cons

  • Zappy's FAQ says a binding two-month contract starts once your first medication ships.
  • The FDA sent Zappy's parent company, Kare Solutions, a warning letter in February 2026.
  • Zappy's FAQ admits many patients never receive a tracking number for their shipment.

Check before you pay

Two-month commitment
The pricing page says you can pause or cancel anytime, while the FAQ says shipment starts a binding two-month contract. Ask which applies before you pay.
Refunds after the pharmacy step
Cancel before the pharmacy processes your order for a full refund. Once it's in shipping, a restocking fee comes out, and after a tracking number is assigned there's no refund.
FDA warning letter
In February 2026 the FDA issued a warning letter to Kare Solutions, LLC, which does business as Zappy, citing false and misleading claims and misbranding.
FDA warning letter
FDA sent Zappy Health a warning letter in February 2026. Read what it covers.

Price

Zappy Health costs $349 a month for compounded tirzepatide. It advertises $279.

How we got $349

The arithmeticOne month = 30.4375 days

  1. Zappy Health advertises

    Read on Zappy Health's own site

    $279.00

  2. The card is charged $349.00, not $279.00

    The advertised figure is not the amount that leaves the account.

    + $70.00

  3. And it is charged once a calendar month

    + $0.00

A real month$349.00

A real month costs $70.00 more than the figure advertised.

Where it sits, and what costs less

$86median $269$434+

280 cheaper · 77%70 dearer · 19%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. Zappy Health$349

Another 275 sellers are cheaper than Zappy Health. The whole cheapest list →

Where it says it operates

Listed in 42 states.

State pages this seller appears on: AK AZ CO CT DE FL GA ID IL IN IA KY LA ME MD MA MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zappy Health against other sellers

Side by side on what each one bills over a calendar month.

All comparisons →

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.

FDA has written to this seller

In , FDA sent warning letter 717991 to Kare Solutions, LLC dba Zappy (La Jolla, CA). The letter’s subject:

False & Misleading Claims/Misbranded (Telehealth)

Read the letter on fda.gov · The letter names zappyhealth.com — the same site this page links to.

This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →

Zappy Health questions

Is Zappy Health legit?
Zappy Health is a telehealth company, not a pharmacy. Licensed providers prescribe, and licensed pharmacies prepare and dispense. Its compounded tirzepatide isn't FDA-approved, which Zappy says on the page. The FDA sent Kare Solutions, doing business as Zappy, a warning letter in February 2026 over false and misleading claims.
How much is Zappy Health tirzepatide per month?
$349 a month on the Most Flexible plan, billed monthly, at any dose. New GLP-1 users in some states can pay $279 a month for a 3-month starter pack, charged in one payment.
Does Zappy Health take insurance?
No. Compounded tirzepatide is cash-pay, and Zappy says you don't need insurance or a membership. FSA and HSA cards are accepted.
Can you cancel Zappy Health?
Send a written notice by email. You get a full refund if the pharmacy hasn't processed your order yet. After a tracking number exists, Zappy can pause future charges but won't refund the shipment.