Compounded tirzepatide

Zera Health review

Zera Health bills $255 a month for compounded tirzepatide on its month-to-month plan, charged once a month. That covers a 5 mg or 10 mg vial, the physician review and shipping. Your card is charged when you finish the intake, before a doctor has looked at your answers.

A real month costs$255168 of 364 by price
EvidenceVerified
Billing cyclemonthly
Price across dosesNot stated
Where it ships50 states
FDA warning letterNone found

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Who it suits

Good fit if

  • You want one monthly charge that already includes the doctor and the shipping.
  • You like knowing the compounding pharmacy by name before you pay.
  • You'd rather start month to month than prepay a quarter.

Look elsewhere if

  • You want to see your prescriber's name before you sign up.
  • You might want money back after canceling, since Zera refunds only a medical disqualification.

What you get

The monthly plan lists a 5 mg or 10 mg tirzepatide vial at $255, billed monthly. Zera says every plan includes free shipping, physician oversight and ongoing check-ins, and the pricing block sits under the heading “No hidden fees, ever” on the plan page. A quarterly plan billed every three months works out cheaper per month, but you pay for the quarter up front.

Zera calls itself a technology platform, not a medical provider. Independent physicians, nurse practitioners and physician assistants do the prescribing. Strive Pharmacy, a licensed 503A compounding pharmacy, dispenses the tirzepatide, and the orders run through a telehealth system called TelegraMD.

How it works

  1. Pick the monthly tirzepatide plan and complete the health assessment, which Zera says takes about two minutes. Your first month is charged at this point.
  2. A licensed provider reviews your history and decides whether tirzepatide fits. Zera says the provider can decline if it isn't in your interest.
  3. If you're approved, the prescription goes to Strive Pharmacy. Zera says orders ship within 48 to 72 hours of approval, in plain packaging with cold packs.
  4. Refills renew each month. You can message your provider and request refills from the patient portal.

Pros and cons

Pros

  • Strive Pharmacy is named as the 503A pharmacy that dispenses Zera's compounded tirzepatide.
  • The $255 monthly plan includes free shipping on every order and ongoing provider check-ins.
  • If a provider medically disqualifies you, Zera's written policy promises a full refund.

Cons

  • Your first month is charged when the Zera intake is complete, before any provider has reviewed it.
  • Canceling earns no refund under Zera's policy, except after a medical disqualification.
  • Prescriber names show up in the Zera portal only after your first consultation.

Check before you pay

Two cancellation pages
One Zera policy asks for cancellation at least 72 hours before your billing date. An older page allows a full refund within seven days if no provider has reviewed your case. Ask support which one applies before paying.
Which vial you get
The monthly price is shown for a 5 mg or 10 mg vial. If your dose needs a different strength, ask what that vial costs before your next renewal.
Monthly versus quarterly
The quarterly plan is billed every three months in one charge. Cancellation takes effect only at the end of a billing cycle, so a quarter is a bigger commitment.

Price

Zera Health costs $255 a month for compounded tirzepatide.

How we got $255

The arithmeticOne month = 30.4375 days

  1. Zera Health advertises

    Read on Zera Health's own site

    $255.00

  2. The card is charged $255.00 — exactly what it advertises

    + $0.00

  3. And it is charged once a calendar month

    + $0.00

A real month$255.00

Reconciles exactly — the advertised figure is a real month.

Where it sits, and what costs less

$86median $269$434+

167 cheaper · 46%196 dearer · 54%

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. Zera Health$255

Another 162 sellers are cheaper than Zera Health. The whole cheapest list →

Where it says it operates

Listed in 50 states, all but 1 of the 51 we track.

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.

Zera Health questions

Is Zera Health legit?
Zera Health is a telehealth platform that connects you with independently licensed prescribers. Strive Pharmacy, a licensed 503A compounding pharmacy, dispenses its compounded tirzepatide. Zera states that compounded tirzepatide is not FDA-approved and is not Zepbound or Mounjaro.
How much is Zera Health tirzepatide per month?
$255 a month on the monthly plan, billed monthly, for a 5 mg or 10 mg vial. Shipping and provider support are included. Zera's compounded semaglutide monthly plan is $179.
Does Zera Health take insurance?
No. Zera says no insurance is required, and its plans are a flat cash price with no co-pays.
Can you cancel Zera Health?
Yes, by emailing support or using the chat in your patient portal. Send the request at least 72 hours before your billing date or you'll be charged for one more cycle. Canceling doesn't refund the current month.