Compounded semaglutide
Fella Health vs Zappy Health
Quick answer
Zappy Health costs $249 a real month and Fella Health costs $325 — a difference of $76 a month, or $912 a year. Both figures are computed from what each seller actually charges and how often, not from the price on its landing page.
Checked in . Both sellers are re-checked on the same schedule; a price either side changes after that date will not be reflected here until the next check.
Fella Health or Zappy Health?
Zappy Health is the cheaper way to start, at $249 a month against $325 for Fella Health, and since both charge one price whatever the dose, that gap of $76 holds all the way up. Judged by the headline prices you would pick Fella Health, advertised at $149 against Zappy Health's $159, and that is the wrong way round once each bill is restated as a calendar month. Only Fella Health reaches California, Michigan and Minnesota, while only Zappy Health reaches Alaska, Connecticut, Delaware, Idaho and 21 more states, going by where each says it ships. Zappy Health received an FDA warning letter in February 2026; Fella Health has none on record.
What each one bills
| Fella Health | Zappy Health | |
|---|---|---|
| True monthly cost | $325 | $249 |
| Advertised as | $149 | $159 |
| Charged | every 4 weeks | every calendar month |
| Each charge | $299 | $249 |
| Price basis | the same at every dose | the same at every dose |
| Mandatory recurring fee | none found | none found |
| States it names | 20 states | 42 states |
| FDA warning letter | none on record | yes |
Where they actually differ
- They bill on different clocks. Fella Health charges every 4 weeks and Zappy Health charges every calendar month. That alone changes what a “month” costs, which is the whole reason this index recomputes every price.
- What they advertise is not what they bill. Fella Health advertises $149 and bills $325; Zappy Health advertises $159 and bills $249.
How we know
Both figures were read on the seller’s own site and recomputed over a 30.4375-day calendar month from the charge and the billing period it covers. Neither is a seller’s own “/mo”. The full working for each — the charge, the period, the arithmetic and the date it was read — is on its own page: Fella Health and Zappy Health. The method is set out in how we verify.
To compare any two sellers in the index rather than these two, use the comparison tool.