Compounded semaglutide
Zappy Health review
Zappy Health bills $249 each month for compounded semaglutide on its flexible plan, and moving up a dose doesn't change that. Newcomers to GLP-1s see a lower $159 rate, but only by prepaying a 3-month starter pack in states where it's offered. No membership is required.
Is it right for you?
Worth a look if
- You're starting at 0.25 mg and want a price that won't climb as your provider raises the dose.
- You value a virtual visit on the calendar every month.
- You might later want brand-name Wegovy through the same company.
Skip it if
- You want a seller with a clean regulatory record. Zappy received an FDA warning letter in February 2026.
- You need reliable tracking. Zappy's FAQ says many shipments arrive without a tracking number.
What's included
The semaglutide page offers four ways to buy. Most Flexible costs $249, billed monthly, for all doses. The 3-month and 6-month plans lower the monthly rate but charge the whole term at once and ship every vial together. First-time GLP-1 users can take the starter pack at $159 a month for three months.
Each plan carries a monthly virtual visit, an AI assistant and premium support. Shipping costs nothing. Zappy's semaglutide page says The Pharmacy Hub, a licensed 503A pharmacy, prepares and dispenses it. Its partner-pharmacy page lists Hallandale Pharmacy.
Zappy is cash-pay and accepts FSA and HSA cards. It also offers Wegovy injections and Wegovy pills for patients who'd rather use the FDA-approved product.
From sign-up to refills
- Answer Zappy's online questions about your health, habits and weight goals.
- A licensed provider looks over your answers and decides whether to prescribe.
- Your plan is set up and the pharmacy ships the vial. Plan on 5 to 7 business days after the visit.
- Month-to-month plans renew automatically. Your monthly visit is where dose changes happen.
What's good, what isn't
What's good
- All semaglutide doses cost the same $249 a month on Zappy's Most Flexible plan.
- Zappy's starter pack for GLP-1 newcomers works out to $159 a month, beginning at 0.25 mg.
- Zappy offers compounded semaglutide plus Wegovy injections and Wegovy pills under one account.
What isn't
- Kare Solutions, the company behind Zappy, got an FDA warning letter in February 2026.
- Zappy's FAQ says shipping your first vial locks you into a two-month contract.
- Refunds stop once the pharmacy assigns a tracking number, according to Zappy's refund policy.
Read these terms first
- The contract after shipping
- Zappy's FAQ describes a binding two-month contract from the ship date, though its pricing page says you can pause or cancel anytime. Get the answer in writing.
- Starter pack availability
- The lower newcomer rate is only offered in select states and is charged in one payment. Check your state before counting on it.
- Warning letter
- The FDA's February 2026 letter to Kare Solutions, LLC, doing business as Zappy, cited 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 $249 a month for compounded semaglutide. It advertises $159.
How we got $249
The arithmeticOne month = 30.4375 days
Zappy Health advertises
Read on Zappy Health's own site
$159.00
The card is charged $249.00, not $159.00
The advertised figure is not the amount that leaves the account.
+ $90.00
And it is charged once a calendar month
+ $0.00
A real month$249.00
A real month costs $90.00 more than the figure advertised.
Where it sits, and what costs less
$54median $199$325+
269 cheaper · 71%91 dearer · 24%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- Zappy Health$249
Another 264 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.
- Zappy Health vs Eden — $150 a month apart.
- Zappy Health vs Strut Health — $120 a month apart.
- Zappy Health vs Mochi Health — $104 a month apart.
- Zappy Health vs Fridays — $100 a month apart.
- Zappy Health vs Alloy — $80 a month apart.
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $349 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
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 →
Common questions about Zappy Health
- Is Zappy Health legit?
- Zappy Health runs telehealth care with licensed providers and sends prescriptions to licensed pharmacies; it doesn't compound anything itself. Its compounded semaglutide isn't FDA-approved, which the page states. The FDA issued a warning letter to Zappy's operating company in February 2026 over false and misleading claims.
- How much is Zappy Health semaglutide per month?
- $249 on the monthly plan, at every dose. The 3-month starter pack for first-time GLP-1 users is $159 a month, paid up front, where available.
- Does Zappy Health take insurance?
- Not for compounded semaglutide. It's cash-pay only, with no membership fee, and FSA or HSA cards work.
- Can you cancel Zappy Health?
- Email a written notice. Before the pharmacy processes your order, you get your money back. Once it's shipping, a restocking fee applies, and after tracking is assigned Zappy can only pause future charges.