Compounded semaglutide
Zera Health review
Compounded semaglutide at Zera Health costs $179 a month when you pay monthly. The price is listed for a 2.5 mg or 5 mg vial and includes the prescriber and free shipping. Payment is taken at sign-up, and refunds after that are narrow.
Is it right for you?
Worth a look if
- You want a monthly semaglutide plan with no separate visit or shipping charge.
- You'd like to try a month or two before locking into a three-month bill.
- You're fine handling everything online, from intake to refills.
Skip it if
- You want the prescribing clinician named on the website before you commit.
- You expect to cancel partway through a month and get something back.
What's included
Zera prices its monthly semaglutide plan at $179, billed monthly, for a 2.5 mg or 5 mg vial. The plan card lists lab-tested medication, a personalized protocol from a licensed physician, free discreet shipping on every order and ongoing provider check-ins.
There's a cheaper-per-month quarterly option, billed every three months. Zera adds priority shipping and a dedicated care coordinator to that plan. Zera's refund policy says its compounded medications are dispensed through Strive Pharmacy, a 503A pharmacy, and it describes itself as a technology platform rather than a medical practice.
From sign-up to refills
- Answer the online health questions. Zera says most people finish in under two minutes, and the first month is billed when the intake is submitted.
- An independently licensed physician, nurse practitioner or physician assistant reviews the case and decides whether semaglutide is appropriate.
- Once a prescription is approved, the pharmacy ships in unmarked packaging with cold-chain packing. Zera's FAQ puts the first delivery at five to seven business days.
- Each month renews automatically. Refill requests and messages to your provider go through the patient portal.
What's good, what isn't
What's good
- Free shipping and physician oversight are part of the $179 monthly semaglutide plan.
- A medical disqualification gets a full refund under the Zera policy dated May 2026.
- Zera names Strive Pharmacy, a licensed 503A pharmacy, as the one dispensing its compounded medication.
What isn't
- The monthly price at Zera covers a 2.5 mg or 5 mg vial, and no price for stronger vials is posted.
- A cancellation request needs 72 hours' notice at Zera, or one more month is billed.
- No refund on shipped medication: Zera's policy calls it non-returnable under federal and state rules.
Read these terms first
- Conflicting refund pages
- Zera has two cancellation pages. The newer one refunds only a medical disqualification. The older one offers a full refund within seven days if no provider has reviewed you yet. Confirm which applies.
- Higher doses
- The posted price is for a 2.5 mg or 5 mg vial. If your provider moves you up, ask whether the monthly charge changes.
- Chargebacks
- Zera asks you to contact support before disputing a charge with your bank, and says a chargeback without contact may suspend your account.
Price
Zera Health costs $179 a month for compounded semaglutide.
How we got $179
The arithmeticOne month = 30.4375 days
Zera Health advertises
Read on Zera Health's own site
$179.00
The card is charged $179.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$179.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$54median $199$325+
138 cheaper · 36%224 dearer · 59%
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
- Zera Health$179
Another 133 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.
State pages this seller appears on: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS 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
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $255 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.
Common questions about Zera Health
- Is Zera Health legit?
- Zera Health runs a telehealth platform. Independently licensed providers write the prescriptions, and its refund policy says Strive Pharmacy, a licensed 503A compounding pharmacy, dispenses the medication. Zera's semaglutide page says compounded semaglutide is not FDA-approved and is not Ozempic or Wegovy.
- How much is Zera Health semaglutide per month?
- $179 a month on the monthly plan for a 2.5 mg or 5 mg vial, with shipping included. A quarterly plan costs less per month but is billed every three months. Zera's compounded tirzepatide monthly plan is $255.
- Does Zera Health take insurance?
- No. Zera sells its plans for cash and says insurance isn't needed.
- Can you cancel Zera Health?
- Yes. Email support or use the portal chat at least 72 hours before your next billing date. You keep access until the cycle ends, and the current month isn't refunded.