Vytora Health vs Zera Health
In our scoring, Vytora Health edges ahead overall (8.4 vs 7.7 out of 10), and Vytora Health costs less for compounded tirzepatide (about $72 a year less).
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Key differences
- Price
- Vytora Health $249/mo vs Zera Health $255/mo for compounded tirzepatide (standing prices, no prepay or separate membership listed · about $72 a year less with Vytora Health)
- Coverage
- Vytora Health 50 states + DC; Zera Health 50 states (only Vytora Health: District of Columbia)
- Included
- Vytora Health: medication, clinician visits, shipping; Zera Health: medication, clinician visits, shipping
Vytora Health
Best for compounded or brand-name GLP-1 with named pharmacy partners, 50 states
semaglutide
$179
Our score 8.4/10
Zera Health
Best for flat all-dose pricing and a named 503A pharmacy
semaglutide
$179
$129 first month · microdose plan
Our score 7.7/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Vytora Health
Zera Health
Price
Semaglutide / month
$179/mo
$179/mo
$129 first month · microdose plan
Semaglutide / year (modeled)
$2,148
$2,148
Tirzepatide / month
Better on this row: $249/mo
$255/mo
$199 first month
Tirzepatide / year (modeled)
Better on this row: $2,988
$3,060
Oral semaglutide / month
Not listed
$179/mo
$169 first month
Brand Zepbound / Mounjaro / month
$1,399/mo
Not listed
Coverage
State availability
50 states + DC
50 states
Oral option listed
Not listed
Yes
Brand-name access listed
Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
None on monthly plans; 3-month plans are billed every 3 months
None
Refunds
'All sales are final' for prescription products; refund requests 'reviewed on a case-by-case basis'
No refunds after cancellation, except full refund if medically disqualified
Early-cancellation fee
Not disclosed
None
FDA warning letters
None on record
None on record
Provider facts checked
October 2026
October 2026
Show where they differ by stateHide state lists
Only Vytora Health (DC)
- District of Columbia
Every dose and plan: Vytora Health · Zera Health
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Vytora Health if…
- About $72 a year less than Zera Health for compounded tirzepatide at standing prices
- Lists brand-name Zepbound / Mounjaro, which Zera Health doesn't price
- Serves District of Columbia, where Zera Health doesn't
What to weigh up
- Brand-name Mounjaro and Zepbound at $1,399/mo are priced at retail; manufacturer self-pay programs are often cheaper
- Compounded tirzepatide at $249/mo month-to-month is mid-market
Choose Zera Health if…
- Lists oral compounded semaglutide, which Vytora Health doesn't price
- Flat pricing: Zera says the monthly cost doesn't rise as your dose increases
- Plans include provider messaging, physician oversight and free, discreet shipping
What to weigh up
- About $72 a year more than Vytora Health for compounded tirzepatide
- Not available in District of Columbia
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Vytora Health
8.4/10
Zera Health
7.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $179/mo (starting dose)
Get started →From $149/mo (starting dose)
Get started →From $169/mo (12-month plan rate)
Get started →Vytora Health vs Zera Health: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.