Head-to-head comparison
Nirwana Health vs Zera Health
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Nirwana Health (nirwanahealth.com) is a telehealth service offering compounded GLP-1 weight loss plus hair, sexual-wellness, and longevity care through licensed providers.
$149/mo sema · $229/mo tirz · Verified July 2026
Marked down on: Prescribing medical group and compounding pharmacy are not named on the site
Desk Score
Zera Health is a telehealth platform for compounded GLP-1 weight loss — semaglutide from $149/mo, tirzepatide from $199/mo, plus oral and low-dose microdose options.
$149/mo sema · $199/mo tirz · Verified June 2026
Marked down on: Operates as a technology platform, not the medical provider itself
Zera Health takes this head-to-head with the higher Desk Score, 82/100 (B−) against 64/100 (C) for Nirwana Health. Nirwana Health still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Nirwana Health
64/100
C
Zera Health
82/100
B−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Nirwana Health | Zera Health |
|---|---|---|
| Semaglutide | $149/mo$149/mo (compounded) | $149/mo$149/mo (compounded) |
| Tirzepatide | $229/mo$229/mo (compounded) | $199/mo$199/mo (compounded) |
| Coverage | Not listed on Nirwana Health's site (checked July 2026) | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Shoppers wanting oral or injectable compounded GLP-1 with no membership and cheaper multi-month plans. | Budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy. |
| Desk Score | 64/100C | 82/100B− |
The verdict
Desk pick — Zera HealthZera Health takes this head-to-head with the higher Desk Score, 82/100 (B−) against 64/100 (C) for Nirwana Health. Nirwana Health still holds its ground where its strengths line up with yours.
Choose Nirwana Health if…
Shoppers wanting oral or injectable compounded GLP-1 with no membership and cheaper multi-month plans.
$149/mo sema · $229/mo tirz
Choose Zera Health if…
Budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy.
$149/mo sema · $199/mo tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Nirwana Health · Zera Health.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
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Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.