Head-to-head dispatch
Telos Rx 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
The broadest published catalog in the ranking — compounded GLP-1s plus oral and microdosed tirzepatide, PT-141, intranasal NAD+, and recovery peptides — all compounded and not FDA-approved.
$99/mo (injectable, month-to-month; the $49 headline is only the FIRST month of the 12-month prepaid ORAL plan, which renews at $129/mo billed every 48 weeks) sema · $139/mo injectable · $129/mo oral · $116/mo microdosed (microdosing is tirzepatide, not semaglutide) tirz
Marked down on: Everything is compounded and not FDA-approved — including all peptides and the NAD+ spray
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 (compounded) sema · $199/mo (compounded) tirz · Verified June 16, 2026
Marked down on: Operates as a technology platform, not the medical provider itself
Telos Rx takes this head-to-head with the higher Desk Score, 85/100 (B) against 82/100 (B−) for Zera Health. Zera 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.
Telos Rx
85/100
B
Zera Health
82/100
B−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Telos Rx | Zera Health |
|---|---|---|
| Semaglutide | $99/mo (injectable, month-to-month; the $49 headline is only the FIRST month of the 12-month prepaid ORAL plan, which renews at $129/mo billed every 48 weeks) | $149/mo (compounded) |
| Tirzepatide | $139/mo injectable · $129/mo oral · $116/mo microdosed (microdosing is tirzepatide, not semaglutide) | $199/mo (compounded) |
| Coverage | Not listed on Telos Rx's site | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Patients who want GLP-1 care alongside peptides, NAD+, and sexual-health options on one certified platform, with a needle-free oral or microdosed route. | Budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy. |
| Desk Score | 85/100B | 82/100B− |
The verdict
Desk pick — Telos RxTelos Rx takes this head-to-head with the higher Desk Score, 85/100 (B) against 82/100 (B−) for Zera Health. Zera Health still holds its ground where its strengths line up with yours.
Choose Telos Rx if…
Patients who want GLP-1 care alongside peptides, NAD+, and sexual-health options on one certified platform, with a needle-free oral or microdosed route.
$99/mo (injectable, month-to-month; the $49 headline is only the FIRST month of the 12-month prepaid ORAL plan, which renews at $129/mo billed every 48 weeks) sema · $139/mo injectable · $129/mo oral · $116/mo microdosed (microdosing is tirzepatide, not semaglutide) tirz
Choose Zera Health if…
Budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy.
$149/mo (compounded) sema · $199/mo (compounded) 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 file on a provider reads the same either way. Read full breakdowns: Telos Rx · Zera Health.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs Telos Rx
- CoreAge Rx vs Zera Health
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- Strut Health vs Zera Health
- BetterMe Rx vs Telos Rx
- Rivo Health vs Zera Health
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.