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Head-to-head · WeighScore

DrBrainRx vs Zappy Health

DrBrainRx
Graded #104

Higher grade

vs+4.599999999999994
Zappy Health
Graded #201

Lower grade

The verdict

DrBrainRx takes it — 70.8/100 to 66.2/100.

DrBrainRx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. DrBrainRx is a neurologist-founded telehealth clinic led by Dr.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueEven
66
66
Dose & formulationZappy Health +5
72
77
Clinical oversightDrBrainRx +20
87
67
Labs & monitoringDrBrainRx +13
64
51
FulfillmentZappy Health +3
67
70
Contract termsEven
61
61
DrBrainRx · left barZappy Health · right bar

The numbers

MetricDrBrainRxZappy Health
WeighScore70.8/10066.2/100
GradeCC
Scorecard rank#104#201
Semaglutide$199/mo (all doses, compounded)$159/mo (compounded)
Tirzepatide$299/mo (all doses, compounded)$299/mo (compounded)
CoverageCoverage not published42 states
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyInjection only
DrBrainRx

Graded #104 · C

Strengths

  • Founded and overseen by Dr. Sara Siavoshi — triple board-certified in Neurology, Headache Medicine, and Obesity Medicine
  • LegitScript certified with compounded medications from USP-certified 503B pharmacies
  • Flat-rate pricing — same monthly cost for all dose levels (dose escalation does not raise price)
  • 100% online with rapid approvals (~24-48 hours) and discreet shipping in 3–5 business days
  • Side-effect support, dose adjustments, and injection guides included with provider care

Where it loses points

  • Separate $25/month provider care fee (compounded track) on top of medication cost
  • Compounded medications are not FDA-approved individual drugs
  • Labs not required or included — no baseline bloodwork protocol disclosed
  • States served not published; no explicit list available
  • No dedicated coaching program beyond clinical dose management
Zappy Health

Graded #201 · C

Strengths

  • Both compounded GLP-1 and brand-name Wegovy/Zepbound available
  • Flat pricing that doesn't increase as your dose goes up
  • Cheaper on longer subscriptions — compounded semaglutide from $159/month
  • Online visit with a licensed clinician; no insurance required

Where it loses points

  • Third-party reports of an order arriving with an unlicensed-pharmacy label
  • Not available in 8 states (HI, AL, AR, CA, KS, MI, MN, MS)
  • Operating legal entity isn't clearly disclosed on the site
  • Lowest prices require a 9-month commitment

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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