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Head-to-head · WeighScore

LevelsRx vs Zappy Health

LevelsRx
Graded #196

Higher grade

vs+0.29999999999999716
Zappy Health
Graded #213

Lower grade

The verdict

LevelsRx takes it — 66.3/100 to 66/100, but only just.

LevelsRx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. LevelsRx is a US direct-to-consumer telehealth offering compounded GLP-1 weight-loss medication, including compounded semaglutide (injectable and an oral liposomal liquid) starting at 150 dollars per month… Zappy Health is close behind and may still be the better fit — see the factor split below.

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 valueLevelsRx +2
67
65
Dose & formulationZappy Health +2
75
77
Clinical oversightLevelsRx +9
76
67
Labs & monitoringLevelsRx +1
52
51
FulfillmentZappy Health +1
69
70
Contract termsZappy Health +20
41
61
LevelsRx · left barZappy Health · right bar

The numbers

MetricLevelsRxZappy Health
WeighScore66.3/10066/100
GradeCC
Scorecard rank#196#213
Semaglutide$150/mo (starting dose, compounded)$159/mo (compounded)
Tirzepatide$240/mo (starting dose, compounded)$299/mo (compounded)
CoverageCoverage not published42 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
LevelsRx

Graded #196 · C

Strengths

  • Both injectable and oral semaglutide plus tirzepatide, with same-day virtual visits
  • Weight-loss money-back warranty if targets are not met
  • 24-7 phone and email support with unlimited online provider visits

Where it loses points

  • Compounding pharmacy is not named publicly
  • States served are not published on the site
  • Prices are 'starting at' figures that may rise with dose
Zappy Health

Graded #213 · 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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