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Head-to-head · WeighScore

NexLife vs Zappy Health

NexLife
Graded #139

Higher grade

vs+2.5
Zappy Health
Graded #198

Lower grade

The verdict

NexLife takes it — 68.7/100 to 66.2/100.

NexLife grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. NexLife is a LegitScript-certified telehealth platform offering compounded semaglutide (from $145/mo) and compounded tirzepatide (from $186/mo).

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 valueNexLife +5
71
66
Dose & formulationZappy Health +13
64
77
Clinical oversightNexLife +22
89
67
Labs & monitoringNexLife +2
53
51
FulfillmentZappy Health +3
67
70
Contract termsZappy Health +6
55
61
NexLife · left barZappy Health · right bar

The numbers

MetricNexLifeZappy Health
WeighScore68.7/10066.2/100
GradeCC
Scorecard rank#139#198
Semaglutide$165/mo (compounded)$159/mo (compounded)
Tirzepatide$215/mo (compounded)$299/mo (compounded)
CoverageCoverage not published42 states
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyInjection only
NexLife

Graded #139 · C

Strengths

  • LegitScript certified platform
  • Works exclusively with LegitScript-certified, NABP-accredited pharmacies — strongest pharmacy trust signal in the dataset
  • Both semaglutide and tirzepatide at competitive pricing
  • Semaglutide from $145/mo on the 12-month plan ($165/mo month-to-month) - among the lowest in the dataset

Where it loses points

  • State availability not publicly disclosed
  • Compounded only — no brand-name options
  • Also covers hormone optimization and longevity
  • Lowest advertised rates ($145 sema / $186 tirz) require a 12-month plan commitment
Zappy Health

Graded #198 · 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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