Head-to-head · WeighScore
Tuyo Health vs Zappy Health
The verdict
Tuyo Health takes it — 72.5/100 to 63.8/100.
Tuyo Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Tuyo Health (tuyohealth.com) is a US telehealth weight-loss program founded by Dr. German Echeverry that offers both compounded and brand-name GLP-1 medication.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Tuyo Health | Zappy Health |
|---|---|---|
| WeighScore | 72.5/100 | 63.8/100 |
| Grade | C | C |
| Scorecard rank | #92 | #272 |
| Semaglutide | $155/mo | $159/mo (compounded) |
| Tirzepatide | $279/mo | $299/mo (compounded) |
| Coverage | Coverage not published | 42 states |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Injection only | Injection only |
Graded #92 · C
FDAWarning letter issued to Tuyo Health, Inc. dba Tuyo Health in September 2025. See the FDA warning-letter database.
Strengths
- Low starting price of 155 dollars per month for compounded semaglutide, all-inclusive
- Offers both compounded and brand-name Wegovy and Zepbound, with an insurance option
- Free same-week shipping, complimentary consults and periodic lab work included
Where it loses points
- Service-area states not published
- No specific compounding pharmacy named on the site
- Brand-name plans add a separate 99 dollar membership fee
- FDA issued Tuyo Health, Inc. dba Tuyo Health a warning letter in September 2025; the letter is public in FDA's warning-letter database
Graded #272 · C
FDAWarning letter issued to Kare Solutions, LLC dba Zappy in February 2026. See the FDA warning-letter database.
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
- FDA issued Kare Solutions, LLC dba Zappy a warning letter in February 2026; the letter is public in FDA's warning-letter database
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 544 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.