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Head-to-head · computed from the pricing database · August 25, 2026

Zappy Health vs Orderly Meds

Side-by-side comparison of Zappy Health and Orderly Meds for compounded tirzepatide and semaglutide: advertised price vs true monthly cost, 12-month totals, membership, cancellation terms, medications offered and who each is best for.

The short version

  • For compounded tirzepatide, Orderly Meds's lowest 12-month all-in total is $3,288 versus $4,188 at Zappy Health, a difference of $900 over a year. Month-to-month at a maintenance dose, Zappy Health costs $349 and Orderly Meds costs $299.
  • For compounded semaglutide, Orderly Meds's lowest 12-month all-in total is $1,788 versus $2,988 at Zappy Health, a difference of $1,200 over a year. Month-to-month at a maintenance dose, Zappy Health costs $249 and Orderly Meds costs $149.
  • Zappy is a low-cost compounded provider; rates pending verification.
  • Orderly is an all-in compounded provider whose current rates we are re-verifying.

Head-to-head answers

  • Which is cheaper over a year? Orderly Meds ($3,288 vs $4,188, $900 less) on 12-month all-in totals (verified / verified).
  • Which is cheaper month-to-month at maintenance doses? Orderly Meds ($349 vs $299).
  • Which has no membership fee? Zappy Health: none. Orderly Meds: none.
  • Which uses which pharmacy? Zappy Health: The Pharmacy Hub. Orderly Meds: PerfectRx / PerfectionRx, ProRx, Casa, Pharmacy Hub, SmartPharmaRx.
  • Which is better at the maintenance dose? Zappy Health: same price at every dose. Orderly Meds: same price at every dose.
  • Which requires a video visit? Zappy Health: not captured. Orderly Meds: asynchronous.
  • Which accepts insurance? Zappy Health: cash-pay. Orderly Meds: cash-pay.
  • Which has better cancellation terms? Zappy Health: Cancel anytime. Orderly Meds: Cancel anytime.
  • Which is better for switching at an established dose? Both publish flat month-to-month pricing; choose on price and pharmacy.
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Side by side

Provider
Zappy Health
Orderly Meds
Pricing model
flat rate
flat rate
Tirzepatide, lowest 12‑mo all‑in
$4,188 ($349/mo, verified)
$3,288 ($274/mo, verified)
Semaglutide, lowest 12‑mo all‑in
$2,988 ($249/mo, verified)
$1,788 ($149/mo, verified)
Month-to-month true cost (maintenance)
$349/mo (tirzepatide)
$299/mo (tirzepatide)
Membership fee
None
None
Dose-based increases
Flat at every dose
Flat at every dose
Price lock
No
No
Shipping
included
included
Consultation
included
included
Commitment
month-to-month
month-to-month; prepay discounts offered
Cancellation
Cancel anytime
Cancel anytime
Brand-name medication
No
No
Insurance support
No
No
Oral / sublingual forms
No
Yes
Audience
all
all
Clinical model
Provider consultation; monthly shipments
Licensed provider consultation, ongoing messaging, monthly shipments
Value score
61/100
72/100

Green cells mark the better value on that row when both figures are known. * provisional score: pricing not yet directly verified.

Pricing in words

Zappy Health charges $349 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $349 and the lowest 12-month total is $4,188 (month-to-month plan). Prices last checked August 25, 2026; status: verified.

Orderly Meds charges $299 per month on a month-to-month plan for compounded tirzepatide (injection). The first 2 months are an introductory $149 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,288 (month-to-month plan). Prices last checked August 25, 2026; status: verified.

Zappy Health charges $249 per month on a month-to-month plan for compounded semaglutide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $249 and the lowest 12-month total is $2,988 (month-to-month plan). Prices last checked August 25, 2026; status: verified.

Orderly Meds charges $149 per month on a month-to-month plan for compounded semaglutide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $149 and the lowest 12-month total is $1,788 (month-to-month plan). Prices last checked August 25, 2026; status: verified.

Choose Zappy Health if

Price-focused patients.

  • Frequently cited among low-cost compounded providers

Choose Orderly Meds if

Patients comparing all-in compounded plans who want oral and injectable options from one provider.

  • Offers both compounded semaglutide and tirzepatide, including oral forms
  • All-in pricing without a separate membership
  • Prepay discounts available

What to weigh against each

Zappy Health: Pricing pending verification. Limited public information about clinical model.

Orderly Meds: Pricing pending verification and has changed since the shortages ended. Pharmacy partners and state coverage not yet verified.

How to read this comparison

Both providers were scored with the same rubric and the same cost model. Rankings never use the advertised monthly price on its own, because a low first-month number can hide a membership fee or a dose-based increase. Where a provider's price has not been directly checked against its own site, we say so and do not rank it on cost. Compounded tirzepatide and semaglutide are not FDA-approved; the only FDA-approved products are Zepbound, Mounjaro, Wegovy, Ozempic and Rybelsus. See the methodology and important safety information.

Frequently asked questions

Is Zappy Health cheaper than Orderly Meds?

For compounded tirzepatide, Orderly Meds's lowest 12-month all-in total is $3,288 versus $4,188 at Zappy Health, a difference of $900 over a year. Month-to-month at a maintenance dose, Zappy Health costs $349 and Orderly Meds costs $299.

Does Zappy Health or Orderly Meds charge a membership fee?

Zappy Health: no separate membership fee. Orderly Meds: no separate membership fee.

Which is better for tirzepatide, Zappy Health or Orderly Meds?

Zappy Health offers tirzepatide; Orderly Meds offers tirzepatide. Zappy is a low-cost compounded provider; rates pending verification. Orderly is an all-in compounded provider whose current rates we are re-verifying.

Editor's pick · best overall

Editor's pick: NexLife value score 92/100

How the pick is chosen: the highest value score in our database (cost, transparency, flexibility, care and verification) as of August 25, 2026; it changes automatically when the data does. NexLife also pays for a labeled sponsored placement on this site, which does not enter the score. How the score works · Advertising disclosure.

What every plan includes

  • Same price at every dose. No hidden fees.
  • Free expedited shipping.
  • No membership fees.
  • Doctor-led plans, coaching and an active community.

Prices verified, checked August 25, 2026.

Included at no extra cost

  • Provider review and ongoing medical guidance$199Included
  • Personalized nutrition plan (GLP-1 focused)$99Included
  • 1:1 fitness call with a certified wellness coach$79Included

Stated values are NexLife's own figures, not market prices.

Plan pages

Regular protocol Standard injectable plans; the ones our rankings use
Microdose protocol Lower-dose plans; listed in our database, not ranked
Sublingual (ODT) protocol Orally disintegrating tablets; listed, not ranked

Read the full review and the cons →