Piper review
Telehealth weight loss provider offering competitively priced compounded GLP-1 medications.
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated August 2026
Semaglutide here is $182/mo — $17 below our category median of $199.
- Semaglutide
- $182/mo
- Tirzepatide
- $283/mo
- Coverage
- All 50 states
- Brand-name
- Compounded only
- Oral option
- Injectable only
- Verification
- Not independently listed
Best for: People who want mainstream telehealth GLP-1 access.
MatchScript's take: Our #83 pick of 537 — priced at or below the category median.
The factor breakdown
Piper on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $182/mo puts Budget Fit at a below-par 55 — above the budget tiers.
Confirmed all-50-state access means it can usually prescribe within days, for a solid 86 on Speed to Start.
Piper sticks to compounded injectables, for a below-par 66 on Formulary Match.
Support lands at a middling 78 — lighter, meds-first support.
Flexibility scores a below-par 61 — fewer levers to flex your plan.
Open pricing and coverage detail put Transparency at an exceptional 94.
Pricing in context
How Piper's monthly price sits against the category median and the cheapest provider we track.
What we like
- Aggressively low monthly pricing
- Both semaglutide and tirzepatide available
- Compounded GLP-1 access
The caveats
- Limited public information on program details
Who it's for — and who should skip it
Piper is for people who want mainstream telehealth GLP-1 access.
Skip it if that doesn't sound like you. A closer fit may be Wellorithm (Match Score 73) — or take the quiz to see where Piper lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Piper against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Piperthis provider | CoreAge Rxour #1 | Wellorithmclosest scorer |
|---|---|---|---|
| Sema price | $182/mo | $99/mo at every dose | $269/mo |
| Coverage | All 50 states | All 50 states | 49 states — Louisiana excluded |
| Formulary | Injectable | Injectable | Injectable + oral |
| Match Score | 73 · C | 91 · A− | 73 · C |
Piper, answered
Is Piper legit?
Piper is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.
How much does Piper cost?
Piper lists compounded semaglutide from $182/mo and tirzepatide from $283/mo — below our category median of $199/mo. These are the provider's public figures at our last review (August 2026); confirm on their site, since some teaser tiers step up after month one.
Does Piper ship to my state?
Yes — Piper reports availability in all 50 states, so most people can start within days.
Piper vs Wellorithm — which should I pick?
They score within a few points of each other: Piper at 73/100 and Wellorithm at 73/100, so neither wins on the headline number. Piper is the better fit for people who want mainstream telehealth GLP-1 access. Wellorithm suits people who want an oral dissolving tablet at the same price as the injection, and are comfortable paying premium rates for it. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified August 2026 from Piper's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Piper's site. Not medical advice; see our disclosure.
Semaglutide here is $182/mo — $17 below our category median of $199. Tirzepatide is $283/mo. It scores highest on what it is willing to publish up front. Best suited to people who want mainstream telehealth GLP-1 access. If that is not you, Wellorithm is the closest thing to it here.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Piper here.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match84/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.84/100
- #3Match83/ 100EdenA polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.83/100
- #4Match85/ 100RoA heavyweight telehealth brand with brand-name access and a polished experience — but opaque compounded pricing.85/100
- #5Match85/ 100No BS RXThe highest Transparency score here, and it is not close: twenty-four prices on one public page and four dispensing pharmacies named with street addresses.85/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Bionomy Health#84 | 73 | $192/mo | $253/mo | 48 states | Alternatives | Visit |
| FitRx#85 FDA issued FitRX, LLC dba FitRx a warning letter in February 2026. See FDA's warning-letter database. | 73 | $151/mo (quarterly plan, compounded) | Not disclosed | All 50 states | Alternatives | Visit |
| GoodRx#86 | 73 | Not disclosed | $299/mo (brand Zepbound) | All 50 states | Alternatives | Visit |
| Andrew Meds#87 | 73 | $199/mo | $299/mo | All 50 states | Alternatives | Visit |
| Clume Health#88 | 73 | $259/mo (one price covers both molecules, oral or injectable) | $259/mo (one price covers both molecules, oral or injectable) | All 50 states plus Washington, D.C. | Alternatives | Visit |
| RxSpan MD#89 | 70 | $253/mo | $334/mo | All 50 states | Alternatives | Visit |
| Oak#90 | 70 | $250/mo at every dose | $300/mo at every dose | 45 states — full list not disclosed | Alternatives | Visit |
| Pallas Health#91 | 70 | $216/mo | $325/mo | All 50 states | Alternatives | Visit |
| SnagRx#92 | 70 | $100/mo | $151/mo | All 50 states plus Washington D.C. (per Terms) | Alternatives | Visit |
| Gaya Wellness#93 | 72 | $405/mo | $405/mo | FL, NC, VA, IN, TN | Alternatives | Visit |
| Gimme Care#94 | 72 | $174/mo | $216/mo | All 50 states | Alternatives | Visit |
| GOAL.MD#95 | 72 | $179/mo | $249/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Ivy Rx#96 | 72 | $190/mo | $190/mo | All 50 states | Alternatives | Visit |
| Care Clinics#97 | 72 | $108/mo | $145/mo | 32 states | Alternatives | Visit |
| JRNYS#98 | 72 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| NuvaHealth#99 | 72 | $139/mo (first-month rate, compounded) | $229/mo (first-month rate, compounded) | Coverage not published | Alternatives | Visit |
| Rylo Health#100 | 72 | $149/mo (promotional rate, compounded) | $249/mo (compounded) | All 50 states | Alternatives | Visit |
| Vytora Health#101 | 72 | $179/mo | $249/mo (all doses, compounded) | All 50 states | Alternatives | Visit |
| Dr. Gillis' Wellness Center#102 | 72 | $150/mo | Not disclosed | All 50 states | Alternatives | Visit |
| Nova#103 | 72 | $198/mo all-in (a starting-at floor that rises with dose) | $210/mo all-in (a starting-at floor that rises with dose) | 49 states | Alternatives | Visit |
| Rivo Health#104 | 71 | $303/mo | $354/mo | All 50 states | Alternatives | Visit |
| Navio MD#105 | 71 | $345/mo (starting dose, brand-name) | $189/mo (starting dose, compounded) | 48 states | Alternatives | Visit |
| Jyra Health#106 | 71 | $169/mo | $133/mo (starting dose, promotional rate, compounded) | All 50 states | Alternatives | Visit |
| Rebody Health#107 | 71 | $326/mo | $272/mo | 47 states | Alternatives | Visit |
Piper is ranked on our best semaglutide providers, best tirzepatide providers and best GLP-1 programs boards, scored on the same six factors as every other provider there.