Piper review
Telehealth weight loss provider offering competitively priced compounded GLP-1 medications.
- Scores never bought
- 497 providers tracked
- Every factor auditable
- Updated July 2026
Piper earns a Match Score of 76/100 (grade C) and sits #61 of 497 on our board under the balanced default weighting.
- Semaglutide
- $135/mo (starting dose, compounded)
- Tirzepatide
- $199/mo (starting dose, compounded)
- 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 #61 pick of 497 — priced at or below the category median, scored on the same six factors as everyone else.
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 $135/mo (starting dose, compounded) puts Budget Fit at a below-par 74 — 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.
Disclosure here is thinner than the top of the board give a exceptional 94 on Transparency.
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
Choose Piper if people who want mainstream telehealth GLP-1 access.
Skip it if that doesn't sound like you. A closer fit may be System Labs (Match Score 76) — 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 | System Labsclosest scorer |
|---|---|---|---|
| Sema price | $135/mo (starting dose, compounded) | $149/mo | Not disclosed |
| Coverage | All 50 states | All 50 states | Not disclosed |
| Formulary | Injectable | Injectable | Injectable |
| Match Score | 76 · C | 91 · A− | 76 · C |
Piper, answered
Is Piper legit?
Piper is a real, operating GLP-1 telehealth program, but we don't find it on the LegitScript registry, so it carries less third-party verification than the certified providers on our board. It dispenses compounded medication, which isn't FDA-approved. Vet the prescriber and pharmacy before you commit.
How much does Piper cost?
Piper lists compounded semaglutide from $135/mo (starting dose, compounded) and tirzepatide from $199/mo (starting dose, compounded) — below our category median of $179/mo. These are the provider's public figures at our last review (July 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 CoreAge Rx — which is better?
Both are on our board. Piper scores 76/100; CoreAge Rx leads our default ranking at 91/100 for its flat nationwide pricing on both molecules and easy cancellation. Piper can still win for you if its strengths match your priorities — best for: People who want mainstream telehealth GLP-1 access. Run the quiz to see which comes out ahead for you.
Pricing & state data last verified July 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.
Piper earns a Match Score of 76/100 (grade C) and sits #61 of 497 on our board under the balanced default weighting. Telehealth weight loss provider offering competitively priced compounded GLP-1 medications. Best for: People who want mainstream telehealth GLP-1 access. If it isn't the right fit, System Labs is a sensible alternative to weigh next.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Piper on the board.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match88/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry on this board.88/100
- #3Match86/ 100HealthRXA LegitScript-certified, physician-supervised program with a rare oral GLP-1 tablet alongside injectables — both molecules, transparent no-insurance pricing, and a brand-name path.86/100
- #4Match86/ 100ShedRxA weight-focused program that also offers an oral/sublingual route for the needle-averse.86/100
- #5Match88/ 100Ondra HealthNear rock-bottom pricing on both molecules plus some brand access — a rare budget-and-breadth combo, nationwide.88/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| AmberHealth#62 | 75 | $100/mo (starting dose, compounded) | $175/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Bon Health#63 | 75 | $170/mo (annual plan, compounded) | $170/mo (annual plan, compounded) | All 50 states | Alternatives | Visit |
| Cora Health#64 | 75 | $175/mo | $225/mo | All 50 states | Alternatives | Visit |
| Gimme Care#65 | 75 | $130/mo (compounded) | $163/mo (compounded) | All 50 states | Alternatives | Visit |
| GOAL.MD#66 | 75 | $179/mo | $249/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| He & She MD#67 | 75 | $139/mo (starting dose, promotional rate, compounded) | $199/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Trava Health#68 | 75 | $119/mo (starting dose, compounded) | $198/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Welling Health#69 | 75 | $190/mo (compounded) | $275/mo (compounded) | All 50 states | Alternatives | Visit |
| CoraDoc#70 | 74 | $99/mo (all doses, compounded) | $165/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |
| Fitness RX#71 | 74 | $119/mo (promotional rate, compounded) | $119/mo (promotional rate, compounded) | Coverage not published | Alternatives | Visit |
| Navio MD#72 | 74 | $345/mo (starting dose, brand-name) | $189/mo (starting dose, compounded) | 48 states | Alternatives | Visit |
| StackMD#73 | 74 | $125/mo (1 mg dose, plus a separate fee, compounded) | $199/mo (5 mg dose, compounded) | All 50 states | Alternatives | Visit |
| FitRx#74 | 73 | $151/mo (quarterly plan, compounded) | Not disclosed | All 50 states | Alternatives | Visit |
| GoodRx#75 | 73 | Not disclosed | $299/mo (brand Zepbound) | All 50 states | Alternatives | Visit |
| Heally#76 | 73 | $199/mo (starting dose, compounded) | $299/mo (starting dose, brand-name) | All 50 states | Alternatives | Visit |
| Ivy Rx#77 | 73 | $175/mo (starting dose, compounded) | $275/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Jyra Health#78 | 73 | $99/mo (starting dose, plus a separate fee, compounded) | $133/mo (starting dose, promotional rate, compounded) | All 50 states | Alternatives | Visit |
| PlexusDx#79 | 73 | $149/mo (starting dose, compounded) | $249/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Queen RX#80 | 73 | $100/mo (quarterly plan, compounded) | Not disclosed | 45 states | Alternatives | Visit |
| Rebody Health#81 | 73 | $200/mo (starting dose, compounded) | $250/mo (starting dose, compounded) | 47 states | Alternatives | Visit |
| Wholesome Clinic#82 | 73 | $149/mo (starting dose, compounded) | $349/mo (starting dose, compounded) | 7 states | Alternatives | Visit |
| Wisp#83 | 73 | $225/mo (compounded oral) | $99/mo (starting dose, brand-name) | Coverage not published | Alternatives | Visit |
| ZYP Medical#84 | 73 | $150/mo | $233/mo | 6 states | Alternatives | Visit |
| Synergy Rx#85 | 70 | $199/mo (starting at, terms undisclosed) | $349/mo (starting at, terms undisclosed) | All 50 states | Alternatives | Visit |