The alternatives
Piper scores 79/100 (grade C, ranked #47) on The Verdict Score. Here are the top-rated GLP-1 providers we'd weigh against it — same six-factor rubric, and no score is adjusted for payment.
The most honest middle of the market: nationwide access, both molecules at one flat, no-surprise price.
CoreAge Rx scores 94/100 to Piper's 79, and our Piper vs CoreAge Rx ruling sets the two out factor by factor.
Nalena is a women-focused, GLP-1-only telehealth platform offering compounded semaglutide and tirzepatide with medication included — no separate membership or visit fees.
Nalena matches Piper at 79/100; our Nalena ruling in full has the pricing conditions and the caveats in detail.
An unusually deep compounded menu under one roof — GLP-1, NAD+, sermorelin and TRT, injectable and sublingual — but every figure it advertises is a twelve-month prepay, the month-to-month rate is $279 semaglutide and $349 tirzepatide, and FDA issued a warning letter to its named operator in September 2025.
Ageless scores 76/100 to Piper's 79; the full Ageless review has the pricing conditions and the caveats in detail.
FitFlow (FitFlow Health) is a 100% online compounded telehealth platform for GLP-1 weight loss - compounded semaglutide (=Wegovy) and tirzepatide (=Mounjaro).
FitFlow matches Piper at 79/100; our full write-up on FitFlow has the pricing conditions and the caveats in detail.
The Bodybuilding.com fitness brand's new compounded-telehealth arm publishes both ladders in full, and they run in opposite directions: semaglutide steps down from $179/mo to $139/mo on a 12-month prepay, while every tirzepatide bundle costs MORE per month than its $209 month-to-month rate — $286, $250 and $244 — with each badged as a saving. Wrapped in an unusually deep NAD+/sermorelin/peptide menu, but the verdict lands it near the bottom: a brand-new operator (Dynamo Group LLC, launched April 2026) selling compounded, not-FDA-approved meds on an all-sales-final policy, with the pharmacy and provider network unnamed on-site and no LegitScript listing we could verify.
Bodybuilding Health+ scores 76/100 to Piper's 79; the full Bodybuilding Health+ review has the pricing conditions and the caveats in detail.
Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.
Apex MD matches Piper at 79/100; our full write-up on Apex MD has the pricing conditions and the caveats in detail.
A LegitScript-certified nationwide program that charges nothing until a provider approves you — but hides its pricing until you are inside the intake.
Breeze Meds scores 76/100 to Piper's 79; our full write-up on Breeze Meds has the pricing conditions and the caveats in detail.
See the complete rankings or head to the comparison hub.
Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Not medical advice; see our disclosure.