Piper review
Telehealth weight loss provider offering competitively priced compounded GLP-1 medications.
- Semaglutide
- From $135/mo (starting dose, compounded)
- Tirzepatide
- From $199/mo (starting dose, compounded)
- Coverage
- All 50 states
- Brand-name
- Compounded only
The scorecard
Piper scored on our six published factors. See the methodology.
What we like
- among the lowest we track monthly rates we track
- Both semaglutide and tirzepatide available
- Compounded GLP-1 access
The caveats
- Limited public information on program details
The verdict
Best for: Shoppers who want mainstream telehealth GLP-1 access. Telehealth weight loss provider offering competitively priced compounded GLP-1 medications.
Ranked #47 of 539 providers we have reviewed — for comparison, read the CoreAge Rx review, our #1 pick. In the ranking it sits between Nalena at #46, 79/100 above and Ageless at #48, 76/100 below, with the Bodybuilding Health+ ruling the next one down.
Piper is one of 539 rulings in this ranking, which makes the fair next question who sits above it — our shortlist of Piper alternatives answers it in order, with every score shown.This ruling sits inside a bigger one: the complete ranking puts this ruling in context against every program we track. We have also ruled on it directly: CoreAge Rx vs Piper goes to CoreAge Rx, 94/100 to 79/100.
Compare with other providers
The closest rulings to Piper by Verdict Score — the realistic shortlist if you are weighing this one up.
- #44Apex MD— Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.79/100
- #45FitFlow— FitFlow (FitFlow Health) is a 100% online compounded telehealth platform for GLP-1 weight loss - compounded semaglutide (=Wegovy) and tirzepatide (=Mounjaro).79/100
- #46Nalena— Nalena is a women-focused, GLP-1-only telehealth platform offering compounded semaglutide and tirzepatide with medication included — no separate membership or visit fees.79/100
- #48Ageless— 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 2025.76/100
- #49Bodybuilding Health+— 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.76/100
- #50Breeze Meds— A LegitScript-certified nationwide program that charges nothing until a provider approves you — but hides its pricing until you are inside the intake.76/100
Pricing, states and verification reflect Piper's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Piper's site. Not medical advice; see our disclosure.