Every Alternative to Piper

Piper charges $135 a month for semaglutide and tirzepatide, the same at every dose. None of the 12 sellers compared here costs meaningfully less; the closest is HealthRX at $133. 8 score higher than Piper's 7.4/10, and Big Easy Weight Loss rates highest at 8.9.

Baseline for every row below

Piper logo

Piper

7.4

Where it fits: Coverage in all 50 states, which most sellers will not confirm

Editor's picks

Top alternatives to Piper

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  1. Top pick
    8.7

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    $149/mo

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  2. From

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  3. 8.0

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  4. From

    $133/mo

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Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

How Piper compares on the four things that matter

  • Monthly price. Piper: $135 a month, and no alternative here is meaningfully cheaper. What the higher-priced ones add is in the table.
  • Medication. Piper sells compounded semaglutide and tirzepatide. For FDA-approved brand-name pens, Gala and Found sell them. If you would rather not inject, Found, Lttl and Somi Health offer an oral option.
  • Where it ships. Piper says it serves all 50 states, so coverage is not a reason to switch.
  • What the price includes. Piper's price covers the medication, clinician visits and shipping. Found also includes coaching.

The rest of the category

Everything else we track in this category, and how each one prices against Piper.

  • LivvCompounded semaglutide at $135/month
    $135/mo7.7/10
    No monthly saving to showGo to site
  • Somi HealthAn oral route if you will not self-inject
    $135/mo6.4/10
    No monthly saving to showGo to site
  • Idgie HealthFlat any-dose compounded semaglutide at $149 a month with no membership fee
    $134/mo7.5/10
    Costs $1/mo less than PiperGo to site
  • Big Easy Weight LossKnowing which pharmacy fills the vial: it names Seven Cells
    $133/mo8.9/10
    Costs $2/mo less than PiperGo to site
  • HelloWellnessSeeing what it charges before you answer any medical questions
    $133/mo6.6/10
    Costs $2/mo less than PiperGo to site
  • LumiMedsSeeing what it charges before you answer any medical questions
    $133/mo6.0/10
    Costs $2/mo less than PiperGo to site
  • Blis MDCompounded semaglutide at $139/month
    $139/mo7.7/10
    No monthly saving to showGo to site
  • Velvet RxAn oral route if you will not self-inject
    $139/mo6.5/10
    No monthly saving to showGo to site

Frequently Asked Questions

None of the sellers compared here charges meaningfully less than Piper's $135 a month. The closest is HealthRX at $133.
Big Easy Weight Loss, at 8.9/10 and $133 a month, followed by Gala at 8.7. Piper scores 7.4. Our score weighs price, medication, trust and access together, so check the one that matters most to you in the table.
Gala, Found and Big Easy Weight Loss. Piper says it does too.
Yes: Gala and Found sell FDA-approved brand-name pens. Piper sells compounded medication, which costs less but has not been through FDA review.
Usually not. A new seller's clinician writes a fresh prescription after reading your history, and a compounded prescription is tied to the pharmacy that filled it. Before you switch, note the medication, the dose you reached and the pharmacy, and do not change your dose on your own while you move.

Glossary

The words sellers use, defined. Tap any term.