Brello Health vs Piper
Piper costs $22.72 less a month, and both sell semaglutide.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Brello Health
Best for: seeing what it charges before you answer any medical questions
Visit Brello Health →
Piper
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Piper →If you are choosing between Brello Health and Piper, the first difference is cost: Piper is $22.72 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. They tie at 7.4 on our six-part score.
Brello Health vs Piper price
Piper is the cheaper way in: $135 a month against $157.72 a month at Brello Health. That is $22.72 less each month (14% lower), or about $272.64 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Piper ($135 a month vs $157.72 a month).
Medications and formats
Both sell semaglutide; only Piper lists tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Brello Health lists 35 states, and Piper lists 50 states.
They overlap in 34 states. Brello Health alone covers District of Columbia. Piper alone covers 16 states, including Alabama, Arkansas, California and Connecticut.
Pricing
Brello Health
Piper
What each price covers
Both prices cover the clinician visit and the medication itself.
Piper's price also covers shipping, which Brello Health does not claim.
Brello Health is silent on shipping, lab work and coaching.
Piper is silent on lab work and coaching.
Brello Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
Piper
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall they tie at 7.4 out of 10.
Brello Health is stronger on value (6.1 vs 3.0).
Piper is stronger on effectiveness (10.0 vs 8.5), accessibility (10.0 vs 7.6) and support (7.0 vs 5.5).
User experience and trust & safety are within half a point.
Brello Health
7.4/10
Piper
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Brello Health nor Piper has an FDA warning letter on record with us.
Features & Coverage
| Feature | Brello Health | Piper |
|---|---|---|
| Starting Price | $157.72/mo | ✓$135/mo |
| Features | 2 features | ✓3 features |
| States Available | 35 | ✓50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Brello Health
Brello Health is a telehealth wellness platform selling GLP-1 weight management.
Read our full Brello Health review →About Piper
Piper is a telehealth weight loss seller offering compounded GLP-1 medications at competitive prices.
Read our full Piper review →Pros & Cons
Brello Health
What we like
- Semaglutide costs $157.72 a month, 14% below the $184 median for compounded semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication and clinician visits
- We found no FDA warning letters issued to Brello Health
Watch-outs
- Serves only 35 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Piper
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- We found no FDA warning letters issued to Piper
Watch-outs
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Brello Health and Piper finish level at 7.4. Piper is $22.72 a month cheaper, which makes it the default unless the other covers your state and it does not.
Choose Brello Health if…
You want seeing what it charges before you answer any medical questions and an opening price near $157.72 a month.
Choose Piper if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $135 a month.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
RNK Health
An oral route if you will not self-inject
From $197/mo
Get started →He & She MD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →Wellorithm
Compounded semaglutide at $247/month
From $247/mo
Get started →Brello Health vs Piper: FAQ
Close alternatives to Brello Health and Piper
- Brello Health vs AM Rx
- Brello Health vs FitRx
- Brello Health vs SynergenX Health
- Brello Health vs Dr. Gillis' Wellness Center
- Piper vs Livv
- Piper vs Somi Health
Or see the full category ranking.