Idgie Health vs Piper
Idgie Health costs $1 less a month, and both sell semaglutide and tirzepatide.
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Idgie Health
Best for: flat any-dose compounded semaglutide at $149 a month with no membership fee
Visit Idgie Health →
Piper
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Piper →If you are choosing between Idgie Health and Piper, the first difference is cost: Idgie Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Idgie Health leads our six-part score, 7.5 to 7.4.
Idgie Health vs Piper price
Idgie Health is the cheaper way in: $134 a month against $135 a month at Piper. That is $1 less each month (1% lower), or about $12 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Idgie Health ($134 a month vs $135 a month); tirzepatide is cheaper at Idgie Health ($179 a month vs $199 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Idgie Health does not publish where it ships, and Piper lists 50 states.
Pricing
Idgie Health
$149 a month at every dose, with the provider evaluation, medication, injection supplies and shipping included. A 3-month plan costs $387 upfront (about $129/mo) and a 6-month plan $687 upfront (about $114/mo); both renew at the same price until you cancel, and medication still ships monthly.
$229 a month at every dose. A 3-month plan costs $557 upfront (about $185/mo) and a 6-month plan $1,029 upfront (about $171/mo), each renewing at the same price until you cancel.
A needle-free dissolving tablet that combines semaglutide with ondansetron, a prescription anti-nausea medicine. $287 month to month, or $747 upfront for 3 months (about $249/mo). No 6-month option is listed.
A needle-free dissolving tablet that combines tirzepatide with ondansetron, a prescription anti-nausea medicine. $287 month to month, or $747 upfront for 3 months (about $249/mo). This product has its own page but is not linked from the site menu.
A low-dose semaglutide plan at $134 month to month, or $377 upfront for 3 months (about $125/mo). Idgie itself describes microdosing as an off-label approach.
A low-dose tirzepatide plan at $179 month to month, or $497 upfront for 3 months (about $165/mo). Idgie itself describes microdosing as an off-label approach.
Piper
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Idgie Health is silent on lab work and coaching.
Piper is silent on lab work and coaching.
Idgie Health
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
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, Idgie Health scores 7.5 and Piper 7.4 out of 10.
Idgie Health is stronger on value (6.5 vs 3.0).
Piper is stronger on trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).
Effectiveness, user experience and support are within half a point.
Idgie Health
7.5/10
Piper
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Idgie Health nor Piper has an FDA warning letter on record with us.
Features & Coverage
| Feature | Idgie Health | Piper |
|---|---|---|
| Starting Price | ✓$134/mo | $135/mo |
| Features | ✓8 features | 3 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Idgie Health
Idgie Health, the brand name of Feel Better Health Group, LLC, sells compounded semaglutide and tirzepatide online, prescribed by a named Seattle physician group and filled by a named Houston compounding pharmacy. It charges the same price at every dose and also sells microdose injections and needle-free dissolving tablets that pair the drug with the anti-nausea medicine ondansetron. Month to month, semaglutide is $149 and tirzepatide $229; 3 and 6-month plans paid upfront bring semaglutide down to about $114 a month.
Read our full Idgie 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
Idgie Health
What we like
- Semaglutide costs $149 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $229 a month, close to the $250 median for compounded tirzepatide 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 stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Idgie Health
Watch-outs
- Confirm it serves your state before you start the intake
- 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
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
Idgie Health wins this one, 7.5 to 7.4, above all for flat any-dose compounded semaglutide at $149 a month with no membership fee. It also costs $1 less each month than Piper. Piper fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Idgie Health if…
You want flat any-dose compounded semaglutide at $149 a month with no membership fee and an opening price near $134 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.
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Wellorithm
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Oral orforglipron alongside the injectables
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Get started →Idgie Health vs Piper: FAQ
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