Ivy Rx vs Piper
Piper costs $40 less a month, and both sell semaglutide and tirzepatide.
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Ivy Rx
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Ivy Rx →
Piper
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Piper →If you are choosing between Ivy Rx and Piper, the first difference is cost: Piper is $40 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Piper leads our six-part score, 7.4 to 7.3.
Ivy Rx vs Piper price
Piper is the cheaper way in: $135 a month against $175 a month at Ivy Rx. That is $40 less each month (23% lower), or about $480 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Piper ($135 a month vs $175 a month); tirzepatide is cheaper at Piper ($199 a month vs $275 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Ivy Rx lists 50 states, and Piper lists 50 states.
They overlap in 50 states.
Pricing
Ivy Rx
Range up to $197/mo
Range up to $297/mo
Piper
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Ivy Rx is silent on lab work and coaching.
Piper is silent on lab work and coaching.
Ivy Rx
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, Piper scores 7.4 and Ivy Rx 7.3 out of 10.
Piper is stronger on trust & safety (8.5 vs 7.5).
Value, effectiveness, user experience, accessibility and support are within half a point.
Ivy Rx
7.3/10
Piper
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Ivy Rx nor Piper has an FDA warning letter on record with us.
Features & Coverage
| Feature | Ivy Rx | Piper |
|---|---|---|
| Starting Price | $175/mo | ✓$135/mo |
| Features | 3 features | 3 features |
| States Available | 50 | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Ivy Rx
Ivy Rx is a telehealth seller running tiered compounded semaglutide and tirzepatide programs.
Read our full Ivy Rx 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
Ivy Rx
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 Ivy Rx
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
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
Piper wins this one, 7.4 to 7.3, above all for coverage in all 50 states, which most sellers will not confirm. It also costs $40 less each month than Ivy Rx. Ivy Rx fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Ivy Rx if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $175 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
Compounded semaglutide at $247/month
From $247/mo
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Seeing what it charges before you answer any medical questions
From $299/mo
Get started →Sesame Care
Oral orforglipron alongside the injectables
From $59/mo
Get started →Ivy Rx vs Piper: FAQ
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