Livv vs Piper
Livv and Piper both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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
Piper
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Piper →If you are choosing between Livv and Piper, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Livv leads our six-part score, 7.7 to 7.4.
Livv vs Piper price
Livv and Piper start at the same figure, $135 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $135 a month; tirzepatide is cheaper at Piper ($199 a month vs $249 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Livv does not publish where it ships, and Piper lists 50 states.
Pricing
Livv
Range up to $270/mo
Compounded semaglutide $135/mo (6-mo plan); same price at every dose
Piper
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Livv is silent on lab work and coaching.
Piper is silent on lab work and coaching.
Livv
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, Livv scores 7.7 and Piper 7.4 out of 10.
Livv is stronger on value (7.2 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.
Livv
7.7/10
Piper
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Livv nor Piper has an FDA warning letter on record with us.
Features & Coverage
| Feature | Livv | Piper |
|---|---|---|
| Starting Price | $135/mo | $135/mo |
| Features | 3 features | 3 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Livv
Livv is a telehealth weight loss seller running compounded tirzepatide programs.
Read our full Livv 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
Livv
What we like
- Semaglutide costs $135 a month, 27% 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 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 Livv
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
Livv wins this one, 7.7 to 7.4, above all for compounded semaglutide at $135/month. Piper fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Livv if…
You want compounded semaglutide at $135/month and an opening price near $135 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
Willow
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 →Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Livv vs Piper: FAQ
Close alternatives to Livv and Piper
- Livv vs Somi Health
- Livv vs Idgie Health
- Livv vs LumiMeds
- Piper vs Somi Health
- Piper vs Idgie Health
- Piper vs HealthRX
Or see the full category ranking.