Midi Health vs Piper
Midi Health and Piper sell different medications; this is what separates them.
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Midi Health
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Midi Health →
Piper
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Piper →If you are choosing between Midi Health and Piper, price alone will not settle it. Piper leads our six-part score, 7.4 to 4.6.
Midi Health vs Piper price
Piper publishes $135 a month. Midi Health does not post a GLP-1 price we can quote, so you would only learn its cost after an intake.
Medications and formats
Piper lists semaglutide and tirzepatide; Midi Health does not name its drug.
On format, Midi Health posts no priced format, while Piper prices compounded injections.
Where each one treats patients
Midi Health lists 50 states, and Piper lists 50 states.
They overlap in 50 states.
Pricing
Midi Health
Per-visit self-pay fee, NOT a monthly medication price; GLP-1 medication billed separately or through insurance. No compounded medication price is published on the current site.
Per-visit self-pay fee; medication not included. Under insurance you instead pay your standard copay + deductible.
Piper
What each price covers
Piper's price also covers the clinician visit, the medication itself and shipping, which Midi Health does not claim.
Midi Health does not say what its price includes.
Piper is silent on lab work and coaching.
That matters most for the drug: unless Midi Health confirms otherwise, budget for medication on top of its listed price.
Midi Health
Inclusions not disclosed.
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 Midi Health 4.6 out of 10.
Piper is stronger on effectiveness (10.0 vs 5.0), user experience (8.0 vs 2.5), trust & safety (8.5 vs 5.0) and support (7.0 vs 5.0).
Value and accessibility are within half a point.
Midi Health
4.6/10
Piper
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Midi Health nor Piper has an FDA warning letter on record with us.
Features & Coverage
| Feature | Midi Health | Piper |
|---|---|---|
| Starting Price | Not published | $135/mo |
| Features | ✓5 features | 3 features |
| States Available | 50 | 50 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Midi Health
Medicare, Medicaid, and Medi-Cal are all refused at Midi Health, though commercial insurance is taken. The platform covers menopause and perimenopause nationwide, in 50 states. GLP-1s are not sold here as a standalone weight-loss product; a clinician may add one at their discretion, a metabolic-health adjunct inside the menopause care framework.
Read our full Midi 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
Midi Health
What we like
- Serves all 50 states
- We found no FDA warning letters issued to Midi Health
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Ask which pharmacy fills the prescription before you pay, so you can check its license
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 4.6, above all for coverage in all 50 states, which most sellers will not confirm. Midi Health fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Midi Health if…
You want coverage in all 50 states, which most sellers will not confirm.
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
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Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →HealthRX
Compounded semaglutide at $133/month
From $133/mo
Get started →Midi Health vs Piper: FAQ
Close alternatives to Midi Health and Piper
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Or see the full category ranking.