Nurx vs Piper
Piper costs $44 less a month, and both sell semaglutide and tirzepatide.
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Piper
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Piper →If you are choosing between Nurx and Piper, the first difference is cost: Piper is $44 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 4.8.
Nurx vs Piper price
Piper is the cheaper way in: $135 a month against $179 a month at Nurx. That is $44 less each month (25% lower), or about $528 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Piper ($135 a month vs $179 a month); tirzepatide is cheaper at Nurx ($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
Nurx does not publish where it ships, and Piper lists 50 states.
Pricing
Nurx
Range up to $299/mo
Range up to $299/mo
Piper
What each price covers
Piper's price also covers the clinician visit, the medication itself and shipping, which Nurx does not claim.
Nurx is silent on shipping, lab work and coaching.
Piper is silent on lab work and coaching.
That matters most for the drug: unless Nurx confirms otherwise, budget for medication on top of its listed price.
Nurx
Covered by the monthly price
Medication
Charged on top
Clinician visits
Charged on top
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, Piper scores 7.4 and Nurx 4.8 out of 10.
Piper is stronger on user experience (8.0 vs 3.0), trust & safety (8.5 vs 4.0), accessibility (10.0 vs 5.0) and support (7.0 vs 0.0).
Value and effectiveness are within half a point.
Nurx
4.8/10
Piper
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Nurx nor Piper has an FDA warning letter on record with us.
Features & Coverage
| Feature | Nurx | Piper |
|---|---|---|
| Starting Price | $179/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 Nurx
Nurx is an established women's telehealth brand running tiered GLP-1 weight loss programs.
Read our full Nurx 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
Nurx
What we like
- We found no FDA warning letters issued to Nurx
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Not included in the monthly price: medication, clinician visits
- 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
Piper wins this one, 7.4 to 4.8, above all for coverage in all 50 states, which most sellers will not confirm. It also costs $44 less each month than Nurx.
Choose Nurx if…
You want broader feature coverage and an opening price near $179 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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HealthRX
Compounded semaglutide at $133/month
From $133/mo
Get started →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 →Nurx vs Piper: FAQ
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