Piper vs Somi Health
Piper and Somi Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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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 Piper and Somi Health, price alone will not settle it. 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 6.4.
Piper vs Somi Health price
Piper and Somi Health 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 Somi Health ($165 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
Piper lists 50 states, and Somi Health does not publish where it ships.
Pricing
Piper
Somi Health
$135/mo on the 3-month plan, at any dose.
$165/mo on the 3-month plan, at any dose.
Semaglutide tablet (no shots), $279/mo on the 1-month plan.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Piper is silent on lab work and coaching.
Somi Health is silent on lab work and coaching.
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
Somi 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
Where each one scores higher
Overall, Piper scores 7.4 and Somi Health 6.4 out of 10.
Piper is stronger on value (3.0 vs 2.0), trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).
Effectiveness, user experience and support are within half a point.
Piper
7.4/10
Somi Health
6.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Piper nor Somi Health has an FDA warning letter on record with us.
Features & Coverage
| Feature | Piper | Somi Health |
|---|---|---|
| Starting Price | $135/mo | $135/mo |
| Features | 3 features | ✓8 features |
| States Available | 50 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Piper
Piper is a telehealth weight loss seller offering compounded GLP-1 medications at competitive prices.
Read our full Piper review →About Somi Health
Take Somi Health's 3-month plan and the compounded GLP-1 semaglutide starts at $135/mo, tirzepatide at $165/mo, one price whatever the dose. A US-licensed clinician reads a short intake, then a single transparent monthly figure covers the medical visit, every shipment that follows and messaging the provider directly. The line is compounded semaglutide and tirzepatide by injection, plus an oral semaglutide tablet.
Read our full Somi Health review →Pros & Cons
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
Somi Health
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
- We found no FDA warning letters issued to Somi Health
Watch-outs
- Semaglutide costs $279 a month, 52% above the $184 median for compounded semaglutide across the sellers we compare
- 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
Our Verdict
Piper wins this one, 7.4 to 6.4, above all for coverage in all 50 states, which most sellers will not confirm. Somi Health fits better if an oral route if you will not self-inject is your priority.
Choose Piper if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $135 a month.
Choose Somi Health if…
You want an oral route if you will not self-inject and an opening price near $135 a month.
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Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →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 →Piper vs Somi Health: FAQ
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