Piper vs Zealthy
Piper costs $151 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 →
Zealthy
Best for: coaching bundled into the price rather than sold separately
Visit Zealthy →If you are choosing between Piper and Zealthy, the first difference is cost: Piper is $151 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 5.4. One of the two has an FDA warning letter on record, covered below.
Piper vs Zealthy price
Piper is the cheaper way in: $135 a month against $286 a month at Zealthy. That is $151 less each month (53% lower), or about $1,812 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Piper ($135 a month vs $286 a month); tirzepatide is cheaper at Piper ($199 a month vs $351 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 Zealthy lists 34 states.
They overlap in 34 states. Piper alone covers 16 states, including Alaska, Delaware, Hawaii and Montana.
Pricing
Piper
Zealthy
$151 medication + $135 monthly membership
$216 medication + $135 monthly membership
What each price covers
Both prices cover the clinician visit and shipping.
Piper's price also covers the medication itself, which Zealthy does not claim.
Zealthy's price also covers coaching, which Piper does not claim.
Piper is silent on lab work and coaching.
Zealthy is silent on the medication itself and lab work.
That matters most for the drug: unless Zealthy confirms otherwise, budget for medication on top of its listed price.
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
Zealthy
Covered by the monthly price
Medication
Not stated
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Where each one scores higher
Overall, Piper scores 7.4 and Zealthy 5.4 out of 10.
Piper is stronger on user experience (8.0 vs 3.0), trust & safety (8.5 vs 3.0), accessibility (10.0 vs 7.4) and support (7.0 vs 5.5).
Value and effectiveness are within half a point.
Piper
7.4/10
Zealthy
5.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Zealthy has 2 FDA warning letters on record.
Piper has no FDA warning letter on record with us.
Features & Coverage
| Feature | Piper | Zealthy |
|---|---|---|
| Starting Price | ✓$135/mo | $286/mo |
| Features | 3 features | 3 features |
| States Available | ✓50 | 34 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 2 letters |
About Piper
Piper is a telehealth weight loss seller offering compounded GLP-1 medications at competitive prices.
Read our full Piper review →About Zealthy
Active federal litigation and two FDA warning letters are disclosed in full; the entry exists here only for completeness, and the warnings and cons sections should be read before considering it. Zealthy sells compounded semaglutide and tirzepatide on an asynchronous telehealth model. FitRX, LLC is the legal entity, recently renamed Gronk Inc.
Read our full Zealthy 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
Zealthy
What we like
- The monthly price includes clinician visits, shipping and coaching
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Serves only 34 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Zealthy 2 warning letters. Read what they allege: a letter flags a problem but does not by itself rule a seller out
- 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 5.4, above all for coverage in all 50 states, which most sellers will not confirm. It also costs $151 less each month than Zealthy. Zealthy fits better if coaching bundled into the price rather than sold separately 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 Zealthy if…
You want coaching bundled into the price rather than sold separately and an opening price near $286 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 Zealthy: FAQ
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