Piper review
Good on the first one
$135 semaglutide, $199 tirzepatide — a $64 step, flat across doses in fifty states.
Our verdict
$135 is a good figure for compounded semaglutide and the flat ladder behind it is the right shape. The $64 step is the part that decides whether that holds: at tirzepatide Piper sits mid-field, so a buyer who escalates ends up paying an ordinary price at a seller they chose for a low one.
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At a glance
- Category
- compounded semaglutide
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- Dose pricing
- Flat across doses
- States
- 50
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
- Availability
- 50 states
- Updated
- September 2026
What it is
A fifty-state telehealth service prescribing compounded semaglutide and tirzepatide by weekly injection at a flat rate per molecule.
How it works
Prescription-gated telehealth on a monthly rate, with both molecules on one menu and both figures published.
Pricing transparency
$135 a month for semaglutide and $199 for tirzepatide, each flat at every dose.
Branded vs compounded
Compounded semaglutide and tirzepatide. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing.
Pros and watch-outs
What we like
- $135 semaglutide is below the middle of the field
- Flat across every dose on both molecules
- Both figures published before an intake
- Fifty states
Watch-outs
- $64 step puts tirzepatide back at an ordinary price
- Injection only
- No prepay or plan detail published
- Compounding pharmacy is not named
Best for
Buyers staying on semaglutide who want a flat rate under $150.
Who should look elsewhere
Anyone planning to escalate onto tirzepatide.
How Piper compares
A few alternatives worth a look, depending on what you’re optimizing for.
- Oak
Flat dose pricing without a subscription
See Oak → - Synergy Rx
Both molecules in both forms
See Synergy Rx → - Care Bare Rx
A single entry price, if you are starting on semaglutide
See Care Bare Rx →
More compounded semaglutide sellers reviews: MaximusMEDGmMondaeMyFastRxNextMedsNouri
Pricing & provider data · Reviewed and last verified September 2026
How we assessed this. This review reflects GLP Loss’s own read of Piper’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does Piper cost?
- $135 a month for compounded semaglutide and $199 for tirzepatide, both flat at every dose.
- What does switching molecules cost?
- $64 a month, or $768 across a year. That is moderate by this market's standards — narrower than sellers who double the price, wider than the handful that charge the same for both.
- Does the dose change the price?
- No. Both molecules hold one price across every dose.
- Are there prepay discounts?
- None are published, which for a seller at this price point is worth asking about at intake — much of this market discounts a commitment substantially.
- Is Piper legit?
- Piper is a compounded semaglutide sellers service. Its stated availability: 50 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is Piper expensive compared with other compounded semaglutide sellers providers?
- Piper publishes a starting figure of $135/mo. Across the 59 compounded semaglutide sellers providers we review that publish a single monthly figure, those run $79 to $369 with a median of $150, which puts Piper below the median, toward the cheaper end. The other 1 compounded semaglutide sellers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.