Alternatives · ranked by WeighScore
Alternatives to Piper
Piper grades B− (81.9/100), #30 of 509 on our scorecard. Here are the other providers we've graded on the same six dimensions — ranked by WeighScore, highest first.
B−81.9/100
You're comparing against
Piper →Our top-graded alternative
CoreAge Rx leads the full scorecard.
A−91.8/100
Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
$99/mo sema · $149/mo tirzAll 50 states+9.899999999999991 vs Piper
More alternatives, ranked
B84.3/100
Fresh Day MedsGraded #19
Tight both-molecule spread ($133/$166), verified and nationwide.
$133/mo sema · $166/mo tirzAll 50 states+2.3999999999999915 vs Piper
B84.6/100
Gimme CareGraded #17
Mid-value both-molecule pricing ($130/$163), verified, and nationwide.
$130/mo sema · $163/mo tirzAll 50 states+2.6999999999999886 vs Piper
C+78.1/100
Peter MDGraded #33
A Miami-founded telehealth that starts tirzepatide at $149 the first month (then $249/mo, billed quarterly) and runs semaglutide, TRT, sermorelin and NAD+ on the same account.
$139-149/mo (compounded w/ B12) sema · $149 first month, then $249/mo (quarterly) tirzMost states — exclusions vary by treatment-3.8000000000000114 vs Piper
B83.8/100
Precision TelemedGraded #22
Round mid-market pricing ($149/$199), verified and available nationwide.
$149/mo sema · $199/mo tirzAll 50 states+1.8999999999999915 vs Piper
C75.3/100
Big Easy Weight LossGraded #55
Big Easy Weight Loss (joinbigeasy.com) is a New Orleans MD-run telehealth that ships compounded GLP-1 medication nationwide.
$133/mo (all doses, compounded) sema · $166/mo (all doses, compounded) tirzAll 50 states-6.6000000000000085 vs Piper
Every other graded provider
The 6 above are the closest matches on the WeighScore. The other 502 are graded on the same six factors — each links to its full review.
- Sesame Care87.8
- ShedRx87
- RxSpan MD86.8
- Ondra Health86.8
- Trimi86.4
- HealthRX86.1
- Invigor Medical86.1
- Vitara RX86
- Sunlight.com85.4
- telos rx85.4
- Care Clinics85.4
- Enhance MD84.8
- AgelessRx84.3
- bmiMD84
- yourEra83.8
- Kongo83.8
- Effecty83.7
- Found83.5
- Gala Health82.9
- AmberHealth82.9
- PepHaūs82.7
- Elara Health and Wellness82.1
- Eden81.6
- MadeMed80.4
- NP2GO80.2
- Ro80.2
- Sprout Health79.8
- NewSelf79.8
- Tyde Wellness79.8
- Wholesome Clinic79.6
- Strut Health79.4
- EdgeRx79
- Mint Med78.7
- Bodybuilding Health+78.1
- Vaylen77.9
- Direct Meds77.6
- Amazon One Medical77.5
- Henry Meds77.3
- Revel RX77.3
- CoraDoc76.8
- Fitness RX76.7
- Embody76.5
- PreventiveMD76.4
- Synergy Rx76.2
- DoctorAdam75.9
- Hims & Hers75.6
- BiltRx75.3
- Care Bare Rx75
- Luma Health Co75
- Candor Rx74.8
- Zera Health74.8
- Aquivia Health74.6
- ZYP Medical74.6
- PlushCare74.5
- Semaglutide Online74.3
- NuvaHealth74.2
- MedLeanRx73.9
- Belle Health73.8
- EverSlim73.5
- NuviaRx73.5
- REMEVi73.5
- FormidableMD73.2
- Woodwork73.2
- Blis MD72.7
- FormBlends72.7
- Cora Health72.5
- Potere Health MD72.5
- Tuyo Health72.5
- Breeze Meds72.4
- Vytora Health72.3
- Alloy72.2
- MANÜ Telehealth72.2
- WeightRx72.1
- Harbor72
- Apex MD71.8
- Bodi Envi71.8
- Maves71.8
- Rivo Health71.7
- He & She MD71.5
- 9amHealth71.3
- Allara Health71.2
- HealthSource71.2
- Nalena71.2
- Alan Meds71.1
- Luci71
- Heally70.9
- Layla70.9
- DrBrainRx70.8
- NuuVim70.6
- TRYM Health70.6
- AlyveRx70.5
- eMI Aesthetics70.3
- RedBox Rx70.2
- Rex MD70.2
- Kina70.1
- OnlineSemaglutide.org70.1
- YOURx Health70
- Remote Pharmacy69.9
- Alternate Health Club69.8
- Navio MD69.8
- Ageless69.7
- Bon Health69.7
- Heva Health69.7
- Livea69.7
- Nolu69.7
- GoodRx69.6
- Jyra Health69.6
- Medi-Weightloss69.6
- YourHealthRx69.6
- FeelGood69.5
- Cielo69.4
- Pomegranate Health69.4
- Silhouette MD69.4
- Trillium Meds69.4
- Pallas Health69.3
- Calibrate Health69.3
- LifeRx.md69.3
- RxPros69.3
- BioGlow Health69.2
- GobyMeds69.2
- Kin Meds69.1
- AZ Health69
- NuBloom69
- Tonik Wellness69
- Ozari Health68.9
- Fidelity Medical Clinic68.7
- Lavender Sky Health68.7
- Measured68.7
- RxPepsDirect68.7
- Somi Health68.7
- GOAL.MD68.6
- Trava Health68.6
- VyrarX68.6
- Noom Med68.5
- PauseRX68.5
- System Labs68.4
- Harper Meds68.4
- HeliMeds68.3
- Welling Health68.3
- MyDrHank68.2
- Go Vida Plena68.2
- Independent Wellness68.2
- ElitePhysiqMD67.8
- FitFlow67.8
- ReadyRx67.8
- Blue Sky MD67.7
- PlexusDx67.7
- Rebody Health67.7
- TeleCareSpot67.7
- MyFastRx67.6
- OurView Health67.6
- TrueMe67.6
- Factor Health MD67.5
- 24hrDOC67.3
- LillyDirect Foundayo67.2
- Optimized Health67.2
- LeanDose67.1
- Dr. Gillis' Wellness Center67
- Jently67
- OrderlyMeds67
- Center for Medical Weight Loss (CMWL)66.9
- Knownwell66.9
- Marek Health66.9
- Nova MD66.9
- NuDay Rx66.9
- BeyondMD66.8
- Contour Health66.8
- Ivy Rx66.8
- Get Thin MD66.7
- iThriveMD66.7
- AbundRX66.6
- Bionomy Health66.6
- LevelsRx66.6
- Nurx66.5
- Nirwana Health66.4
- Corsica Health66.3
- Eve66.3
- Fifty 41066.3
- Heros Health66.3
- NextMeds66.3
- Queen RX66.3
- TOM Weight Loss66.3
- Coivas66.2
- Revel Health66.2
- 10rx66.1
- boostAGErx66.1
- Ivologist66.1
- Lumora66.1
- MediRX66.1
- NiceRx66.1
- Rejuve Meds66.1
- TeleHealth Med66.1
- altRX66
- Coby Health66
- PCOS Sisters66
- Amble65.8
- Neo Soma Healthcare65.8
- Zeuss65.8
- FMmeds65.7
- Eloria65.6
- FuturHealth65.6
- Healthicare65.5
- NowPatient65.5
- Options Medical Weight Loss65.5
- Primary Clinic (Direct GLP)65.5
- Shapely65.4
- Enara Health65.3
- RestorLife Med65.3
- Roboclinic65.3
- Dr. Arevitalize65.2
- Mixx Health & Wellness65.2
- Southern Vitality and Weight Loss65.2
- Intimate Rose65.1
- Vital Edge65
- BetterMe Rx64.9
- Livv64.9
- QuickMD64.9
- Vita Bella64.9
- Better U Care64.8
- Rylo Health64.7
- Injectco64.6
- Lumen Meds64.6
- LevelUp Rx64.4
- PeptidesRx64.4
- Tru2u64.4
- Whoosh Wellness64.4
- Wisp64.4
- Loop Health64.2
- Citizen Meds64
- Fella Health64
- Regenics64
- Gaya Wellness63.9
- InstaRX63.8
- Zappy Health63.8
- ElixaMD63.7
- Medro63.6
- Valhalla Vitality63.6
- Lttl63.5
- BodyLogicMD63.4
- Curex63.4
- StackMD63.4
- Oak63.2
- WellMedr63.2
- Eclipse Medical Wellness63.2
- Green Cap Health63.2
- LumiMeds63.2
- RxSaludable63.2
- TRT Nation63.1
- June Health63
- LIV by WellNow62.9
- AVARA Rx62.8
- Claya62.8
- EOS Health62.8
- NativeMed62.7
- JRNYS62.5
- LVNG RX62.5
- Somira Health62.5
- VirtualCare2Go62.5
- Society of You62.4
- Voxy62.4
- TelePeptide62.3
- VitaFusions IV62.3
- CLYR Health62.2
- KERNX Health62.2
- AMP Health62.1
- FitRx62
- Meto62
- Boston Medical Group61.9
- Curve61.9
- NexLife61.9
- Sumbare Wellness61.9
- Transparent Meds61.9
- Immortals61.8
- Peak Wellness61.8
- TD Tele-Doc Weight Loss61.8
- CVS MinuteClinic61.7
- 1st Optimal61.6
- DadVantage Men's Health61.6
- Unique Physique61.6
- Youth & Soul61.6
- Fitstry61.5
- Bioverse61.4
- Genesis Health61.4
- Signos61.4
- Tryozi61.4
- WePeptideRx61.4
- BloomWell Rx61.3
- Call-On-Doc61.3
- MyStart Health61.3
- HelloWellness61.2
- LunaRx61.2
- Trinity Meds61.2
- Clinic Secret61.1
- TeleHealth Weight Solutions61.1
- Invyncible61
- Liberty61
- Luvo Health61
- Medsol RX61
- Ascend Vitality60.9
- Bliv60.9
- Fitish60.9
- Harmony Wellness Clinic60.9
- OnlyRx60.9
- The Aesthetic Concierge60.9
- Aurelius Health Group60.8
- DrMedHealth60.8
- Klinic60.8
- TeleClinic60.8
- The Virtual NP60.8
- WeightWatchers Clinic60.8
- Hers60.7
- Recovery Delivered60.7
- Form Health60.6
- Lean Rx60.6
- Nava Health60.6
- SkinnyRx60.5
- Rixa Health60.5
- Vyora Wellness60.5
- LifespanningRx60.4
- ShapeIn Rx60.4
- TeleZen MD60.4
- Defy Medical60.2
- Mevo Health60.2
- Teleios Health60.2
- Concierge MD LA60.1
- Florida Weight Loss MD60.1
- Peptivo60.1
- Joi + Blokes60
- Novi59.9
- Obu Health59.9
- Human+59.8
- RegenCen59.8
- Medivive59.7
- Virta Health59.7
- Vitalex Health59.7
- Ivim Health59.6
- Metabolyz59.6
- Rewinding RX59.5
- Thriving Again59.5
- Garcia Weight Loss, Aesthetics & Hormone Therapy59.4
- Prime Health59.4
- Next Vial59.3
- Aspire Health59.2
- Ravia Health59.2
- Spry59.2
- Actin59.1
- ARSYNL Rx59.1
- Fierce Health59
- PrescribedRX59
- Alegro Health58.9
- GetRelief Rx58.9
- Hello Alpha58.9
- SkyRx58.9
- tru Weight Loss58.9
- Evernow58.8
- Levity58.8
- MDLive58.8
- Onyx Weight Loss58.8
- Open Water Rx58.8
- Premium Health58.8
- Avono Health58.7
- Modern Age58.7
- HumeCare+58.6
- EmbraceRX58.6
- FlyteHealth58.6
- FORM (by GBY)58.6
- Freya Meds58.6
- Nucore Health58.6
- CaliberRx58.5
- Cost Plus Drugs58.5
- Elevate Health58.5
- Aspen58.4
- Chronos Body Health & Wellness58.4
- SynergenX Health58.4
- Ryze Rx58.2
- Willow58.2
- Carocare Wellness58.1
- Evolve Telemed58.1
- Klarity Health58.1
- Velvet Rx58.1
- Elevated Health58
- EverFit Medical58
- Maven Clinic58
- MEDVidi58
- Nuform Health58
- SnagRx57.9
- DreamHug Medical57.9
- Balanced Hormone Health57.8
- Gatlan57.8
- LifeMD57.8
- Luma Meds57.8
- Genesis Lifestyle Medicine57.7
- MultiMedRx57.6
- Näky57.6
- Always Wellness and Recovery57.5
- Mirabel Meds57.5
- Superior Remedies57.5
- TRT Kingdom57.5
- eMed57.4
- TeleFirst Med57.4
- Tell Her Doc57.4
- Better MedSpa57.2
- Nouri57.2
- Risen Labs57.2
- Good Girl Rx56.9
- Revive Meds56.9
- This Gen Wellness56.9
- Ark Health56.8
- Ilant Health56.8
- Super Healthy Rx56.8
- Cabana56.5
- Hormonally Balanced56.4
- Midi Health56.4
- RxION Health56.4
- AquaVita NextGen56.3
- Arc-156.3
- Nucific56.2
- Omnia TeleHealth56.2
- Push Health56.2
- Reset Solutions56.2
- MD Trim Clinic56.1
- TeleSlim Clinic56.1
- ElleS56
- HealthHub56
- Ascend Medical55.9
- AVArx55.9
- JM Integrated Health55.9
- Lyfe Rx55.9
- Teladoc Health55.9
- AskRx55.8
- Beluga Health55.8
- Strive Pharmacy55.8
- Medical Health Institute55.7
- Mint Medical Clinic55.7
- PrideRx55.7
- Omada Health55.6
- Rivas Medical Weight Loss55.6
- ZipHealth55.6
- JumpstartMD55.4
- Roen Rx55.4
- Trimrose55.4
- Dollar Dad Club55.3
- NovoCare Pharmacy55.2
- TeleDocs36055.2
- Transcarent55.2
- Vida Health55.2
- Emerge Weight Loss55.1
- Ambiante Health & Wellness55
- Oxford's Medical Weight Loss (The Calibrate Clinic)55
- Vea Health55
- Steady State Health54.9
- UR Meds54.9
- Iron Med RX54.8
- HealthOn54.5
- LaSara Medical Group54.5
- TideMedix54.3
- Omzo54.2
- WeightlessRx54
- Joey Med53.9
- Fridays53.8
- G-Plans53.8
- Good Life Meds53.8
- MyDietDoc53.6
- TeleWellnessMD53.6
- Elara MD53.5
- Wellspring Longevity Clinic53.4
- Levers Health53.3
- California Trim Clinic53.2
- MDExam53.2
- Nu Image Medical53.2
- Stealth Health53.1
- T2D.com53
- Mojoon52.9
- Ways2Well52.9
- EllieMD52.8
- Empower Pharmacy52.8
- Bodyshop Wellness52.4
- Walgreens Weight Management52.4
- Mochi Health52.3
- PRIMO Health Partners52.3
- VivioMD52.3
- WeightCare52.2
- Brello Health52
- Remedy Meds51.8
- VigorMeds51.7
- Vital Harmony Rx51.7
- Framework51.6
- myRocky51.4
- Lemonaid Health51.2
- Refills51
- Blue Haven RX50.8
- Tablet Health50
- AM Rx49.9
- ClickSlim49.9
- Royal Medical Center49.4
- Wellorithm48.5
- Remi Meds48.4
- Basal Health47.7
- Zealthy46.7
- OlleveCare46.2
- Kova44.3
- Shape Vantage43
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.