Head-to-head · WeighScore
Heros Health vs Piper
The verdict
Piper takes it — 81.9/100 to 66.3/100.
Piper grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Mid-value both-molecule pricing ($135/$199), nationwide, though not verified.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Heros Health | Piper |
|---|---|---|
| WeighScore | 66.3/100 | 81.9/100 |
| Grade | C | B− |
| Scorecard rank | #190 | #34 |
| Semaglutide | $199/mo (compounded) | $135/mo |
| Tirzepatide | $199/mo (compounded) | $199/mo |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #190 · C
Strengths
- Compounded semaglutide and tirzepatide on a flat program price, not tiered by dose
- Transparent pricing: $149 first month, then $199/mo (or $165/mo on the 3-month plan)
- 90-day money-back guarantee on GLP-1 treatment
- Dose adjustments at weeks 2, 4, and 8 included at no extra cost
- Named board-certified physicians (Dr. Amber Patel, Dr. Scott Sanderson, Dr. Scott Nass)
Where it loses points
- Compounded GLP-1s are not FDA-approved finished products
- Specific 503A pharmacy partner is not named publicly
- State coverage is stated inconsistently on the site (claims both 50 and 46 states)
- No insurance billing — cash-pay only
Graded #34 · B−
Strengths
- $135 sema / $199 tirz
- All 50 states
- Both molecules
Where it loses points
- Not LegitScript-verified
- Injection-only
- Monitoring detail limited
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
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.