Head-to-head · WeighScore
Peter MD vs Piper
The verdict
Piper takes it — 81.9/100 to 78.1/100.
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 | Peter MD | Piper |
|---|---|---|
| WeighScore | 78.1/100 | 81.9/100 |
| Grade | C+ | B− |
| Scorecard rank | #33 | #30 |
| Semaglutide | $139-149/mo (compounded w/ B12) | $135/mo |
| Tirzepatide | $149 first month, then $249/mo (quarterly) | $199/mo |
| Coverage | Most states — exclusions vary by treatment | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #33 · C+
Strengths
- Broad multi-category catalog on one account — TRT, GLP-1, ED, non-GLP-1 weight loss, men's hair loss and NAD+
- Physician-prescribed, nationwide telehealth operating since 2021
- Genuinely cheap TRT entry — $79/mo testosterone cypionate on a 12-month plan
- Low tirzepatide first-month rate ($149) at a real 60mg dose
Where it loses points
- Tirzepatide steps up from $149 the first month to $249/mo, billed quarterly
- Semaglutide's own pricing is hard to compare at a glance — $149/mo for first-time patients vs $139/mo for returning ones, with very different total costs ($447 vs $834) over similar supply windows
- The affiliate program discloses a wider list of state exclusions (varying by treatment, touching AL, AR, CA, ID, IA, KY, LA, MA, MI, NC, SC and TX) than any single customer-facing pricing page states
- TRT and tirzepatide both require locking into quarterly or 12-month billing to get the advertised rate
- No named medical director or lab/monitoring detail published; customer reviews are mixed
Graded #30 · 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 509 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.