Head-to-head · WeighScore
Piper vs Effecty
The verdict
Effecty takes it — 84/100 to 82/100, but only just.
Effecty grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Mid-market pricing offset by brand-name access and LegitScript verification, all 50 states. Piper is close behind and may still be the better fit — see the factor split below.
Both are editorial reviews with no commercial relationship.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Piper | Effecty |
|---|---|---|
| WeighScore | 82/100 | 84/100 |
| Grade | B− | B |
| Scorecard rank | #21 | #10 |
| Semaglutide | $135/mo | $160/mo |
| Tirzepatide | $199/mo | $240/mo |
| Coverage | All 50 states | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Injection only |
| Relationship | Editorial | Editorial |
Graded #21 · B−
Strengths
- $135 sema / $199 tirz
- All 50 states
- Both molecules
Where it loses points
- Not LegitScript-verified
- Injection-only
- Monitoring detail limited
Graded #10 · B
Strengths
- Brand-name access
- LegitScript-verified, all 50 states
- Both molecules
Where it loses points
- Higher pricing ($160/$240)
- Injection-only
- Not a value leader
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 25 providers, CoreAge Rx grades highest at 94/100 (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.