Head-to-head · WeighScore
Piper vs tru Weight Loss
The verdict
Piper takes it — 81.9/100 to 58.9/100.
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 | Piper | tru Weight Loss |
|---|---|---|
| WeighScore | 81.9/100 | 58.9/100 |
| Grade | B− | C |
| Scorecard rank | #34 | #356 |
| Semaglutide | $135/mo | $299/mo (all doses, 3-month plan, compounded) |
| Tirzepatide | $199/mo | $399/mo (all doses, 3-month plan, compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection 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
Graded #356 · C
Strengths
- Flat, transparent pricing (299/mo semaglutide, 399/mo tirzepatide)
- All-inclusive: consult, lab work, medication delivery, nutritionist and behavioral coaching
- Directed by a named physician (Neha Grover, MD) from a physical clinic
Where it loses points
- Requires a 3-month commitment before you can cancel
- States served are not specified and the dispensing pharmacy is not named
- Does not accept insurance, HSA, or FSA
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.