Read September 2026

Piper review

Four weeks, not a month

The $135 fill buys four weeks. Thirteen of those land in a year.

What Piper charges, and what it bills

One row per molecule and delivery route. Where the two figures differ, the struck number is what Piper leads with and the figure under it is what a buyer cannot get below. Both are published by the seller; neither is a walked checkout.

Product	Per month	6 months	As the dose rises
Semaglutide, injectionRead August 2026Holds at every dose, per the seller.	~~Advertised $135~~Billed $146	$876	Holds at every dose, per the seller.
Tirzepatide, injectionRead August 2026Holds at every dose, per the seller.	~~Advertised $199~~Billed $216	$1,296	Holds at every dose, per the seller.

Semaglutide, injection: $135 buys a four-week dosage, and thirteen fills a year is $146.25 a calendar month. Six months comes to $876 rather than $810, a difference of $66.
Tirzepatide, injection: $199 buys a four-week dosage, and thirteen fills a year is $215.58 a calendar month. Six months comes to $1,296 rather than $1,194, a difference of $102.

The 6-month column is the billed monthly figure multiplied by 6. It is arithmetic on published prices, not a forecast of a bill: a real six months also carries dose changes, labs and shipping, and those are covered below where Piper states them.

The bottom line

Piper prices compounded semaglutide at $135, read August 2026. That figure buys a four-week dosage rather than a calendar month. Thirteen fills a year works out at $146.25 a month.

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Check availability →

Pricing transparency

How Piper publishes its prices

Compounded semaglutide is $135 a fill. Compounded tirzepatide is $199. Both were read in August 2026. The fill is a four-week dosage by the site's own label. Four weeks is not a calendar month. Thirteen fills land in a year, not twelve. On that arithmetic semaglutide is $146.25 a month. Tirzepatide is $215.58. Six months at the corrected rates is $876 and $1,296.

At a glance

Category: compounded GLP-1 sellers
Molecule: Semaglutide · Tirzepatide
Form: Injection
Dose pricing: Flat across doses
States: 50
From: $146/mo
Prescription: Required
Compounded: Yes — not FDA-approved
Availability: 50 states

The seller

What Piper is

Piper sells compounded semaglutide and compounded tirzepatide by injection. Coverage is stated across 50 states. Each molecule carries one published figure. No membership charge is published beside either.

How it works

Everything runs through the site. One charge covers the fill. The site states the rate holds at every dose. No separate provider fee appears beside the medication figure.

Branded or compounded

Both molecules are compounded preparations. A compounded drug is not FDA-approved. The FDA does not review it before dispensing. The four-week term describes the supply, not the drug.

Where the money holds, and where it moves

Predictable

One charge, with no membership published beside it
The rate holds at every dose
Coverage stated across 50 states
The supply term is labeled on the page

Moves, or is not stated

A four-week fill is not a calendar month
Thirteen fills a year, not twelve
The real monthly rate is $146.25
The advertised figure understates a year by one fill

Who this is worth it for

Buyers who can read a four-week term as thirteen fills.

Who should price elsewhere

Anyone budgeting twelve payments from the headline figure.

Priced against

Sellers to price beside Piper

Lean Meds
Buyers who want a low rate without prepaying a year
See Lean Meds →
bmiMD
Buyers ready to pay twelve months up front for the lower rate
See bmiMD →
Welling Health
Buyers who want the smallest required fee outside the medication
See Welling Health →

Price every seller on the price desk side by side →

More GLP-1 telehealth sellers priced end to end: Strut HealthSynergy RxCollectiveCorsica HealthEdenEdessa

Who priced this, and how

Neil Sanders

Pricing analyst · Figures last read September 2026

Every figure above is what Piper publishes on its own pages, read in the month stated beside it, with any charge a buyer cannot decline added back before anything ranks. The rules a price has to meet before it appears here are set out in the methodology. A partnership sets display order on the surfaces that say so and never moves a score — how this site makes money.

Frequently asked

Why is the corrected price higher than the one on the page?

Piper prices a four-week dosage. A year holds thirteen of those, not twelve. Thirteen fills at $135 divided across twelve calendar months is $146.25.

What does tirzepatide cost at Piper?

The published figure is $199 a fill, read August 2026. On thirteen fills a year that is $215.58 a calendar month.

Is there a membership fee?

No membership charge is published beside either figure, read August 2026.

Does the price move as the dose rises?

The site states the rate holds at every dose. No higher-dose figure is published beside either fill price.

Is Piper legit?

Piper is a compounded GLP-1 sellers service. Its stated availability: 50 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.

Is Piper expensive compared with other GLP-1 telehealth sellers providers?

Piper publishes a starting figure of $146/mo. Across the 25 GLP-1 telehealth sellers providers we review that publish a single monthly figure, those run $76 to $298 with a median of $178, which puts Piper below the median, toward the cheaper end. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Check availability →

Or go back to the price desk and compare Piper against every seller on it.

Before you commit to a price

What is a compounded GLP-1, and who is allowed to make one?What does it cost to stop, and what happens after?When does insurance pay, and what is left to pay yourself?