Head-to-head · Cost-Efficiency Index
FormidableMD vs Piper
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
FormidableMD
Cost-first shoppers who want dose-by-dose transparent pricing from a Florida-licensed clinic, if you're in-state.
Visit FormidableMDPiper
Shoppers who understand the pricing is billed weekly and want a flat, dose-independent recurring charge from a named pharmacy.
Visit PiperThe verdict
FormidableMD takes it, leading the Cost-Efficiency Index 67 to 66. FormidableMD is a Florida-based, physician-led cash-pay telehealth practice selling compounded semaglutide and tirzepatide at transparent, published dose-by-dose prices ($169-$269/mo and $199-$319/mo respectively). Piper still earns a C — Shoppers who understand the pricing is billed weekly and want a flat, dose-independent recurring charge from a named pharmacy.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs FormidableMD.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | FormidableMD | Piper |
|---|---|---|
| Cost-Efficiency Index | 67/100 | 66/100 |
| Semaglutide / mo | $169/mo (1 mg dose, compounded) | $135/week ($585/mo equiv.) |
| Tirzepatide / mo | $199/mo (10 mg dose, plus a separate fee, compounded) | $199/week ($862/mo equiv.) |
| Semaglutide / yr (modeled) | $2,028 | $7,020 |
| Tirzepatide / yr (modeled) | $2,388 | $10,344 |
| Coverage | 1 state | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #126 | #132 |
FormidableMD
67/100Where the value is
- Publishes an actual dose-by-dose price table for both semaglutide and tirzepatide, rather than a single 'starting at' figure
- Boutique physician-led practice with real brick-and-mortar roots, bundling labs, HRT/TRT and urgent care
- FSA/HSA eligible for consultations and services
The tradeoffs
- Only Florida is served today — the site itself says 'Additional States Coming Soon', so this is not a nationwide option
- The dose prices are medication-only: a separate $199 initial consult and $99 follow-up visits are added on top, so the real first month costs more than the headline dose price
Piper
66/100Where the value is
- Names two specific 503A partner compounding pharmacies (Hallandale Pharmacy, VialsRx) rather than staying anonymous
- Nationwide all-50 access with flat pricing at every dose
- LegitScript-certified seal displayed for the current joinpolly.com domain
The tradeoffs
- The headline $135/$199 prices are billed WEEKLY, not monthly — the real monthly-equivalent cost is roughly $585 (semaglutide) and $862 (tirzepatide)
- Compounded only — no brand-name or oral route
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.