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Head-to-head · Cost-Efficiency Index

NewSelf 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.

Better valueGrade B+ · #6

NewSelf

Budget shoppers who want a verified all-50 program and one of the lowest disclosed tirzepatide prices in the value tier.

Visit NewSelf
VS
Grade B− · #22

Piper

Nationwide shoppers who want both molecules disclosed at fair prices and will do their own diligence on the pharmacy.

Visit Piper

The verdict

Winner · NewSelfGrade B+ vs B−

NewSelf takes it, leading the Cost-Efficiency Index 87 to 82. $100 semaglutide and $144 tirzepatide, nationwide and LegitScript-verified — near-identical value to the cheapest verified names, with the tirzepatide price a hair lower than most. Piper still earns a B−Nationwide shoppers who want both molecules disclosed at fair prices and will do their own diligence on the pharmacy.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs NewSelf.

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

94
83

Price Transparency

87
80

Nationwide Access

96
95

Formulation Options

78
77

Clinical Oversight

86
76

Contract Flexibility

82
80

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecNewSelfPiper
Cost-Efficiency Index87/10082/100
Semaglutide / mo$100/mo$135/mo
Tirzepatide / mo$144/mo$199/mo
Semaglutide / yr (modeled)$1,200$1,620
Tirzepatide / yr (modeled)$1,728$2,388
CoverageAll 50 statesAll 50 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank on the board#6#22

NewSelf

87/100

Where the value is

  • $100 semaglutide / $144 tirzepatide — one of the cheapest verified combined prices on the board
  • Nationwide all-50 coverage with both molecules published up front
  • LegitScript-certified pharmacy behind the low price

The tradeoffs

  • Compounded only — no brand-name or oral option
  • Newer consumer brand with a thin public track record
Visit NewSelf

Full NewSelf review →

Piper

82/100

Where the value is

  • Both molecules disclosed — $135 semaglutide / $199 tirzepatide — for clean cost modeling
  • Nationwide all-50 access with predictable flat pricing
  • Straightforward to model for a full year

The tradeoffs

  • Not LegitScript-certified, so pharmacy oversight is harder to verify
  • Compounded only — no brand-name or oral route
Visit Piper

Full Piper review →

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.

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