Pillar Health vs Peter MD

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Pillar Health

Provider comparison

Shoppers who want one flat monthly price for compounded semaglutide or tirzepatide that won't rise as the dose goes up.

Semaglutide / month: $189/moCompounded, same price at every dose; first month $94.50 with the welcome code
Tirzepatide / month: $249/moCompounded, same price at every dose; first month $124.50 with the welcome code

Index 75/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Pillar Health pricing Read review

Peter MD

Affiliate partner

Someone who wants a single telehealth account to also cover TRT, hair loss, ED or NAD+ alongside a GLP-1 script, and who will read past the first-month price before budgeting the ongoing cost.

Semaglutide / month: $149/moFirst-time (Level 1), $139/mo returning (Level 2)
Tirzepatide / month: $149First month, then $249/mo billed quarterly

Index 72/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Peter MD pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Pillar Health has the higher Cost-Efficiency Index: 75/100 versus 72/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Pillar Health: 48 states + DC
Peter MD: Varies by treatment — semaglutide not in AL, AK, HI or ID, tirzepatide not in AL or ID; additional reported restrictions need confirmation

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Pillar Health

Peter MD

Semaglutide / month: Pillar Health: $189/moCompounded, same price at every dose; first month $94.50 with the welcome code; Peter MD: $149/moFirst-time (Level 1), $139/mo returning (Level 2)

Tirzepatide / month: Pillar Health: $249/moCompounded, same price at every dose; first month $124.50 with the welcome code; Peter MD: $149First month, then $249/mo billed quarterly

Semaglutide / year (modeled): Pillar Health: $2,268; Peter MD: $1,788

Tirzepatide / year (modeled): Pillar Health: $2,988; Peter MD: $2,988

State availability: Pillar Health: 48 states + DC; Peter MD: Varies by treatment — semaglutide not in AL, AK, HI or ID, tirzepatide not in AL or ID; additional reported restrictions need confirmation

Oral / sublingual option listed: Pillar Health: Not listed; Peter MD: Not listed

Brand-name access listed: Pillar Health: Not confirmed; Peter MD: Not confirmed

Provider facts checked: Pillar Health: October 2026; Peter MD: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Pillar Health

Shoppers who want one flat monthly price for compounded semaglutide or tirzepatide that won't rise as the dose goes up.

Reasons to consider it

Both monthly prices are on the weight-loss and product pages before any questionnaire, with $0 membership and free shipping
The program price covers every dose in the titration ladder, from 0.25 mg to 2.4 mg of semaglutide and 2.5 mg to 15 mg of tirzepatide
Publishes where it serves: 48 states and Washington, D.C., with Alaska and Mississippi excluded

What to weigh up

Pillar is a storefront: starting treatment hands you to a separate checkout platform whose own terms set the charges, renewals, cancellations and refunds
Its refund policy points you to that provider's terms rather than stating its own cancellation or refund rules
It doesn't name the pharmacy that fills your prescription

Compounded drugs are not FDA-approved. Understand the medication options.

Check Pillar Health pricing Read the full Pillar Health review

Peter MD

Someone who wants a single telehealth account to also cover TRT, hair loss, ED or NAD+ alongside a GLP-1 script, and who will read past the first-month price before budgeting the ongoing cost.

Reasons to consider it

One account covers TRT, ED, non-GLP-1 weight loss, GLP-1s (semaglutide and tirzepatide), men's hair loss, NAD+ and sermorelin
Physician-prescribed telehealth brand operating since 2021 (Miami, FL HQ)
Sermorelin ($585 for a 12-week supply, ~$195/mo) and NAD+ ($369 for an 8-10 week supply, ~$147-184/mo) sit in the same catalog as the GLP-1 line for anyone consolidating multiple scripts

What to weigh up

Tirzepatide's $149 first-month rate steps up to $249/mo billed quarterly — the number that matters for budgeting is the renewal price, not the headline
Semaglutide pricing depends on tier: $149/mo first-time (Level 1) vs $139/mo returning (Level 2), with different total costs ($447 vs $834) over different supply windows, so the all-in cost is not a single number
State availability is inconsistent across published disclosures: additional restrictions include AR, CA, IA, KY, LA, MA, MI, NC and SC beyond the AL, AK, HI and ID shown on the treatment pages. Confirm eligibility for your state before paying.

Compounded drugs are not FDA-approved. Understand the medication options.

Check Peter MD pricing Read the full Peter MD review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Pillar HealthPeter MD

Normalized Cost/Month: Pillar Health:
72/100; Peter MD:
65/100

Price Transparency: Pillar Health:
94/100; Peter MD:
74/100

Nationwide Access: Pillar Health:
78/100; Peter MD:
68/100

Formulation Options: Pillar Health:
66/100; Peter MD:
92/100

Clinical Oversight: Pillar Health:
71/100; Peter MD:
75/100

Contract Flexibility: Pillar Health:
55/100; Peter MD:
62/100

Before you sign up

Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

Alternatives to Pillar Health Alternatives to Peter MD

More provider matchups

CoreAge Rx vs Pillar Health CoreAge Rx vs Peter MD

Choose a different comparison

Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.