82/ 100Index
Ranked #22 · Grade B−
Piper review
$135 semaglutide and $199 tirzepatide nationwide — fair, fully-disclosed mid-market pricing, but without LegitScript verification to back the oversight claim.
Visit Piper 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. See our disclosure.
- Semaglutide
- $135/mo
- Tirzepatide
- $199/mo
- Coverage
- All 50 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$1,620
Tirzepatide · modeled / year
$2,388
The Index scorecard
Piper scored on our six Cost-Efficiency Index factors. See the methodology.
Normalized Cost/Month83/100
Price Transparency80/100
Nationwide Access95/100
Formulation Options77/100
Clinical Oversight76/100
Contract Flexibility80/100
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
- Mid-market cost, beaten by cheaper verified all-50 rivals
The bottom line
Best for: Nationwide shoppers who want both molecules disclosed at fair prices and will do their own diligence on the pharmacy. $135 semaglutide and $199 tirzepatide nationwide — fair, fully-disclosed mid-market pricing, but without LegitScript verification to back the oversight claim.
Ranked #22 of 25 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 24 other providers we've modeled, in Cost-Efficiency Index order.
- #1CoreAge Rx— Best value on the board: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.94/100
- #2Ondra Health— A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it.90/100
- #3Found— The cheapest identical price on both molecules nationwide — unbeatable raw cost-per-month, capped only by a coaching subscription you can't fully unbundle.88/100
- #4Invigor Medical— Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog.88/100
- #5Vitara RX— $99 semaglutide and $149 tirzepatide, all-50 and LegitScript-verified — the rare budget roster spot that undercuts the field without dropping a molecule or its pharmacy credentials.87/100
- #6NewSelf— $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.87/100
- #7Gimme Care— Low, fully-disclosed pricing on both molecules nationwide from a LegitScript-verified operator — strong dollar-for-dollar value.87/100
- #8Precision Telemed— Both molecules at flat, modelable prices nationwide, backed by LegitScript verification — a clean, no-surprises value pick.87/100
- #9ShedRx— The lowest published tirzepatide cost among our partners, plus an oral/sublingual route — strong cost-per-month for the needle-averse.87/100
- #10Effecty— Mid-market compounded pricing plus FDA-approved brand access and LegitScript verification, nationwide — value with a safety-net formulary.86/100
- #11Eden— You pay a premium per month, but you buy back certainty: all-50 access and high-disclosure clinical oversight that hold their value.86/100
- #12Kongo— $119 semaglutide nationwide from a LegitScript-verified pharmacy — a genuinely cheap all-50 entry point, though the $229 tirzepatide pulls the combined value back to mid-pack.86/100
- #13Curex— Identical $199 on both molecules nationwide, with an oral route and LegitScript verification — simple, predictable, verified.85/100
- #14Trimi Health— One of the lowest combined prices on the board — $99 semaglutide and $125 tirzepatide, nationwide — but without LegitScript verification to back the oversight claim.85/100
- #15AgelessRx— The lowest published semaglutide cost among our partners, with some brand-name access — but an undisclosed tirzepatide price leaves a hole in the value model.85/100
- #16PepHaūs— Mid-market $152/$246 pricing on both molecules, all-50 and LegitScript-verified — a clean, verified nationwide option that trades rock-bottom cost for a dependable pharmacy.85/100
- #17Alan Meds— Rock-bottom $99 semaglutide with an oral option and all-50 access — strong on price, but not LegitScript-verified.84/100
- #18bmiMD— Very low $99/$139 pricing on both molecules nationwide — excellent sticker value, though without LegitScript verification.84/100
- #19Ro— The widest formulary — brand-name and oral access — but opaque compounded pricing means you can't model the value until you're already in the funnel.84/100
- #20Hims & Hers— Nationwide reach and a slick app at a mid-market semaglutide price — but an undisclosed tirzepatide price leaves part of the value equation blank.83/100
- #21Live Vital— A very low $99 semaglutide nationwide, with tirzepatide disclosed too — cheap and all-50, but without LegitScript verification.82/100
- #23Henry Meds— A transparent flat-fee pioneer — the pricing is clean and modelable, but it now sits at the higher end, so the value per dollar has slipped.81/100
- #24NP2GO— $150 semaglutide and $250 tirzepatide across 40 states — solid regional reach and full price disclosure, but the coverage gap and missing LegitScript verification cap the value.79/100
- #25Primary Clinic (Direct GLP)— The cheapest sticker price on the board — $65 semaglutide, $110 tirzepatide — but only 10 states and no LegitScript verification cap its real value.77/100
Pricing, states and verification reflect Piper's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Piper's site. Not medical advice; see our disclosure.