Piper

About Piper

Piper is a telehealth weight-loss provider founded in 2022 that offers compounded semaglutide and tirzepatide at $199 to $299 per month. The company emphasizes fast delivery as a core differentiator, targeting patients who want their medication shipped and received as quickly as possible after completing the intake process. In a market where shipping delays are a frequent source of patient frustration, this focus on logistics is strategically sound.

Piper’s pricing falls at the affordable end of the spectrum, with a 9 monthly cap that keeps costs predictable. Both semaglutide and tirzepatide are available in compounded form, and the enrollment process follows the standard telehealth model of questionnaire, provider review, and direct-to-patient shipping. The platform offers medium-level support, with some ongoing communication and check-in capability that exceeds the bare-minimum providers but does not reach the level of comprehensive programs.

The Trustpilot profile is where concerns emerge. Piper holds a 3.1-star rating from 190+ reviews, which is below the industry average for GLP-1 telehealth providers. A sub-3.5 Trustpilot score at this volume indicates a meaningful segment of dissatisfied patients. Common negative themes include inconsistent medication quality, communication gaps, and difficulty obtaining refunds. The positive reviews that do exist praise delivery speed and medication effectiveness, but they are outweighed by the critical feedback.

Piper does not have a BBB listing, which means there is no third-party complaint resolution mechanism through that channel. The absence of a BBB profile is not inherently negative, as many newer companies have not yet been evaluated, but combined with the below-average Trustpilot scores, it leaves patients with fewer avenues for recourse if issues arise. There is no integrated lab monitoring or dietitian access in the standard offering.

Our editorial team sees Piper as a higher-risk option in the current GLP-1 telehealth landscape. The fast delivery promise is appealing, but speed of fulfillment matters little if the overall patient experience is inconsistent. With numerous competitors offering comparable pricing and better satisfaction scores, Piper needs to improve its service consistency and review profile before we can recommend it with confidence.

At a Glance