Piper Weight Loss Reviews - LegitScript-Certified but Fulfillment Concerns

Piper (joinpiper.com) is a telehealth platform offering compounded GLP-1 medications at flat monthly pricing — $135/month for semaglutide and $199/month for tirzepatide, the same price at every dose. They hold LegitScript certification and are available in all 50 states. However, a 3.3 Trustpilot rating across 136 reviews, no BBB profile, chat-only customer support, and recurring complaints about shipping and fulfillment problems paint a mixed picture. Here's our complete analysis.

What Is Piper?

Piper is an online telehealth provider specializing in GLP-1 weight loss medications. Their model requires you to complete a health intake, get evaluated by nurse practitioners and MDs, and then receive compounded medication shipped directly to your door via their pharmacy partner, Vials Rx. Piper is available in all 50 states and requires a BMI of 23 or higher to qualify.

A notable differentiator is Piper's flat pricing structure — you pay the same amount regardless of your dose level. Many competitors increase pricing as you titrate to higher doses, so this transparency is a genuine plus. They also include overnight shipping and accept FSA/HSA payments, which adds convenience and potential tax savings.

However, Piper requires purchasing in 3 or 6-month packages. Unlike providers with monthly pay-as-you-go models, you're committing to a multi-month purchase upfront. This is important to understand before signing up — if you have a bad experience or need to stop treatment, you may be locked into payments for months.

What They Offer

• Compounded Semaglutide at $135/month (flat pricing at every dose)
• Compounded Tirzepatide at $199/month (flat pricing at every dose)
• Supplemental medications — NAD+, Lipotropic B12, Sermorelin
• Clinician-guided treatment with nurse practitioners and MDs
• Available in all 50 states
• Vials Rx pharmacy partner for fulfillment
• Overnight shipping included
• FSA/HSA eligible
• LegitScript certified
• BMI 23+ required to qualify
• 3 or 6-month package purchases required

The supplemental medication offerings (NAD+, Lipotropic B12, Sermorelin) are an interesting addition for patients looking for a more comprehensive weight loss protocol. However, the core value proposition lives or dies on the GLP-1 medication delivery — and that's where Piper's reviews reveal some concerning patterns.

Piper Pricing

Piper's pricing is straightforward with flat monthly costs that don't change as your dose increases. No hidden fees, no surprise charges — what you see is what you pay.

At $135/month for semaglutide, Piper is $36/month more than CoreAge Rx's $99/month — an annual difference of $432. For tirzepatide at $199/month, the gap widens to $100/month more than CoreAge Rx, totaling $1,200 extra per year. The flat pricing across doses is nice in principle, but the overall cost is significantly higher than the best value options available.

The multi-month purchase requirement amplifies the pricing concern. If you're unhappy with the service or experience fulfillment issues (which reviews suggest is possible), you're still on the hook for months of payments. Providers with month-to-month flexibility give you an easy exit if things go wrong.

My Experience With Piper

I evaluated Piper to assess whether their flat pricing model and LegitScript certification translate into a quality patient experience. Here's what I found:

Sign-Up Process

The initial sign-up was fast. You complete a health intake form, provide your BMI and medical history, and a clinician reviews your information. Approval came quickly, which is consistent with positive reviews noting fast initial onboarding. The process is entirely online — no video visits or phone calls required.

However, the requirement to commit to a 3 or 6-month package during checkout adds friction. Before you've even tried the medication or experienced their service quality, you're locking in for multiple months. This is a meaningful ask, especially for first-time GLP-1 patients who may not know how they'll respond to treatment.

Shipping and Fulfillment

This is where Piper's reviews raise the most red flags. Multiple customers report damaged packages, missing doses, and incomplete orders. Temperature control during shipping is another recurring complaint — GLP-1 medications require proper cold chain handling, and reviewers have noted packages arriving without adequate temperature protection.

For an injectable medication that requires refrigeration, shipping quality isn't a minor detail — it directly affects medication efficacy and patient safety. The fulfillment issues reported by multiple reviewers suggest a systemic problem with their pharmacy partner Vials Rx, not isolated incidents.

Customer Support

Piper offers chat-only support with no phone number available. When fulfillment problems occur, being limited to chat for resolution is frustrating. Multiple reviewers describe difficulty getting timely responses and adequate resolutions to shipping and order problems through the chat system alone.

Reviews also note a "recent decline" in service quality, suggesting that early adopters may have had a better experience than current customers. Inconsistent service quality over time is a concerning trend that suggests growing pains or operational challenges that haven't been addressed.

Pros and Cons

Is Piper Legit?

Piper is a legitimate telehealth provider, but with notable transparency gaps. The LegitScript certification is a genuine positive — it confirms that Piper meets recognized pharmacy and telehealth standards, and this third-party verification is something many GLP-1 providers lack. The clinician-guided approach with nurse practitioners and MDs following clinical protocols adds medical credibility.

However, several trust signals are missing. Piper has no BBB profile, no public information about their founding team or medical directors, and no social media presence. For a healthcare company handling prescription medications, this level of opacity is unusual and concerning. Patients have no way to verify who is behind the company or hold leadership accountable.

The AI-generated marketing content throughout their website further erodes trust. When a healthcare provider can't invest in authentic, human-written content about their own services, it raises questions about operational commitment and attention to detail. Combined with the 3.3 Trustpilot rating (below the GLP-1 provider average), the overall trust picture is mixed.

• LegitScript certified — third-party verified (genuine positive)
• Clinician-guided treatment with NPs and MDs
• Vials Rx pharmacy partner for medication fulfillment
• No BBB profile — can't verify complaint history
• No founder/team transparency — leadership not disclosed
• No social media presence — limited public accountability
• AI-generated marketing content — lacks authentic communication
• 3.3/5 Trustpilot rating across 136 reviews

Who Is Piper Best For?

Piper may work for patients who value flat dose-independent pricing and are comfortable with a multi-month commitment. If you know you're going to titrate to higher GLP-1 doses and want pricing predictability, Piper's flat rate structure means you won't face price increases as your dose goes up. The supplemental medication options (NAD+, B12, Sermorelin) also appeal to patients wanting a more comprehensive protocol.

Piper is also available in all 50 states with overnight shipping included, which is convenient for patients in areas with limited telehealth options. FSA/HSA eligibility helps offset costs for patients with those accounts.

Piper is not the best fit if: You want the lowest price (CoreAge Rx is $36-$100/month cheaper), you prefer month-to-month flexibility without multi-month commitments, you want phone support for issue resolution, you value provider transparency and public team information, or you're a first-time GLP-1 patient who doesn't want to commit to 3-6 months before trying the medication.

Final Verdict: Is Piper Worth It?

Piper has some genuine strengths but significant drawbacks that hold it back from a strong recommendation.

The LegitScript certification is a real positive, and the flat pricing model is refreshingly transparent. Fast initial approval and nationwide availability are convenient. These are meaningful advantages that show Piper isn't a fly-by-night operation.

But the cons stack up. At $135-$199/month, you're paying $36-$100 more per month than CoreAge Rx — and for that premium, you're getting chat-only support, documented fulfillment problems, temperature control concerns during shipping, and a company that won't tell you who runs it. The 3-6 month purchase requirement locks you into this experience with limited recourse if things go wrong. A 3.3 Trustpilot rating with only 136 reviews doesn't inspire the same confidence as top-rated providers.

My recommendation: The LegitScript certification and flat pricing aren't enough to overcome the fulfillment issues, transparency gaps, and multi-month lock-in. CoreAge Rx at $99/month offers better pricing, proven service consistency, and month-to-month flexibility. For most patients, CoreAge Rx is the smarter choice.

The Bottom Line

Piper's LegitScript certification and flat pricing are genuine positives, but they're overshadowed by fulfillment problems, chat-only support, lack of team transparency, and a multi-month purchase requirement that limits your flexibility. At $135-$199/month — $36-$100 more than CoreAge Rx — you're paying a premium for a service with a below-average Trustpilot rating and documented shipping issues. For reliable, affordable GLP-1 access, CoreAge Rx at $99/month remains our top recommendation.