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Head-to-head comparison

Belle Health vs Pepti

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Ranked #55Desk pick
Belle Health

Belle Health is a national DTC telehealth platform offering compounded semaglutide and tirzepatide with flat-rate pricing — the same monthly cost at every dose, with no escalation surcharge as you titrate up.

$119/mo sema · $199/mo (3-month prepay) tirz · Verified July 2026

Marked down on: $199 tirzepatide price requires a 3-month bundle commitment

FDAWarning letter issued to Belle Health LLC dba Belle in February 2026. See the FDA warning-letter database.

vs
Ranked #80
Pepti

Pepti prices both molecules openly at $109 and $179, publishes a page for every state it serves, and runs a 28-day cycle its own terms say can bill twice in one calendar month.

From $109/mo sema · From $179/mo tirz · Verified September 2026

Marked down on: The cycle is 28 days, and the billing terms say it can charge twice in the same calendar month while the product pages call the figure an all-in monthly price.

Belle Health takes this head-to-head with the higher Desk Score, 80/100 (B−) against 79/100 (C+) for Pepti. Pepti still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Belle Health

80/100

B−

Overall

Pepti

79/100

C+

Price transparency

94
78

State access

86
86

Molecule range

66
72

Onboarding speed

78
74

Support responsiveness

84
78

Licensing & trust

52
88

The spec sheet

FieldBelle HealthPepti
Semaglutide$119/mo$119/moFrom $109/moFrom $109/mo (28-day cycle, compounded)
Tirzepatide$199/mo3-month prepay$199/mo (all doses, 3-month plan, compounded)From $179/moFrom $179/mo (28-day cycle, compounded)
CoverageAll 50 statesAll 50 states and D.C.
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forFlat-rate compounded GLP-1 with free weekly dietitian sessions.Anyone who wants one all-in figure with nothing layered on top, and will read the billing cycle.
Desk Score80/100B−79/100C+

The verdict

Desk pick — Belle Health

Belle Health takes this head-to-head with the higher Desk Score, 80/100 (B−) against 79/100 (C+) for Pepti. Pepti still holds its ground where its strengths line up with yours.

Choose Belle Health if…

Flat-rate compounded GLP-1 with free weekly dietitian sessions.

$119/mo sema · $199/mo (3-month prepay) tirz · All 50 states

FDAWarning letter issued to Belle Health LLC dba Belle in February 2026. See the FDA warning-letter database.

Choose Pepti if…

Anyone who wants one all-in figure with nothing layered on top, and will read the billing cycle.

From $109/mo sema · From $179/mo tirz · All 50 states and D.C.

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Belle Health · Pepti.

Also here

CoreAge Rx leads the whole ranking at 94/100

Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.