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Head-to-head dispatch

Lavender Sky Health vs Piper

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.

Dispatch #246
Lavender Sky Health

Lavender Sky Health is a marketplace of about ten compounding pharmacies rather than a single-price provider, each with its own ladder of prepaid tiers and month-to-month plans.

Marked down on: This is a marketplace, not one price: every figure belongs to a named pharmacy on a named plan, and the pharmacy and plan have to travel with the number for it to mean anything

vs
Dispatch #87Desk pick
Piper

Telehealth weight loss provider offering competitively priced compounded GLP-1 medications.

Marked down on: Limited public information on program details

Piper takes this head-to-head with the higher Desk Score, 77/100 (C+) against 64/100 (C) for Lavender Sky Health. Lavender Sky Health 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.

Lavender Sky Health

64/100

C

Overall

Piper

77/100

C+

Price transparency

30
78

State access

86
86

Molecule range

66
66

Onboarding speed

74
74

Support responsiveness

78
78

Licensing & trust

73
77

The spec sheet

FieldLavender Sky HealthPiper
Semaglutide$139/mo (starting dose, month to month, Southend Pharmacy, compounded)$135/mo (starting dose, compounded)
Tirzepatide$149/mo (starting dose, month to month, ReviveRx, compounded)$199/mo (starting dose, compounded)
CoverageAll 50 statesAll 50 states
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forReaders who want to compare per-pharmacy price ladders and are willing to read which plan and which pharmacy each figure belongs to.Readers who want mainstream telehealth GLP-1 access.
Desk Score64/100C77/100C+

The verdict

Desk pick — Piper

Piper takes this head-to-head with the higher Desk Score, 77/100 (C+) against 64/100 (C) for Lavender Sky Health. Lavender Sky Health still holds its ground where its strengths line up with yours.

Choose Lavender Sky Health if…

Readers who want to compare per-pharmacy price ladders and are willing to read which plan and which pharmacy each figure belongs to.

$139/mo (starting dose, month to month, Southend Pharmacy, compounded) sema · $149/mo (starting dose, month to month, ReviveRx, compounded) tirz · All 50 states

Choose Piper if…

Readers who want mainstream telehealth GLP-1 access.

$135/mo (starting dose, compounded) sema · $199/mo (starting dose, compounded) tirz · All 50 states

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Lavender Sky Health · Piper.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

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.