Head-to-head dispatch
Next Vial vs Strut Health
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.
Desk Score
Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.
Desk Score
The same molecule as a lozenge or an injection at the same price — the only place on this board where the needle is genuinely optional.
Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 62/100 (C) for Next Vial. Next Vial 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.
Next Vial
62/100
C
Strut Health
88/100
B+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Next Vial | Strut Health |
|---|---|---|
| Semaglutide | $250/mo (compounded) | From $99/mo sublingual, $149/mo injectable |
| Tirzepatide | Not disclosed | From $199/mo either route |
| Coverage | 49 states | 49 states (not Arkansas) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Yes |
| Best for | People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner. | People whose real objection is the needle rather than the medicine, and who want every route priced before signing up. |
| Desk Score | 62/100C | 88/100B+ |
The verdict
Desk pick — Strut HealthStrut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 62/100 (C) for Next Vial. Next Vial still holds its ground where its strengths line up with yours.
Choose Next Vial if…
People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner.
$250/mo (compounded) sema · Not disclosed tirz · 49 states
Choose Strut Health if…
People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.
From $99/mo sublingual, $149/mo injectable sema · From $199/mo either route tirz · 49 states (not Arkansas)
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: Next Vial · Strut Health.
Also on the board
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
- Next Vial vs CoreAge Rx
- Strut Health vs Vaylen
- Next Vial vs Ondra Health
- Strut Health vs Invigor Medical
- Next Vial vs Vytora Health
- Strut Health vs Sesame Care
Or see the full comparison hub and the complete board.
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.