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Head-to-head dispatch

Rivo Health 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.

Dispatch #58
Rivo Health

Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members, Trustpilot 4.7) offering compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo for…

vs
Dispatch #3Desk pick
Strut Health

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 80/100 (B−) for Rivo Health. Rivo 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.

Rivo Health

80/100

B−

Overall

Strut Health

88/100

B+

Price transparency

78
93

State access

86
88

Molecule range

77
94

Onboarding speed

80
90

Support responsiveness

94
78

Licensing & trust

63
88

The spec sheet

FieldRivo HealthStrut Health
Semaglutide$149/mo (compounded)From $99/mo sublingual, $149/mo injectable
Tirzepatide$199/mo (compounded)From $199/mo either route
CoverageAll 50 states49 states (not Arkansas)
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPeople who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.
Desk Score80/100B−88/100B+

The verdict

Desk pick — Strut Health

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 80/100 (B−) for Rivo Health. Rivo Health still holds its ground where its strengths line up with yours.

Choose Rivo Health if…

People who want injectable or oral compounded GLP-1 bundled with coaching and insurance-concierge support.

$149/mo (compounded) sema · $199/mo (compounded) tirz · All 50 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: Rivo Health · 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

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.