Head-to-head dispatch
SkinnyRx 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
Both molecules by needle or by tablet, with the whole term ladder printed on the product page before any intake — and a headline rate that is the twelve-month rung, charged as one $2,388 payment on day one.
Marked down on: FDA issued Lean Rx, Inc. dba SkinnyRx a warning letter in February 2026; the letter is public in FDA's warning-letter database
FDAWarning letter issued to Lean Rx, Inc. dba SkinnyRx in February 2026. See the FDA warning-letter database.
Desk Score
The same molecule as a lozenge or an injection at the same price — the only place in this ranking where the needle is genuinely optional.
Marked down on: FDA issued Strut Health, LLC dba Strut a warning letter in February 2026; the letter is public in FDA's warning-letter database
FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.
Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 78/100 (C+) for SkinnyRx. SkinnyRx 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.
SkinnyRx
78/100
C+
Strut Health
88/100
B+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | SkinnyRx | Strut Health |
|---|---|---|
| Semaglutide | $349/mo month-to-month (compounded; the advertised rate is a 12-month prepay) | From $99/mo sublingual, $149/mo injectable |
| Tirzepatide | $399/mo month-to-month (compounded; the advertised rate is a 12-month prepay) | From $199/mo either route |
| Coverage | 47 states + DC (not Alabama, Louisiana or Mississippi) | 49 states (not Arkansas) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Readers who want a tablet route on either molecule and can pay a year up front; anyone shopping month to month should compare $349 and $399, not the advertised $199 and $299. | People whose real objection is the needle rather than the medicine, and who want every route priced before signing up. |
| Desk Score | 78/100C+ | 88/100B+ |
The verdict
Desk pick — Strut HealthStrut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 78/100 (C+) for SkinnyRx. SkinnyRx still holds its ground where its strengths line up with yours.
Choose SkinnyRx if…
Readers who want a tablet route on either molecule and can pay a year up front; anyone shopping month to month should compare $349 and $399, not the advertised $199 and $299.
$349/mo month-to-month (compounded; the advertised rate is a 12-month prepay) sema · $399/mo month-to-month (compounded; the advertised rate is a 12-month prepay) tirz · 47 states + DC (not Alabama, Louisiana or Mississippi)
FDAWarning letter issued to Lean Rx, Inc. dba SkinnyRx in February 2026. See the FDA warning-letter database.
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)
FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.
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: SkinnyRx · Strut Health.
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
- SkinnyRx vs CoreAge Rx
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- Strut Health vs Invigor Medical
- SkinnyRx vs Vytora Health
- Strut Health vs Sesame Care
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.