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Head-to-head dispatch

Strut Health vs Velvet Rx

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 #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.

vs
Dispatch #192
Velvet Rx

Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide, compounded tirzepatide, and an oral GLP-1 across three publicly-listed SKUs ranging from $139 to $199 'today'…

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 66/100 (C) for Velvet Rx. Velvet Rx 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.

Strut Health

88/100

B+

Overall

Velvet Rx

66/100

C

Price transparency

93
86

State access

88
24

Molecule range

94
77

Onboarding speed

90
68

Support responsiveness

78
80

Licensing & trust

88
58

The spec sheet

FieldStrut HealthVelvet Rx
SemaglutideFrom $99/mo sublingual, $149/mo injectable$299/mo (compounded)
TirzepatideFrom $199/mo either route$359/mo (compounded)
Coverage49 states (not Arkansas)Coverage not published
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPeople whose real objection is the needle rather than the medicine, and who want every route priced before signing up.Readers who want cash-pay compounded GLP-1 with bundled shipping across three SKUs.
Desk Score88/100B+66/100C

The verdict

Desk pick — Strut Health

Strut Health takes this head-to-head with the higher Desk Score, 88/100 (B+) against 66/100 (C) for Velvet Rx. Velvet Rx still holds its ground where its strengths line up with yours.

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)

Choose Velvet Rx if…

Readers who want cash-pay compounded GLP-1 with bundled shipping across three SKUs.

$299/mo (compounded) sema · $359/mo (compounded) tirz · Coverage not published

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: Strut Health · Velvet Rx.

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.