Head-to-head comparison
Strut Health vs Zera 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
The same molecule as a lozenge or an injection, each priced on its own page — the only place in this ranking where the needle is genuinely optional.
$129/mo (see conditions) sema · $149/mo (see conditions) tirz · Verified August 2026
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.
Desk Score
Zera Health is a telehealth platform for compounded GLP-1 weight loss — semaglutide from $149/mo, tirzepatide from $199/mo, plus oral and low-dose microdose options.
$149/mo sema · $199/mo tirz · Verified June 2026
Marked down on: Operates as a technology platform, not the medical provider itself
Strut Health takes this head-to-head with the higher Desk Score, 89/100 (B+) against 82/100 (B−) for Zera Health. Zera 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.
Strut Health
89/100
B+
Zera Health
82/100
B−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Strut Health | Zera Health |
|---|---|---|
| Semaglutide | $129/mosee conditions$129/mo injectable (30-day supply on the product page; the auto-refill "as low as" badge prints the same $129, so no separate one-time price is shown; compounded) · $99/mo oral lozenge (30-day supply; same auto-refill shape) | $149/mo$149/mo (compounded) |
| Tirzepatide | $149/mosee conditions$149/mo injectable (30-day supply on the product page; the auto-refill "as low as" badge prints the same $149, so no separate one-time price is shown; compounded) · $199/mo oral lozenge (30-day supply; same auto-refill shape) | $199/mo$199/mo (compounded) |
| Coverage | 49 states (not Arkansas) | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | People whose real objection is the needle rather than the medicine, and who want every route priced before signing up. | Budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy. |
| Desk Score | 89/100B+ | 82/100B− |
The verdict
Desk pick — Strut HealthStrut Health takes this head-to-head with the higher Desk Score, 89/100 (B+) against 82/100 (B−) for Zera Health. Zera Health 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.
$129/mo (see conditions) sema · $149/mo (see conditions) tirz · 49 states (not Arkansas)
FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.
Choose Zera Health if…
Budget GLP-1 shoppers who want flat all-dose pricing and a named 503A pharmacy.
$149/mo sema · $199/mo 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 write about a provider reads the same either way. Read full breakdowns: Strut Health · Zera Health.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs Strut Health
- CoreAge Rx vs Zera Health
- Sesame Care vs Strut Health
- Idgie Health vs Zera Health
- BetterMe Rx vs Strut Health
- Rivo Health vs Zera Health
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.