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Ranked #2

Strut Health

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.

Desk Score 89/100 (B+) · Verified August 2026

Visit Strut HealthAssume 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.

What we checked — August 2026: Strut Health's own plan pages, pricing, FAQ and policy pages, all read on the same visit.

What you're buying

Strut Health is a general men's-and-women's telehealth pharmacy based in Dallas, with a weight-loss line that gives you the same molecule two ways. Compounded semaglutide and compounded tirzepatide are each sold as a weekly injection or as a daily lozenge held between cheek and gum, and there is a GLP-1 support supplement called PeptideVite alongside. There is no brand-name Wegovy or Zepbound. The hub page is careful to say compounded products are not FDA-approved and that a prescription requires an online consultation.

One fact belongs at the top of any read of Strut. The FDA issued Strut Health, LLC, doing business as Strut, a warning letter in February 2026; the letter is public in the FDA's warning-letter database. We disclose it on every page that profiles the company, and we do not restate its contents here; read the letter itself before you order.

What it costs (and how it's billed)

Each product page prints one number for a 30-day supply, and the price now differs by route. When we read them in August 2026, injectable semaglutide was $129 for a "monthly vial," the oral semaglutide lozenge was $99 for a 30-day supply, injectable tirzepatide was $149 for a 30-day supply (the page works that out to $4.97 a day), and the oral tirzepatide lozenge was $199 for 30 days. So the needle-free route is cheaper for semaglutide and dearer for tirzepatide, which is the reverse of what the same pages said earlier in the summer, when both routes carried one price.

Each page also shows an auto-refill plan badged "Save 13%," "14%," "17%" or "21%" beside an "as low as" figure that is the same number as the one-time price. There is no visible higher price for the saving to be measured against, so we cannot tell you what a single non-subscription order costs or whether it costs more; the site does not say. The FAQ's answer on price is simply that pricing "appears on each product page." The price includes the physician visit, follow-up care and shipping, and Strut does not take insurance.

Refunds follow the usual pharmacy line, with a short window that is easy to miss. Medication cannot be returned once it leaves the pharmacy, and no refund is possible for a cancellation received after the pharmacy has processed the order. Subscriptions can be canceled, paused or delayed with 48 hours' notice before processing, from the Orders and Subscriptions tab of the account. The refund policy page carries a last-modified date of September 2021.

Who can order

The FAQ says Strut ships to every state except Arkansas, with the caveat that certain medications may not be available in all states, and does not ship internationally. Nothing on the weight-loss pages names a state-by-state restriction for the GLP-1 products, so a reader outside Arkansas has to find out inside the checkout. You must be an adult, and the tirzepatide pages sit under a "mens-weight-loss" path even though the hub links everyone to them.

How the intake works

You fill out a medical questionnaire, a Strut physician builds the plan, and if approved the prescription goes to the pharmacy and ships in discreet packaging, typically arriving within two business days on the first order and by USPS on refills. Strut says some states do not require a phone consultation, so for many patients the whole thing is asynchronous: the prescription is approved from the questionnaire, and the doctor is someone you message rather than meet. You can ask customer service to arrange a call or video chat. Neither the physicians nor the dispensing pharmacy are named on the product pages, and the pages do not state the starting dose.

Support is by email at care@struthealth.com, Monday through Friday, 9 AM to 5 PM Eastern, plus a help-center ticket form. The company lists a street address in Dallas on every page.

What we'd want changed

Show the undiscounted price. An auto-refill plan that saves 13 to 21 percent against a figure the page never prints is a saving nobody can check, and it makes the "as low as" numbers read like floors when they may be the actual price. Print the one-time price beside the subscription price on every card.

Say more about the clinician and the pharmacy. Strut's FAQ is frank that you may never speak to the prescriber, which is fine for a refill and less fine for a first GLP-1 prescription, and the company is carrying an open FDA warning letter. A named medical director, a named pharmacy and a current refund policy would do more for trust than the testimonials do.

Bottom line

Strut is still the place to go if the needle is your real objection: a semaglutide lozenge at $99 a month is the cheapest oral GLP-1 route we track, and the tirzepatide lozenge at $199 a month has few rivals. The injections, at $129 and $149 a month, are priced fairly too. Weigh that against a February 2026 FDA warning letter, an asynchronous visit in most states, and an auto-refill discount that has no visible list price, and go in with your eyes open.

Best for a patient who wants a GLP-1 without an injection and has read the FDA warning letter first. If a live conversation with the prescriber matters to you, ask support to arrange one before the pharmacy processes the order.

Is Strut Health legit?

Only what Strut Health publishes and what we could check ourselves — nothing inferred. See the methodology.

FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.

Certification
On third-party certification, the site doesn't say.
Where it ships
49 states (not Arkansas), as published on the site.
Last checked
August 2026, against Strut Health's own pages.
Published price
Strut Health publishes a figure for semaglutide and tirzepatide — the qualifiers are in "What does Strut Health cost?" below.
What it sells
Compounded medication only, injectable and oral routes.
Licensing & trust
88/100 on the scored dimension of that name — one of the six in our published methodology.

Proceed with care: an FDA warning letter to this company is on the public record. It is a disclosure rather than a disqualification — the letter is linked above, and it is worth reading before you decide.

What does Strut Health cost?

Each figure exactly as Strut Health publishes it, with the condition attached to it spelled out.

Semaglutide

$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)

We hold that $129 as a conditional figure rather than a flat monthly rate: the qualifier Strut Health publishes beside it is not one our price reader recognizes as a plain calendar-month price.

Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for semaglutide — only flat month-to-month rates compete there.

Tirzepatide

$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)

We hold that $149 as a conditional figure rather than a flat monthly rate: the qualifier Strut Health publishes beside it is not one our price reader recognizes as a plain calendar-month price.

Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for tirzepatide — only flat month-to-month rates compete there.

All figures as published on Strut Health's own site and read in August 2026. Prices change — confirm before you order.

Semaglutide
$129/mosee conditions
Tirzepatide
$149/mosee conditions
Coverage
49 states (not Arkansas)
Brand-name
Compounded only
Verification
Prices as published on Strut Health's site — verified august 2026. Each figure's full condition is in “What does Strut Health cost?” below.

Weigh Strut Health against the full ranked field on the best semaglutide providers ranking, or line it up against its closest alternatives. Or go one-on-one: Strut Health vs CoreAge Rx. Because Strut Health dispenses compounded medication, it’s worth understanding whether compounded GLP-1 is legit and safe.

Desk Score breakdown

Each of the six scored dimensions. See the methodology.

Price transparency93/100
State access88/100
Molecule range94/100
Onboarding speed90/100
Support responsiveness78/100
Licensing & trust88/100

What we like

  • Lozenges for both molecules — semaglutide $99/mo (cheaper than its $129/mo injection), tirzepatide $199/mo (dearer than its $149/mo injection)
  • Every route priced on its product page rather than revealed inside an intake
  • Free online physician visit, free shipping and free follow-up care included
  • Cancel, pause or delay yourself with 48 hours' notice

Where points come off

  • FDA issued Strut Health, LLC dba Strut a warning letter in February 2026; the letter is public in FDA's warning-letter database
  • Asynchronous by design — their FAQ notes some states need no phone consultation, so you may never speak to the prescriber
  • Compounded only, with no brand-name lane
  • Not available in Arkansas
  • No published lab or monitoring program

The bottom line — B+

Best for: People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.

Strut Health ranks #2 of 533 providers scored — see #1, CoreAge Rx here.

FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.

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Everyone else here (19)

Pricing and verification reflect Strut Health's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on Strut Health's site. Not medical advice; see our disclosure.

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