Head-to-head · Value Score
HealthRX vs Strut Health
Two GLP-1 deals, scored on the same six factors. HealthRX lands a Value Score of 84, Strut Health a 85. Here's what each one really costs past month one — and where each one bites back.
HealthRX
Grade B+ · Good Value
Advertised price
$165/mo month-to-month
$165/mo month-to-month ($149 first month)
Strut Health
Grade A- · Great Deal
Advertised price
From $99/mo
From $99/mo (oral semaglutide lozenge, auto-refill; overview also lists $199)
The verdict
Strut Health takes it on Value Score, 85 to 84 — an est. From $99/mo (oral semaglutide lozenge, auto-refill; overview also lists $199) first month, though we flag its pricing to watch. HealthRX isn't out of it: Shoppers who want a LegitScript-certified compounded program in any state and are willing to prepay a few months to bring the monthly cost down.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | HealthRX | Strut Health |
|---|---|---|
| Value Score | 84 (B+) | 85 (A-) |
| Advertised price | $165/mo month-to-month ($149 first month) | From $99/mo (oral semaglutide lozenge, auto-refill; overview also lists $199) |
| Save vs brand self-pay | — | — |
| Semaglutide | $165/mo month-to-month on Subscribe & Save after a $149 first month ($190 for a single month) · $125/mo on a 3-month plan ($374 every 3 months) · $97/mo on a 12-month plan ($1,163 up front) | $129/mo injectable on auto-refill · oral lozenge as low as $99/mo on auto-refill (Strut's semaglutide overview lists the lozenge at $199 for a 30-day supply) |
| Tirzepatide | $214/mo month-to-month on Subscribe & Save after a $193 first month ($239 for a single month) · $201/mo on a 3-month plan ($602 every 3 months) · $177/mo on a 12-month plan ($2,123 up front) | $149/mo injectable on auto-refill · $199/mo oral on auto-refill |
| Both molecules | Yes | Yes |
| Pricing | Watch | Watch |
| Coverage | All 50 states | 49 states (not Arkansas) |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
HealthRX
A LegitScript-certified program selling compounded semaglutide and tirzepatide as weekly injections, $165 or $214 a month on a rolling subscription and less on 3- and 12-month plans.
What's good
- LegitScript-certified (#50087439), a third-party check you can look up
- HealthRX publishes every plan price in one table, including what each plan renews at, before you start an intake
- The plan price includes the medication, the provider review and free overnight shipping, and HealthRX serves all 50 states
- Cancel by email; HealthRX says it refunds any dose that has not shipped
The fine print
- Compounded medication is not FDA-approved, and HealthRX sells no brand-name or oral option
- The HealthRX entry rates are plan prices: $97 and $177 need twelve months paid up front, so month to month costs $165 and $214 after a lower first month
- HealthRX's subscriptions renew automatically until you email to cancel, so set a reminder before each renewal
Strut Health
Strut offers semaglutide injections at $129 a month and tirzepatide injections from $149 on auto-refill. Its needle-free options broaden the menu, but conflicting semaglutide lozenge prices need confirmation before purchase.
What's good
- Strut includes physician visits, follow-up care and shipping on the GLP-1 product pages. A low medication figure is more useful when these services are included, although the product disclaimer still says final pricing follows consultation and prescription approval.
- Strut provides weekly injections and daily oral compounded options for both molecules. The semaglutide lozenge dissolves between cheek and gum. That is a distinct route to discuss with the prescriber, rather than assuming every product described as oral is taken the same way.
- Strut’s account lets you change order frequency or cancel, pause and delay a subscription. Those controls are valuable if a clinician changes your treatment plan or you already have enough medication; check the processing deadline before assuming a change will stop the next order.
- Strut says direct physician messaging is available through the account and phone or video communication can be arranged through customer service. An initial prescription may be handled asynchronously in some states, but that does not mean you are limited to a questionnaire for all follow-up care.
- Strut publishes a clear replacement route for damaged or defective items: contact it within two weeks of delivery. This is separate from changing your mind about treatment, and the distinction helps set realistic expectations about what support can resolve after shipment.
The fine print
- Strut’s lowest displayed figures require auto-refill. Its advertised savings percentages describe discounts from a different purchase option; they do not mean a one-off order costs exactly that same percentage more. Request the actual one-time total if you do not want a subscription.
- The $99 versus $199 semaglutide lozenge discrepancy is unresolved across Strut’s public pages. I would save the written quote for the specific formulation and supply before paying. A cheaper advertised oral route should not decide which treatment is appropriate for you.
- Strut requires 48 hours’ cancellation notice before processing. Its refund policy rules out refunds after the pharmacy has processed the order, even if delivery has not happened yet. Canceling future refills does not reverse an order already in progress.
- Strut is a cash-pay service and says it does not complete insurance prior authorizations or medical-necessity forms for reimbursement. It can supply prescription information and receipts, but an HSA or FSA card may still be rejected by the card issuer.
- Strut’s FAQ excludes Arkansas and cautions that individual medications may have further state restrictions. Confirm the route as well as your state. Its compounded products are not FDA-approved, and the FDA issued Strut Health a warning letter in February 2026, disclosed separately on this review.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores HealthRX is ranked on the HealthRX alternatives ranking, and the same list for the other side is on alternatives to Strut Health.
More head-to-heads
The programs scoring closest to this pair, side by side.
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. "% vs brand-name self-pay" compares a program's lowest disclosed monthly price against $349/mo, Wegovy's self-pay price at NovoCare Pharmacy, every standard dose after the two-month intro offer (checked October 2026). Prices change — confirm on each provider's site. Not medical advice; see our disclosure.