Head-to-head · Value Score
RxSpan MD vs Strut Health
Two GLP-1 deals, scored on the same six factors. RxSpan MD lands a Value Score of 86, Strut Health a 85. Here's what each one really costs past month one — and where each one bites back.
RxSpan MD
Grade A- · Great Deal
Advertised price
$249/mo month-to-month
$249/mo month-to-month (as low as $175/mo on the 12-month plan)
Strut Health
Grade A- · Great Deal
Advertised price
$129/mo injectable on auto-refill
Save ~63% vs brand self-payThe verdict
RxSpan MD takes it on Value Score, 86 to 85 — an est. $249/mo month-to-month (as low as $175/mo on the 12-month plan) first month, though we flag its pricing to watch. Strut Health isn't out of it: Shoppers who will keep an auto-refill running, especially anyone who would rather not inject.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | RxSpan MD | Strut Health |
|---|---|---|
| Value Score | 86 (A-) | 85 (A-) |
| Advertised price | $249/mo month-to-month (as low as $175/mo on the 12-month plan) | $129/mo injectable on auto-refill |
| Save vs brand self-pay | — | ~63% |
| Semaglutide | $249/mo month-to-month (as low as $175/mo on the 12-month plan) | $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 | $329/mo month-to-month (as low as $243/mo) | $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.
RxSpan MD
A broad, physician-led menu - compounded and oral GLP-1 plus an advertised brand-name lane under a named plastic surgeon - priced at $249 a month for semaglutide, with the advertised low rates attached to a plan.
What's good
- Available in all 50 states
- Transparent, all-inclusive published pricing — consult, medication, supplies, shipping and support in one price; cancel or change plans anytime, with the card advertising as low as $175/mo on compounded semaglutide for anyone who commits to a plan
- Both injectable and a real oral (capsule) route, on compounded sema/tirz plus an advertised brand-name lane
- Physician-led by a named, board-certified founder (Dr. John Diaz, plastic surgeon); 24/7 unlimited messaging and coaching, free shipping
The fine print
- Compounded semaglutide and tirzepatide are not FDA-approved and are not the same as Wegovy, Ozempic or Zepbound
- RxSpan MD's brand-name lane is expensive: $1,069 for a first month of Zepbound, $1,299 for Ozempic and $1,349 for Wegovy
- RxSpan MD's $175 and $243 rates need a 12-month plan paid up front with a promo code, and that plan auto-renews
- Prescription isn't guaranteed at RxSpan MD — a provider reviews eligibility after checkout
Strut Health
Semaglutide at $129 a month and tirzepatide at $149 on auto-refill, plus needle-free semaglutide lozenges and tirzepatide tablets for anyone who would rather not inject.
What's good
- Low auto-refill prices at Strut: $129 a month for injectable semaglutide and $149 for injectable tirzepatide
- Needle-free routes on both molecules: a semaglutide lozenge, listed as low as $99 a month on auto-refill, and oral tirzepatide at $199
- Free physician visit, free shipping and free follow-up care included
- Cancel, pause or delay yourself with 48 hours' notice
The fine print
- The FDA issued Strut Health a warning letter in February 2026 — it is on the public FDA warning-letter database
- Strut's prices require auto-refill; a one-off order costs 14% to 21% more
- Strut Health is asynchronous by design, so in many states you never speak to the prescriber
- Strut Health is compounded only, and does not ship to Arkansas
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Neither one the right fit? Every program that outscores RxSpan MD is ranked on the RxSpan MD 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.