Compounded semaglutide or tirzepatide, injection or lozenge.

Strut Health costs $149 a month, with auto-refill

No insurance needed. A US-licensed physician reviews your form and a licensed pharmacy fills the prescription.

Prices checked September 21, 2026 against the published pricing at Strut Health. How we check

7.4
OUT OF 10
Check price

You pick Weight Loss, then a five-minute online visit

Strut Health's compounded semaglutide is $149 a month all in with auto-refill, medication included and no membership. Checked September 21. We log every price change on this page.

Verdict

One of the cheapest compounded options in the US. The shot is $149 a month. Strut also sells a lozenge you hold in your mouth, so you can skip the needle. That one is $99 a month. There is no membership.

Pros

  • The lozenge is $99/mo on auto-refill and the semaglutide shot is $149/mo.
  • There is no membership fee. The consult and the shipping are in the price.
  • A lozenge for people who cannot use a needle.
  • Three days to a first prescription, from a form. There is no video visit and there are no labs.

Cons

  • No published study compares how much drug the lozenge delivers against the shot.
  • You cannot sign up if you live in Arkansas.
Best for

People who want the lowest cash price on the chart, or a route without a needle.

Not for

Anyone who wants brand-name semaglutide the FDA has approved, or care billed to a health plan.

What you pay

There is no membership. The consult and shipping are in the price.

Injectable semaglutide (auto-refill): $149/mothe price we rank on The medication is in that price.Oral lozenge: $99/mo (needs a written medical reason you cannot use a needle)
Signup / one-timeNone
Membership / subscriptionNone
Injectable semaglutide (auto-refill)$149/mothe price we rank on
Oral lozenge, entry dose (auto-refill)$99/moneeds a written medical reason you cannot use a needle
InsuranceNot needed, cash price only
What you pay a month, everything in$149/mo

We read struthealth.com on September 19, 2026.

Price since we started tracking

$149/mo, held flat across 14 weekly checks since May 2026. See the full price tracker.

The GLP-1 cost guide has what every other path costs.

Lock-in and how to cancel

  • Cancel anytime

Stop the auto-refill any time. There is nothing to pay up front.

Which drugs you can get

US-licensed compounding pharmacies with FDA-licensed ingredient sources. Compounded products are not FDA-approved for safety or efficacy.

About compounded GLP-1 in 2026.

A compounded GLP-1 is made by a licensed compounding pharmacy to a prescription; the FDA does not review it for safety, effectiveness or quality, and its formulation, including the salt form, can differ from the approved drug. Confirm the active ingredient and the pharmacy with the prescriber. What compounded means, in full.

FDA-approved branded

  • None offered

Compounded

  • Sublingual semaglutide lozenges
  • Injectable compounded semaglutide
  • Injectable compounded tirzepatide

Other medications

  • None offered

The drug comparison table covers semaglutide vs tirzepatide on cost, side effects, and clinical evidence side by side.

Where it's compounded

PharmacyNot publicly disclosed
Regulatory model503A (state-licensed, patient-specific prescriptions)
AccreditationStates a 'PCAB-accredited partner'
DisclosureNot publicly disclosed

For background on 503A vs 503B regulation and how to vet a compounding pharmacy, see Which pharmacy compounds your GLP-1, and why it matters.

How long it takes to start

Days to your first prescription: 3 days.
Visit type: Async questionnaire reviewed by US-licensed physician.
What they ask for: Health history, weight, no in-person visit needed.

Is Strut Health legit?

Yes. It is run by a company founded in 2018 and based in San Francisco, CA. Licensed US clinicians write the prescriptions.

Strut Health reviews

Strut Health holds a 3.5 out of 5 rating on Trustpilot from 778 reviews. GLP Chart scores it 7.4 out of 10. How we scored it.

Solid niche program with the most affordable cash-pay compounded entry in the category.

What works

  • Lowest entry price for compounded semaglutide
  • Convenient lozenge format
  • Transparent flat pricing

What to watch

  • Limited customer service hours
  • No insurance integration

How we scored Strut Health

Five parts, ten points each. The score is the average.

9
How clear
the price is
9
How easy
it is to cancel
7
How fast
you start
5
What drugs
you can get
7
What members
say

How this score was earned

How clear the price is 9/10
Source: struthealth.com/mens-weight-loss/injectable-semaglutide, read from the program's own published materials. Checked September 21, 2026.
How easy it is to cancel 9/10
Source: the program's published cancellation and refill terms. Checked September 21, 2026.
How fast you start 7/10
Source: the published intake and consultation pages. Checked September 21, 2026.
What drugs you can get 5/10
Source: the program's published medication list and sourcing statement. Checked September 21, 2026.
What members say 7/10
Source: Trustpilot, 3.5 out of 5. See the profile.

Read how we check a price and keep the receipt →

Ready to start with Strut Health?Check price

Frequently asked questions

Is Strut Health a scam?
No. We found no evidence that Strut Health is a scam. It is a functioning telehealth program with real medication and a published cancellation policy.
Are the sublingual lozenges as effective as injections?
Nobody has shown that a lozenge gets as much of the drug into you as a shot does. Strut sells it as a way to skip the needle for people who cannot take one.
Is there a membership fee?
No. The monthly price covers the consult, the drug and the shipping. Nothing else is billed.
Can I use HSA/FSA?
Yes. Strut takes HSA and FSA cards for the drug and the consult.

Three programs to consider next

See the full chart →

Read before you sign up

Why you can trust GLP Chart. Same scoring framework applied to every program. No paid placements. We never remove unfavorable information at an advertiser's request. Pricing is pulled from each program's public-facing page every Monday.