Direct Meds vs Strut Health
In our scoring, Strut Health edges ahead overall (8.0 vs 6.4 out of 10), and Strut Health costs less for compounded semaglutide (about $1,776 a year less).
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Key differences
- Price
- Strut Health $149/mo vs Direct Meds $297/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,776 a year less with Strut Health)
- Coverage
- Strut Health 49 states (Direct Meds doesn't publish a state list)
- Included
- Direct Meds: medication, clinician visits, shipping; Strut Health: medication, clinician visits, shipping
Direct Meds
Affiliate partnerLegitScript Certified
semaglutide
$297
Our score 6.4/10
Strut Health
Affiliate partnerBest for oral-lozenge compounded GLP-1 access
semaglutide
$149
Our score 8.0/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Direct Meds
Strut Health
Price
Semaglutide / month
$297/mo
Better on this row: $149/mo
Semaglutide / year (modeled)
$3,564
Better on this row: $1,788
Tirzepatide / month
$399/mo
Better on this row: $199/mo
Tirzepatide / year (modeled)
$4,788
Better on this row: $2,388
Oral semaglutide / month
$249/mo
Better on this row: $99/mo
Oral semaglutide / year (modeled)
$2,988
Better on this row: $1,188
Oral tirzepatide / month
$299/mo
Better on this row: $199/mo
Oral tirzepatide / year (modeled)
$3,588
Better on this row: $2,388
Coverage
State availability
List not published
49 states
Oral option listed
Yes
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
No
Not disclosed
Minimum commitment
3-month prepay
Not disclosed
Refunds
Not disclosed
No refunds once order processed
Early-cancellation fee
Yes
Not disclosed
FDA warning letters
1 warning letter
1 warning letter
Provider facts checked
August 2026
August 2026
Every dose and plan: Direct Meds · Strut Health
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Direct Meds if…
- All-inclusive pricing covers medication, consultations, supplies, and 1–2 day temperature-controlled shipping
- LegitScript Certified
- Named 503A pharmacy partners: CraftedRx (MO) and ChemistryRx (PA)
What to weigh up
- 1 FDA warning letter on record
- About $1,776 a year more than Strut Health for compounded semaglutide
Choose Strut Health if…
- About $1,776 a year less than Direct Meds for compounded semaglutide at standing prices
- Publishes its full state list (49 states)
- Both LegitScript and ACHC accredited — pharmacy oversight most compounded GLP-1 providers don't carry
What to weigh up
- 1 FDA warning letter on record
- Requires a "medical necessity" review, but the criteria aren't published — you can't self-screen before paying for a consult
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Direct Meds
6.4/10
Strut Health
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
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Get started →Direct Meds vs Strut Health: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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