Midi Health vs Strut Health
In our scoring, Strut Health edges ahead overall (8.0 vs 7.0 out of 10), and Strut Health costs less for compounded semaglutide (about $369 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).
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Key differences
- Price
- Strut Health $149/mo vs Midi Health $165.90/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $369 a year less with Strut Health · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Coverage
- Midi Health 50 states; Strut Health 49 states (only Midi Health: Arkansas)
- Included
- Midi Health: not stated; Strut Health: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: Midi Health none, Strut Health 1
Midi Health
Affiliate partnerBest for menopause-focused care with GLP-1 as a metabolic adjunct
semaglutide
$165.90
billed every 4 weeks
Our score 7.0/10

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.
Midi Health
Strut Health
Price
Semaglutide / month
$165.90/mo
billed every 4 weeks
Better on this row: $149/mo
Semaglutide / year (modeled)
$2,157
13 charges
Better on this row: $1,788
Tirzepatide / month
$210/mo
billed every 4 weeks
Better on this row: $199/mo
Tirzepatide / year (modeled)
$2,730
13 charges
Better on this row: $2,388
Oral semaglutide / month
$164/mo
billed every 4 weeks
Better on this row: $99/mo
Oral semaglutide / year (modeled)
$2,132
13 charges
Better on this row: $1,188
Oral tirzepatide / month
$209/mo
billed every 4 weeks
Better on this row: $199/mo
Oral tirzepatide / year (modeled)
$2,717
13 charges
Better on this row: $2,388
Coverage
State availability
50 states
49 states
Oral option listed
Yes
Yes
Included in the price
Not disclosed
Medication, clinician visits, shipping
Terms & safety
Price shown
Plan quoted after intake; a price is published
Before intake
Video visit
Required
Not disclosed
Refunds
Not disclosed
No refunds once order processed
FDA warning letters
Better on this row: None on record
1 warning letter
Provider facts checked
August 2026
August 2026
Show where they differ by stateHide state lists
Only Midi Health (1 state)
- Arkansas
Every dose and plan: Midi Health · 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 Midi Health if…
- Serves Arkansas, where Strut Health doesn't
- No FDA warning letters on record (Strut Health has 1)
- Accepts commercial insurance — a differentiator vs cash-pay-only GLP-1 telehealth
What to weigh up
- About $369 a year more than Strut Health for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Does not accept Medicare, Medicaid, or Medi-Cal

Choose Strut Health if…
- About $369 a year less than Midi Health for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Both LegitScript and ACHC accredited — pharmacy oversight most compounded GLP-1 providers don't carry
- Auto-refill pricing saves 13–21% vs one-off orders
What to weigh up
- 1 FDA warning letter on record
- Not available in Arkansas
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Midi Health
7.0/10
Strut Health
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $139/mo
Get started →From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Midi Health 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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