RxSpan MD vs Strut Health
In our scoring, RxSpan MD edges ahead overall (8.1 vs 8.0 out of 10), and Strut Health costs less for compounded semaglutide (about $1,200 a year less).
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Key differences
- Price
- Strut Health $149/mo vs RxSpan MD $249/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,200 a year less with Strut Health)
- Coverage
- RxSpan MD 50 states; Strut Health 49 states (only RxSpan MD: Arkansas)
- Included
- RxSpan MD: medication, clinician visits, shipping, coaching; Strut Health: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: RxSpan MD none, Strut Health 1
RxSpan MD
Affiliate partnerBest for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options
semaglutide
$249
Our score 8.1/10
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.
RxSpan MD
Strut Health
Price
Semaglutide / month
$249/mo
Better on this row: $149/mo
Semaglutide / year (modeled)
$2,988
Better on this row: $1,788
Tirzepatide / month
$329/mo
Better on this row: $199/mo
Tirzepatide / year (modeled)
$3,948
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
$349/mo
Better on this row: $199/mo
Oral tirzepatide / year (modeled)
$4,188
Better on this row: $2,388
Brand Wegovy / Ozempic / month
$1,299/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,069/mo
Not listed
Coverage
State availability
50 states
49 states
Oral option listed
Yes
Yes
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping, coaching
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Not disclosed
Minimum commitment
None
Not disclosed
Refunds
Not disclosed
No refunds once order processed
Early-cancellation fee
None
Not disclosed
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 RxSpan MD (1 state)
- Arkansas
Every dose and plan: RxSpan MD · 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 RxSpan MD if…
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Strut Health doesn't price
- Serves Arkansas, where Strut Health doesn't
- No FDA warning letters on record (Strut Health has 1)
What to weigh up
- About $1,200 a year more than Strut Health for compounded semaglutide
- Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
Choose Strut Health if…
- About $1,200 a year less than RxSpan MD for compounded semaglutide at standing prices
- 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.
RxSpan MD
8.1/10
Strut Health
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →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
Get started →RxSpan MD 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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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.