Strut Health vs Willow
In our scoring, Strut Health edges ahead overall (8.0 vs 7.2 out of 10), and Strut Health costs less for compounded semaglutide (about $1,800 a year less).
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Key differences
- Price
- Strut Health $149/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,800 a year less with Strut Health)
- Coverage
- Strut Health 49 states; Willow 36 states (only Strut Health: Alabama, Alaska, Delaware and 10 more)
- Included
- Strut Health: medication, clinician visits, shipping; Willow: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: Strut Health 1, Willow none
Strut Health
Affiliate partnerBest for oral-lozenge compounded GLP-1 access
semaglutide
$149
Our score 8.0/10
Willow
Affiliate partnerBest for needle-free compounded semaglutide or tirzepatide tablets
semaglutide
$299
Our score 7.2/10
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.
Strut Health
Willow
Price
Semaglutide / month
Better on this row: $149/mo
$299/mo
Semaglutide / year (modeled)
Better on this row: $1,788
$3,588
Tirzepatide / month
Better on this row: $199/mo
$399/mo
Tirzepatide / year (modeled)
Better on this row: $2,388
$4,788
Oral semaglutide / month
Better on this row: $99/mo
$299/mo
Oral semaglutide / year (modeled)
Better on this row: $1,188
$3,588
Oral tirzepatide / month
Better on this row: $199/mo
$399/mo
Oral tirzepatide / year (modeled)
Better on this row: $2,388
$4,788
Coverage
State availability
49 states
36 states
Oral option listed
Yes
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
FSA/HSA accepted
Not listed
Yes
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Not disclosed
Yes
Minimum commitment
Not disclosed
Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'
Refunds
No refunds once order processed
'If you cancel before your prescription is sent to the pharmacy, you'll receive a full refund within 5-10 business days.' Terms: 'charges are non-refundable once incurred' and prescription products 'are not returnable'.
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
August 2026
October 2026
Show where they differ by stateHide state lists
Only Strut Health (13 states)
- Alabama
- Alaska
- Delaware
- Kansas
- Louisiana
- Mississippi
- New Mexico
- North Dakota
- Rhode Island
- South Dakota
- Utah
- Vermont
- West Virginia
Every dose and plan: Strut Health · Willow
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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 Strut Health if…
- About $1,800 a year less than Willow for compounded semaglutide at standing prices
- Serves 13 states that Willow doesn't
- 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
Choose Willow if…
- No FDA warning letters on record (Strut Health has 1)
- Accepts FSA/HSA cards
- All-in plan price covers the medication, doctor evaluation, unlimited doctor messaging and shipping
What to weigh up
- About $1,800 a year more than Strut Health for compounded semaglutide
- Not available in 13 states that Strut Health serves
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Strut Health
8.0/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →From $219/mo
Get started →Strut Health vs Willow: 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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