Independent provider comparison

Updated October 2, 2026

MEDVi vs Strut Health: Which GLP-1 provider is better?

A side-by-side look at total cost, medication format, care, commitment and the situations where each option makes more sense.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
36 providers verified independently·Independent researchHow we rank →

The decision

Which should you choose, MEDVi or Strut Health?

Short answer: Strut Health scores higher on our published rubric, 6.2/10 against 5.7/10. Published pricing is not a like-for-like monthly comparison: MEDVi is $179 first month, then $299/mo; Strut Health is from $99/mo.

Consider MEDVi if

Users who want both oral and injectable compounded options in one telehealth program.

Consider Strut Health if

Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.

Scores follow our published methodology. Partnership status does not change the score or the factual comparison.

Cost

First charge, renewal and commitment

Treatment

Medication, form and approval status

Care

Clinical review and ongoing support

Terms

Cancellation and material cautions

MEDVi logo

MEDVi

#25 of 36
5.7/10

Best for users who want both oral and injectable compounded options in one telehealth program.

Visit MEDVi
Higher Rated
Strut Health logo

Strut Health

#23 of 36
6.2/10

Best for eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.

Visit Strut Health

Side by side

MEDVi vs Strut Health at a glance

Compare the price unit as well as the number. A medication-only price, prepaid monthly equivalent and complete recurring program are not the same thing.

FeatureMEDViStrut Health
Why each oneA daily dissolvable GLP-1 tablet and a weekly compounded injection in one program, plus brand-name Wegovy and Zepbound on a $99 membership.
Compounded oral semaglutide buccal lozenge from $99/mo on auto-refill, with separate oral tirzepatide and injection options; each needs clinical approval.
Our Score5.7/106.2/10
Headline Price$179 first month, then $299/mofrom $99/mo
Medication TypeBothCompounded
Insurance AcceptedNoNo
Best ForUsers who want both oral and injectable compounded options in one telehealth program
Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge
Watch out forFDA warning letter #721455, issued February 20, 2026, cites misleading labeling and marketing that implied MEDVi compounded the drugs and that compounded products were equivalent to or FDA-evaluated like approved brands. The letter does not allege unsafe medication
Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral lozenges, so their absorption and weight-loss results versus approved injections are unknown.
Ranking#25#23
Get startedVisit MEDViVisit Strut Health

Trade-offs

Strengths and cautions compared

MEDVi

Pros

  • +One of the few compounded providers offering both oral tablets and injectable semaglutide
  • +The landing page says the program is HSA and FSA eligible and includes dietician visits and care coaching, with a footnote making that subject to insurance and copay eligibility
  • +Sleek onboarding experience with clear progress tracking through their patient portal
1 more documented strengths
  • +$179 covers the first month of compounded semaglutide on MEDVi's landing page, including physician review, the personalized plan, medication and free shipping

Cons

  • −FDA warning letter #721455, issued February 20, 2026, cites misleading labeling and marketing that implied MEDVi compounded the drugs and that compounded products were equivalent to or FDA-evaluated like approved brands. The letter does not allege unsafe medication
  • −Its third-party records conflict: 4.3 out of 5 across 14,680 Trustpilot reviews with 12 percent of them at one star, against an F and no accreditation at the BBB
  • −The $179 semaglutide price covers month one only; the FAQ on MEDVi's own landing page says refills are locked in at $299 a month, making the first year $3,468 rather than $2,148
2 more documented cautions
  • −Brand-name Wegovy and Zepbound paths add a $99 membership plus a medication cost the page does not publish, and the same page's hero says "No membership or hidden fees!" directly above those cards; availability is subject to change
  • −No insurance accepted, and oral compounded semaglutide has less clinical data than injectable forms

Strut Health

Pros

  • +A needle-free compounded semaglutide buccal lozenge is available if a clinician determines it is appropriate
  • +Published auto-refill options: oral semaglutide from $99/mo, injectable semaglutide from $129/mo, injectable tirzepatide from $149/mo and oral tirzepatide from $199/mo; confirm the selected plan at checkout
  • +Current semaglutide product pages include physician consultations and free shipping in the advertised price
1 more documented strengths
  • +Simple enrollment: online questionnaire, async provider review, medication shipped to your door

Cons

  • −Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral lozenges, so their absorption and weight-loss results versus approved injections are unknown.
  • −Compounded oral semaglutide is not FDA-approved as a finished product or established as bioequivalent to approved oral or injectable semaglutide; do not infer equivalent dosing or results

Our Verdict

Strut Health edges out MEDVi with a score of 6.2/10 vs 5.7/10. Published pricing is not a like-for-like monthly comparison: MEDVi is $179 first month, then $299/mo; Strut Health is from $99/mo. MEDVi offers both brand-name and compounded medications, giving you more flexibility.

Keep narrowing the decision

What should you compare next?

Use the unresolved part of this choice, not a generic related article. These guides own the broader medication, coverage or complete-cost question.

Try Strut Health

Headline price: from $99/mo

Visit Strut Health

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Still working out whether either one is above board? We check that separately: is MEDVi legit and is Strut Health legit, with the verification evidence behind each answer.