Novi vs Strut Health: Which GLP-1 Provider Is Better?

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

Short answer: Novi scores higher on our rubric, 7.8/10 against 6.2/10. Full reasoning, pricing and the cases where the other one wins are below.

Novi beats Strut Health overall, scoring 7.8/10 vs 6.2/10. Published pricing is not a like-for-like monthly comparison: Novi is from $88/mo; Strut Health is from $99/mo. Choose Novi for cash-pay patients who want compounded semaglutide or tirzepatide at a low monthly rate and can accept a three-month commitment charged upfront. Choose Strut Health for users who prefer a needle-free oral semaglutide option at a reasonable price.

A side-by-side look at Novi and Strut Health to help you decide. We compare them on:

  • Starting price per month
  • Our overall score, out of 10
  • Medication type, brand-name or compounded
  • Whether they accept insurance
  • Who each one is best for
Higher Rated

Novi

#8 of 54
7.8/10

Telehealth platform for compounded semaglutide and tirzepatide that also lists brand-name Mounjaro, Ozempic, Wegovy and Zepbound in stock from $1500. Pricing is published per billing cycle on the product pages: compounded semaglutide at $149 for one month, $130 for three, $129 for six and $88 for twelve; compounded tirzepatide at $179, $149, $133 and $129 across the same cycles. The monthly price covers the consultation, medication, supplies, shipping and unlimited physician messaging, and it does not change with the dose. The homepage advertises "Cancel anytime", but the terms of service require a minimum three-month commitment charged upfront and called non-refundable.

Visit Novi

Strut Health

#38 of 54
6.2/10

Oral-focused GLP-1 provider offering needle-free semaglutide options for users who prefer pills over injections.

Visit Strut Health
FeatureNoviStrut Health
Why each oneOne of the cheapest published compounded rates in the category, $88/mo for semaglutide and $129/mo for tirzepatide on a twelve-month cycle, on a site that also stocks brand-name Mounjaro, Ozempic, Wegovy and Zepbound from $1500. The price is real. So is the three-month commitment charged upfront that the homepage does not mention.
Needle-free first: oral compounded semaglutide from $99/mo, one of the lowest oral entry prices anywhere, with oral tirzepatide and auto-refill injectables on the same platform if you switch.
Our Score7.8/106.2/10
Headline Pricefrom $88/mofrom $99/mo
Medication TypeBothCompounded
Insurance AcceptedNoNo
Best ForCash-pay patients who want compounded semaglutide or tirzepatide at a low monthly rate and can accept a three-month commitment charged upfront
Users who prefer a needle-free oral semaglutide option at a reasonable price
Watch out forThe homepage advertises "Cancel anytime" and "No monthly membership", but the terms of service require a minimum three-month commitment with all three months charged at purchase and called non-refundable
Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral tablets, so their absorption and weight-loss results versus approved injections are unknown.
Ranking#8#38
Get startedVisit NoviVisit Strut Health

Pros & Cons Compared

Novi

Pros

  • +Compounded and brand-name GLP-1s in one catalogue: compounded semaglutide and tirzepatide with published rates, plus Mounjaro, Ozempic, Wegovy and Zepbound listed in stock from $1500
  • +Serves all 50 states and Washington DC, with a short video or audio visit required only in Kansas, Louisiana, Mississippi, New Mexico and West Virginia
  • +Per cycle prices are printed on the product pages instead of hidden behind the quiz: compounded semaglutide at $149 for one month, $130 for three, $129 for six and $88 for twelve
  • +Unlimited physician messaging, follow-ups and dose adjustments through the online portal, with consultation, supplies and shipping included in the monthly price and the same price at every dose
  • +Free 2-day shipping; Novi markets compounded semaglutide and tirzepatide, which are not FDA-approved brands or generics and are not established as equivalent to Wegovy, Ozempic, Mounjaro, or Zepbound
  • +On-time refills shipped every 28 days after a short check-in, with free discreet delivery quoted at two to three business days on the product pages

Cons

  • The homepage advertises "Cancel anytime" and "No monthly membership", but the terms of service require a minimum three-month commitment with all three months charged at purchase and called non-refundable
  • The only address Novi shows is a Sheridan, Wyoming mailing suite used by large numbers of registered LLCs, the terms name Novi International LLC in one place and Novi Health LLC in the arbitration clause, and no founding year is shown on its terms, privacy or FAQ pages (rendered check 2026-09-03)
  • The cheapest advertised rates need the longest billing cycle: compounded semaglutide is $88/mo on the twelve-month cycle but $149/mo on the one-month cycle, and compounded tirzepatide runs $129/mo to $179/mo the same way
  • The refund policy says Novi is "unable to accept returns", while the product pages advertise a Progress Promise full refund and point to the terms of service for the details; "Progress Promise" is not shown anywhere on that terms page (rendered check 2026-09-03)
  • Lab requirements before prescribing are not disclosed on public pages, unclear whether baseline bloodwork is required
  • The headline price on the homepage changes with screen width, $133/mo on a desktop and $99/mo on a phone at the same address, and it sits beside a countdown that restarts on every page load

Strut Health

Pros

  • +Specializes in oral compounded semaglutide, the go-to for patients who absolutely won't do injections
  • +Needle-free oral semaglutide tablets from $99/mo, one of the lowest oral entry prices in the table, with oral tirzepatide ($199/mo) and auto-refill injectables at a flat $149/mo for either semaglutide or tirzepatide if you switch formats
  • +Clear educational content about oral semaglutide absorption and how to maximize effectiveness
  • +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 tablets, 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

Novi edges out Strut Health with a score of 7.8/10 vs 6.2/10. Published pricing is not a like-for-like monthly comparison: Novi is from $88/mo; Strut Health is from $99/mo. Novi offers both brand-name and compounded medications, giving you more flexibility.

Try Novi

Headline price: from $88/mo

Visit Novi

Try Strut Health

Headline price: from $99/mo

Visit Strut Health

Related comparisons

More head-to-head comparisons involving Novi and Strut Health.

Not comparing, just asking? Quick answers to the most-asked GLP-1 questions →

Not sure which one is right for you?

Answer a few quick questions and we'll match you to the best GLP-1 provider for your needs. Or keep exploring below.

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