First month, ask the renewal price · checked Sep 26
Check price for SkinnyRxOn SkinnyRx's site · partner link
Comparison · updated October 25, 2026
SkinnyRx vs Strut Health: SkinnyRx for brand-name or compounded options, Strut Health for compounded medication only
SkinnyRx and Strut Health differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.
Compounded semaglutide lozenge · auto-refill price · checked Oct 2
Check price for Strut HealthOn Strut Health's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
SkinnyRx and Strut Health pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money
Which should you choose, SkinnyRx or Strut Health?
Short answer: Choose SkinnyRx if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.
Choose SkinnyRx if
- you want brand-name medicine as an option
- you put weight on customer ratings (4.8 on Trustpilot against 3.5)
Strut Health is best for
Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.
The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.
By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
SkinnyRx vs Strut Health side by side
| SkinnyRx | Strut Health | |
|---|---|---|
| Price | $99First month, ask the renewal price | from $99/mo |
| Medicine | Brand-name and compounded | Compounded only |
| Needle-free option | BothYes, a pill or other oral form | |
| Insurance | BothNo insurance listed | |
| Consultation | Included | Included (async consultations) |
| Shipping | Free (overnight on all orders) | Free |
| Where it ships | 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states | 49 states, all except Arkansas, per Strut's FAQ shipping answer dated September 2024; it adds that certain medications are not available in every state |
| Trustpilot | 4.8 / 5 across 4,100 reviews | 3.5 / 5 across 782 reviews |
| BBB rating | Not tracked | D- (not accredited; checked October 8, 2026) |
| Our score | 5/10 Mixed | 6.5/10 Fair |
| Assessment limits | Checked Oct 16, 2026; a rating claim didn't match Trustpilot. | Checked Oct 16, 2026. |
What SkinnyRx and Strut Health plans cost
SkinnyRx
A four-product compounded menu with separate injection and dissolving-tablet pages for semaglutide and tirzepatide. Compare the exact formulation, introductory bill and renewal terms; the different routes are not established as clinically equivalent.
- Compounded Semaglutide (injectable)$99Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
- Compounded Semaglutide (tablets)$149Oral dissolving tablet, quoted at $149 for the first month. Confirm the exact dispensing directions and later bill; merchant guidance differs on placement.
- Compounded Tirzepatide (injectable)$99Once-weekly tirzepatide injection, a GLP-1 and GIP dual agonist, quoted at $99 for the first month on its product page.
All 4 SkinnyRx plans
- Compounded Tirzepatide (tablets)$199Oral dissolving tablet, quoted at $199 for the first month. Confirm the exact dispensing directions and later bill; this is not an FDA-approved oral tirzepatide product.
How SkinnyRx bills
$99 is a first month rate quoted on the compounded semaglutide and tirzepatide injection product pages. SkinnyRx does not publish a month two price; its terms say the renewal rate is described during checkout.
We checked SkinnyRx's prices on September 26, 2026.
Strut Health
Compounded oral semaglutide buccal lozenge from $99/mo on auto-refill, with separate oral tirzepatide and injection options; each needs clinical approval.
- Oral Compounded Semaglutide (buccal lozenge)$99Advertised auto-refill starting price; dissolves in the cheek, not a swallowed FDA-approved tablet
- Oral Compounded Tirzepatide (buccal lozenge)$199Advertised $199 for a 30-day supply on subscription; compounded lozenge dissolved between cheek and gum. Consultations and shipping included; confirm the final price and renewal charge.
- Injectable Semaglutide (auto-refill)$129Advertised from $129 for a monthly vial, including consultations and shipping. Confirm the prescribed product's final price, exact billing cycle and renewal charge.
All 5 Strut Health plans
- Injectable Tirzepatide (auto-refill)$219Official product page advertises from $219 for a monthly vial on auto-refill, including consultations and shipping. Medical necessity required; confirm the final price, exact billing cycle and renewal charge.
- PeptideVite (GLP-1 support supplement, 30-day supply)$46.99Separate optional dietary supplement, not a GLP-1 medication. Advertised $46.99 for a 30-day supply on auto-refill, with free shipping.
How Strut Health bills
As low as, auto-refill
We checked Strut Health's prices on October 2, 2026.
What to watch for with SkinnyRx and Strut Health
SkinnyRx
- Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
- SkinnyRx names its medical director, Sajad Zalzala, M.D., and names AyaRx as the telemedicine partner behind its medical services, but it does not name the compounding pharmacy that fills prescriptions and it publishes no founders or executive team.
SkinnyRx's strengths, cautions and terms
Strengths
- Four product-specific options to discuss with a clinician: semaglutide or tirzepatide, each as an injection or a dissolving tablet
- $99 for the first month on both the compounded semaglutide and the compounded tirzepatide injection, quoted on each product page, among the lowest entry rates in the compounded segment
- Fast onboarding: a short online intake, a prescription within 24 hours where no video visit is required, and free overnight shipping on all orders with tracking within 2 business days
- A public Trustpilot profile provides service feedback to read alongside the FDA record and the written billing terms; those reviews do not establish tablet effectiveness
More to watch for
- Cash-pay only, does not bill commercial insurance, Medicare, or Medicaid. HSA/FSA payments are accepted, which is the main way to soften the cost.
- Independent reviews flag inconsistent customer-service responsiveness, a real consideration since titration support and dose adjustments run through chat
- FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded GLP-1s. It is a labeling/marketing record, not an unsafe-medication finding
- Medicines listed
- Semaglutide (compounded, injectable)
- Wegovy Pill (brand-name oral semaglutide, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Foundayo Pill (brand-name orforglipron, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Semaglutide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Tirzepatide (compounded, injectable)
- Tirzepatide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free (overnight on all orders)
- States
- 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states
- Cancellation
- The September 22 terms allow renewal processing up to five days before the next period and require cancellation at least five days before the applicable renewal-processing date. They include non-refundable fees, return-before-refund conditions and possible reversal of promotional discounts. Product FAQs use simpler cancellation/refund wording. Ask support for the exact deadline, refund eligibility and any return requirement in writing before paying; canceling is not a guaranteed refund.
Strut Health
- 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
Strut Health's strengths, cautions and terms
Strengths
- A needle-free compounded semaglutide buccal lozenge is available if a clinician determines it is appropriate
- Advertised options: oral semaglutide from $99 for a 30-day supply, injectable semaglutide from $129 for a monthly vial, oral tirzepatide from $199 for 30 days and injectable tirzepatide from $219 for a monthly vial; confirm the selected product's final price and renewal charge
- Current semaglutide product pages include physician consultations and free shipping in the advertised price
- Simple enrollment: online questionnaire, async provider review, medication shipped to your door
- Medicines listed
- Semaglutide (compounded oral buccal lozenge)
- Tirzepatide (compounded oral buccal lozenge)
- Semaglutide (compounded injectable, auto-refill)
- Tirzepatide (compounded injectable, auto-refill)
- PeptideVite GLP-1 support supplement
- Insurance
- No insurance support listed
- Consultation
- Included (async consultations)
- Shipping
- Free
- States
- 49 states, all except Arkansas, per Strut's FAQ shipping answer dated September 2024; it adds that certain medications are not available in every state
- Cancellation
- Request cancellation at least 48 hours before the next order's processing date. No cancellation refund once the pharmacy has processed the order, and no medication returns or refunds after it leaves the pharmacy. Confirm the processing date and keep written cancellation confirmation.
Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.
SkinnyRx vs Strut Health: common questions
Is SkinnyRx or Strut Health cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- SkinnyRx$99first month, ask the renewal price
- Strut Healthfrom $99/mostarting price
Which is better, SkinnyRx or Strut Health?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
SkinnyRx lists brand-name and compounded medication, and Strut Health lists compounded medication only.
Do SkinnyRx and Strut Health offer brand-name medication?
SkinnyRx lists brand-name and compounded medication, and Strut Health lists compounded medication only.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do SkinnyRx and Strut Health take insurance?
Neither SkinnyRx nor Strut Health lists insurance support.
Where these facts come from
SkinnyRx:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our SkinnyRx review
Strut Health:prices checked October 2, 2026, score evidence assessed October 16, 2026.Read our Strut Health review
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- Compare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
- Compare tirzepatide providers and pricesReview provider options, price units and treatment context across the wider tirzepatide market.
Before you sign up, read our trust checks: is SkinnyRx legit and is Strut Health legit.
SkinnyRx reviewStrut Health reviewAll comparisonsFind your match