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

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: Strut Health scores higher on our rubric, 6.2/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit Strut Health - our pick of these two →or find your match

Strut Health beats SkinnyRx overall, scoring 6.2/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is from $199/mo; Strut Health is from $99/mo. Choose SkinnyRx for users who want flexibility in compounded glp-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point. Choose Strut Health for users who prefer a needle-free oral semaglutide option at a reasonable price.

A side-by-side look at SkinnyRx 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

SkinnyRx

#48 of 54

5.3/10

Direct-to-consumer telehealth platform offering compounded GLP-1 medications across five formats, injectable and sublingual semaglutide, semaglutide tablets, and tirzepatide as either injectable or tablets. Operated by Lean Rx, Inc. (Sacramento, CA). Compounded only, does not prescribe brand-name Wegovy/Zepbound/Ozempic/Mounjaro. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.

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Higher Rated

Strut Health

#43 of 54

6.2/10

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

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Feature	SkinnyRx	Strut Health
Why each one	The broadest compounded-GLP-1 menu in DTC telehealth, five medication formats including the uncommon sublingual semaglutide and even rarer oral tirzepatide tablets. Most competitors offer one or two formats; SkinnyRx covers every administration route a compounded patient might prefer.	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 Score	5.3/10	6.2/10
Headline Price	from $199/mo	from $99/mo
Medication Type	Compounded	Compounded
Insurance Accepted	No	No
Best For	Users who want flexibility in compounded GLP-1 medication format (injectable, sublingual, or tablet) at a mid-tier price point	Users who prefer a needle-free oral semaglutide option at a reasonable price
Watch out for	No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere	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	#48	#43
Get started	Visit SkinnyRx	Visit Strut Health

Pros & Cons Compared

SkinnyRx

Pros

+Five medication formats, the broadest compounded-GLP-1 menu in DTC telehealth, including the rare oral tirzepatide tablet that almost no competitor offers
+$199/mo entry price for both injectable and sublingual semaglutide is competitive in the mid-tier compounded segment
+Fast onboarding: 5-10 minute online questionnaire, physician review in 24-48 hours, medication delivered in 3-7 business days with temperature-controlled shipping
+4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category

Cons

−No brand-name FDA-approved options (Wegovy, Zepbound, Ozempic, Mounjaro), so patients who want or need an FDA-approved finished product should buy elsewhere
−Light public disclosure: founders, executive team, medical director, and specific compounding-pharmacy partners are not named on the public site, ask support before enrolling if provenance matters to you
−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

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 ($149 to $199/mo) 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

Strut Health edges out SkinnyRx with a score of 6.2/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: SkinnyRx is from $199/mo; Strut Health is from $99/mo.