Independent provider comparison

Updated October 2, 2026

Strut Health vs Willow: 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, Strut Health or Willow?

Short answer: Willow scores higher on our published rubric, 7.5/10 against 6.2/10. Published pricing is not a like-for-like monthly comparison: Strut Health is from $99/mo; Willow is from $299/mo.

Consider Strut Health if

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

Consider Willow if

Users who want comprehensive clinical support with a needle-free daily tablet option on both semaglutide and tirzepatide.

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

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
Higher Rated
Willow logo

Willow

#10 of 36
7.5/10

Best for users who want comprehensive clinical support with a needle-free daily tablet option on both semaglutide and tirzepatide.

Visit Willow

Side by side

Strut Health vs Willow 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.

FeatureStrut HealthWillow
Why each oneCompounded oral semaglutide buccal lozenge from $99/mo on auto-refill, with separate oral tirzepatide and injection options; each needs clinical approval.
A compounded program with separate semaglutide and tirzepatide dissolving tablets, plus a combination tablet. The format choice may suit a reader who wants to discuss needle-free treatment with a clinician; it does not establish equivalence to an approved pill or injection.
Our Score6.2/107.5/10
Headline Pricefrom $99/mofrom $299/mo
Medication TypeCompoundedCompounded
Insurance AcceptedNoNo
Best ForEligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge
Users who want comprehensive clinical support with a needle-free daily tablet option on both semaglutide and tirzepatide
Watch out forCompounded 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-only, no brand-name Wegovy or Zepbound through the platform
Ranking#23#10
Get startedVisit Strut HealthVisit Willow

Trade-offs

Strengths and cautions compared

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

Willow

Pros

  • +Includes monthly provider check-ins and dose adjustments at no extra cost
  • +Compounded daily dissolving tablets for semaglutide and tirzepatide, offering a needle-free format to discuss with the prescriber
  • +$299/mo covers compounded semaglutide at the starting doses, injectable or tablet, with monthly provider support and no separate consultation fee
1 more documented strengths
  • +A US licensed doctor reviews and confirms the prescription the same day, and two-day shipping is free, both stated on the product pages (verified 2026-09-03)

Cons

  • −Compounded-only, no brand-name Wegovy or Zepbound through the platform
  • −Both headline prices are floors. Tirzepatide starts at $399/mo against $299 for semaglutide, and on the help center pricing article maintenance tirzepatide injections run $499/mo from 8.5 mg, $524/mo at 13.5 mg and $549/mo at 17 mg (checked 2026-09-03)
  • −Cash-pay only. Willow does not bill insurance. You pay with an HSA or FSA card at checkout, or pay out of pocket and submit receipts to your insurer yourself, with reimbursement depending on your plan and deductible (checked 2026-09-03)
1 more documented cautions
  • −The program auto-renews, and a cancellation has to reach the care team at least two business days before the next processing date to stop a charge. A full refund only applies if you cancel before the prescription goes to the pharmacy, and the informed consent page says orders cannot be cancelled, returned or refunded once shipped (checked 2026-09-03)

Our Verdict

Willow edges out Strut Health with a score of 7.5/10 vs 6.2/10. Published pricing is not a like-for-like monthly comparison: Strut Health is from $99/mo; Willow is from $299/mo.

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

Try Willow

Headline price: from $299/mo

Visit Willow

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