Provider review
Strut Health review
The needle-free route is the cheaper one here, which is backwards in a good way.
The same semaglutide is sold as a sublingual lozenge or a weekly shot, and the lozenge costs less.
Price, exactly as they publish it
Compounded semaglutide from $99/mo sublingual or $149/mo injectable on auto-refill (compounded tirzepatide $199/mo either route)
Semaglutide is prescription-only and compounded semaglutide is not the FDA-approved brand product — decide with a clinician. Prices are as the provider published them when we last checked; confirm current terms before you buy.
How Semawise makes money (plainly)
Here's the honest version: some of the links on this site are affiliate links, routed through the Katalys network. Click one and go on to start a treatment or buy something, and we may earn a commission — without costing you a single penny more. That's what keeps the lights on and the answers free. The part that matters: a commission never buys a softer review, a different price, or kinder pros and cons. What it does buy is position — affiliate partners are listed ahead of providers we have no relationship with, and we say so on each board rather than only here. Want the longer version? It's all in our full disclosure.
The verdict
Strut Health carries the lowest semaglutide figure on this board, and the genuinely unusual part is that its sublingual lozenge is the cheaper of its two routes — almost everywhere else, avoiding the needle costs you more. A physician visit, shipping and follow-up care are bundled rather than billed on the side, and you can pause, delay or cancel yourself with two days notice. The trade-off is contact. The model is asynchronous by design, so in many states you will never speak to your prescriber, there is no published lab or monitoring programme, and the headline figures are auto-refill rates rather than one-off prices.
The trade-off we'd want you to read first
The $99 and $149 figures are auto-refill rates; a one-off order costs more
Who it suits, and who it doesn't
A good fit if
- The injection is the thing that has been stopping you, and a lozenge would actually get you started
- You are paying cash and want the lowest monthly figure available on this board
- You want to pause or stop the plan yourself without a retention phone call
Look elsewhere if
- You want an actual conversation with the prescriber, and in many states there simply is not one
- You want baseline bloodwork and ongoing monitoring; neither is published here
- You live in Arkansas, where it does not operate, or you want to buy one month at a time rather than on auto-refill
How the programme actually works
Asynchronous telehealth: a U.S.-licensed physician reviews an online intake, usually inside a business day, and in many states no phone consultation is required at all. The distinguishing feature is route — the same semaglutide is sold as a sublingual lozenge or a weekly injection, and the lozenge is the cheaper of the two at $99/mo, so choosing the needle-free option costs less rather than more. Free physician visit, free shipping and free follow-up care are bundled instead of billed separately.
At a glance
- Pricing structure
- Varies by dose, plan or tier
- Consult
- Included in the price
- Compounding pharmacy
- Not publicly identified
- Labs
- Not required
- Dietitian support
- Not included
What it does well
- The lowest semaglutide price on this board at $99/mo sublingual, or $149/mo injectable
- Sublingual lozenges as well as injections, with tirzepatide offered on both routes too
- Free online physician visit, free shipping and free follow-up care included
- Cancel, pause or delay a subscription yourself with 48 hours notice
The other trade-offs
- Compounded, not the brand-name product (Wegovy/Ozempic) — matters if you're counting on insurance
- Asynchronous by design — in many states you will never speak to the prescriber
- Not available in Arkansas, and no published lab or monitoring programme
If this one isn't it
If Strut Health is not it, these are not our favourites and they are not the ones that pay the most — each is the provider closest to this one that does better on the axis this one does worst on. The axis is named on every card, with both providers’ own published wording underneath, so you can check the claim rather than take it.
Better on price stability across doses
Oak
Charges the same at every dose, where Strut Health's price moves with the plan or the dose.
- Oak
- One price at every dose
- Strut Health
- Price varies by dose, plan or tier
$119/mo
Oak — price stability across doses: Check OakBetter on pharmacy transparency
Sprout Health
Says more about who compounds and fills the medication than Strut Health does.
- Sprout Health
- Names a 503A compounding pharmacy
- Strut Health
- Pharmacy not publicly identified
Compounded from $149/mo · brand path
Sprout Health — pharmacy transparency: Check Sprout HealthBetter on what's included besides the drug
ShedRx (Shed)
Includes more care in the price than Strut Health does — not just the medication.
- ShedRx (Shed)
- Consult included · Dietitian support
- Strut Health
- Consult included
$199/mo
ShedRx (Shed) — what's included besides the drug: Check ShedRx (Shed)
Any link on this page may earn us a commission if you go on to start care, at no extra cost to you — see our full disclosure. The cards above are chosen by the rule stated at the top of this section, which is computed from published figures and has no access to which providers pay us.
Before you buy
Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as brand-name Wegovy or Ozempic. Whatever you decide, decide it with a clinician who knows your history — and go into that conversation with real numbers.
Where this sits on the board
Strut Health is one of 27 telehealth semaglutide programmes we track. The board puts every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to, rather than only in the small print.
Semaglutide is prescription-only and compounded semaglutide is not the FDA-approved brand product — decide with a clinician. Prices are as the provider published them when we last checked; confirm current terms before you buy.