Compounded semaglutide

Strut Health review

By ·Editor·Reviewed

Strut Health sells injectable semaglutide for $129 a vial on its auto-refill plan, and one vial is a monthly supply of weekly shots. Physician visits, follow-ups and shipping cost nothing extra. You're only charged for the medication if a Strut physician decides it's appropriate.

A real month costs$12940 of 379 by price
EvidenceVerified
Billing cyclemonthly
Price across dosesClimbs with the dose
Where it ships49 states
FDA warning letterOne on filestill listed here
Visit Strut Health →We earn a commission if you start care through this link, at no extra cost to you.

Visit Strut Health →We earn a commission if you start care through this link, at no extra cost to you.

On this page

Is it right for you?

Worth a look if

  • You're new to injections and want a physician to coach you on technique and dose increases in the first weeks.
  • You want to message your provider whenever a question comes up, at no added cost.
  • You might switch to a daily tablet later, since Strut sells oral semaglutide too.

Skip it if

  • You'd rather not be on an auto-refill subscription. The $129 figure is tied to it.
  • You need to reach support on a weekend.
  • You're in Arkansas.

What's included

The pricing block on Strut's semaglutide page shows one monthly vial at $129, injected under the skin once a week. Physician consultations and free shipping in discreet packaging are included. That figure is the auto-refill rate. Strut says auto-refill saves 13%, so buying without it costs more.

Prescriptions come from U.S.-licensed physicians at Strut, a Dallas practice founded by Simal Patel, MD. A licensed U.S. pharmacy compounds the vial, but Strut doesn't say which one. Keep it in the fridge, away from light and freezing, as the label directs.

From sign-up to refills

  1. Answer a brief health assessment. Strut has you open an account before any plan appears.
  2. A Strut physician decides whether compounded semaglutide suits you. Strut reserves it for cases where an FDA-approved product can't meet the clinical need.
  3. Approved orders ship free. Strut sends most first orders by 2-day express.
  4. Your physician explains how to inject and how the dose will step up over the first weeks. Questions go through your account messages.
  5. A new vial arrives each month. Adjust the timing, delay a shipment or cancel in My Account.

See Strut Health's semaglutide plans

$129 a month for compounded semaglutide.

Go to Strut Health →We earn a commission if you start care through this link, at no extra cost to you.

What's good, what isn't

What's good

  • Strut's FAQ says you pay for semaglutide only if a Strut physician decides treatment is appropriate.
  • Physician consultations, follow-ups and shipping all sit inside the $129 vial price.
  • Strut's page shows LegitScript accreditation, a third-party certification for healthcare websites.

What isn't

  • The $129 price holds only on auto-refill, which Strut says saves 13% against a single order.
  • Under Strut's refund policy, nothing is refunded once the pharmacy has processed your order.
  • Strut lists support hours of Monday to Friday, 9am to 5pm Eastern.

Read these terms first

The auto-refill setting
$129 is what auto-refill costs. If you want one vial at a time, look for the higher price at checkout before paying.
Stopping a refill
Give Strut 48 hours' notice before a subscription order is processed. Once medication leaves the pharmacy, it can't be sent back.
Where Strut ships
Every state except Arkansas, though the FAQ adds that some medications aren't available in all states.
Regulatory record
In February 2026 the FDA issued Strut Health a warning letter citing false or misleading claims.
FDA warning letter
FDA sent Strut Health a warning letter in February 2026. Read what it covers.

Price

Strut Health costs $129 a month for compounded semaglutide. That is the starting dose, and it rises as your dose does.

How we got $129

The arithmeticOne month = 30.4375 days

  1. Strut Health advertises

    Read on Strut Health's own site

    $129.00

  2. The card is charged $129.00 — exactly what it advertises

    + $0.00

  3. And it is charged once a calendar month

    + $0.00

A real month$129.00

Reconciles exactly — the advertised figure is a real month.

The price above is the starting dose, and it rises as your dose does. This seller does not publish how far, so treat it as an entry price rather than what you will be paying in six months.

Where it sits, and what costs less

$54median $199$325+

39 cheaper · 10%334 dearer · 88%

The most expensive 10 sellers charge between $325 and $540 a month.

  1. Fidelity Medical Clinicstarting dose$54
  2. Collective$76
  3. NextMeds$79
  4. Lean Meds$79
  5. RxPepsDirectstarting dose$80
  6. Strut Health$129

Another 34 sellers are cheaper than Strut Health. The whole cheapest list →

Where it says it operates

Listed in 49 states, all but 2 of the 51 we track.

State pages this seller appears on: AL AK AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Strut Health against other sellers

Side by side on what each one bills over a calendar month.

All comparisons →

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.

FDA has written to this seller

In , FDA sent warning letter 721448 to Strut Health, LLC dba Strut (Dallas, TX). The letter’s subject:

False & Misleading Claims/Misbranded (Telehealth)

Read the letter on fda.gov · The letter names struthealth.com — the same site this page links to.

This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. We earn a commission if you use the link on this page, and the letter is shown beside it. How we screen for these →

Common questions about Strut Health

Is Strut Health legit for semaglutide?
Strut Health is a Dallas telehealth practice with U.S.-licensed, board-certified physicians and LegitScript accreditation. Its semaglutide is compounded, so it isn't Wegovy or Ozempic and isn't FDA-approved. The FDA sent Strut a warning letter in February 2026.
How much does Strut Health semaglutide cost?
$129 per monthly vial on auto-refill, including physician visits, follow-ups and shipping. Ordering without auto-refill costs more. Strut's injectable tirzepatide works out to $151 a month.
Does Strut Health take insurance?
Strut doesn't accept insurance and won't complete prior authorization paperwork. It can give you your prescription details and receipts. Major credit cards are accepted.
How do I cancel Strut Health?
Log into My Account and cancel, pause or delay under Orders and Subscriptions. Do it 48 hours or more before the next order processes. Support can also help by phone or email.

Start semaglutide with Strut Health

Prescribed online by a licensed clinician if you qualify.

Go to Strut Health →We earn a commission if you start care through this link, at no extra cost to you.

More semaglutide sellers to weigh up

Listed by price. We earn a commission if you start care through this link, at no extra cost to you.