Strut Health vs LifeMD
Compounded semaglutide at $129 with no membership against brand-name GLP-1s inside a primary-care program with a $149 monthly fee.
Short answer
Strut Health sells compounded semaglutide for $129 a month, consultation included, cash-pay. LifeMD prescribes brand-name drugs, charges a $149 monthly program fee after a $39 first month, and bills medication on top: about $298 a month on the Wegovy pill. LifeMD checks your insurance for the drug. Strut has an FDA warning letter on record.
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Is Strut Health or LifeMD better?
These are different products. Strut is an async online practice selling compounded semaglutide, by injection or as a lozenge, with no membership and no cancellation fee. LifeMD is a video-based telehealth practice that prescribes FDA-approved brands, includes lab work in its program fee and checks drug coverage; it excludes Medicare, Medicaid and TRICARE from its GLP-1 program. Compounded drugs aren't FDA-approved. Strut received FDA warning letter 721448 in February 2026, linked in the table below.
How they differ
- Insurance
Strut Health
Cash-pay onlyLifeMD
Works with insurance- How you're seen
Strut Health
Async intakeLifeMD
Video visit- Medications
Strut Health
Compounded semaglutide, Compounded tirzepatideLifeMD
Branded medication- FDA warning letter
Strut Health
LifeMD
None on record
| Strut Health | LifeMD | |
|---|---|---|
| Insurance | Cash-pay only | Works with insurance |
| How you're seen | Async intake | Video visit |
| Medications | Compounded semaglutide, Compounded tirzepatide | Branded medication |
| FDA warning letter | Warning letter 721448 | None on record |
What each one costs and includes
Month-to-month prices a new patient can buy, with any required membership counted in. First-month promotions and prepaid averages are labeled as such.
- First full month
Strut Health
$129 a month for compounded semaglutide injections, with the online doctor visit and shipping included; $199 for 30 days of the oral lozengeLifeMD
$39 the first month, then a $149 monthly program fee plus medication: about $298 a month on the Wegovy pill or $348 on the pen at cash prices- Once you're on a steady dose
Strut Health
The listed monthly price, with no membership on topLifeMD
About $448 a month on a Zepbound vial; cash prices for higher doses aren't published- What the fee covers
Strut Health
Online physician review, follow-up care, dose adjustments and shippingLifeMD
Clinician visits, prescriptions, coaching and required lab work; medication is billed separately- Medications
Strut Health
Compounded only: semaglutide by injection or buccal lozenge, plus an oral tirzepatide tabletLifeMD
Brand-name: the Wegovy pill and pen, Foundayo, Zepbound, Ozempic and Saxenda, plus an oral Triple Therapy option- Insurance
Strut Health
Cash-payLifeMD
Its team checks drug coverage (average approved copay $0 to $25); the program fee is never covered; Medicare, Medicaid and TRICARE are excluded from the GLP-1 program- Commitment and refunds
Strut Health
Month to month, with no cancellation feeLifeMD
Cancel at any time; program fees aren't refunded if insurance later denies the drug- How care works
Strut Health
Online physician review within a business day, with no video visit and free follow-up careLifeMD
Video visits inside a broader telehealth practice, with required labs and coaching- Look elsewhere if
Strut Health
You want a live prescriber visit, brand-name medication or the pharmacy named before you orderLifeMD
You're on Medicare, Medicaid or TRICARE, or you're chasing the lowest cash price
| Strut Health | LifeMD | |
|---|---|---|
| First full month | $129 a month for compounded semaglutide injections, with the online doctor visit and shipping included; $199 for 30 days of the oral lozenge | $39 the first month, then a $149 monthly program fee plus medication: about $298 a month on the Wegovy pill or $348 on the pen at cash prices |
| Once you're on a steady dose | The listed monthly price, with no membership on top | About $448 a month on a Zepbound vial; cash prices for higher doses aren't published |
| What the fee covers | Online physician review, follow-up care, dose adjustments and shipping | Clinician visits, prescriptions, coaching and required lab work; medication is billed separately |
| Medications | Compounded only: semaglutide by injection or buccal lozenge, plus an oral tirzepatide tablet | Brand-name: the Wegovy pill and pen, Foundayo, Zepbound, Ozempic and Saxenda, plus an oral Triple Therapy option |
| Insurance | Cash-pay | Its team checks drug coverage (average approved copay $0 to $25); the program fee is never covered; Medicare, Medicaid and TRICARE are excluded from the GLP-1 program |
| Commitment and refunds | Month to month, with no cancellation fee | Cancel at any time; program fees aren't refunded if insurance later denies the drug |
| How care works | Online physician review within a business day, with no video visit and free follow-up care | Video visits inside a broader telehealth practice, with required labs and coaching |
| Look elsewhere if | You want a live prescriber visit, brand-name medication or the pharmacy named before you order | You're on Medicare, Medicaid or TRICARE, or you're chasing the lowest cash price |
Strut Health
Partner- Access
- Not published up front
- Medications
- Semaglutide · Tirzepatide · Oral
- Insurance
- Cash-pay
- Visit
- Async intake
What we like
- $129 a month for compounded injectable semaglutide and $149 for injectable tirzepatide on monthly auto-refill, with the physician consultation and shipping included
- Free online MD visit, free follow-up care and dose adjustments, and no cancellation fee — all stated plainly rather than qualified
- A named founding physician, Dr. Simal Patel, MD, with a stated clinical background
Watch-outs
- No price appears anywhere on the homepage; the $129 and $149 are on the product pages
- The oral semaglutide lozenge carries two prices on two pages: $99 on auto-refill and $199 for a 30-day supply
Pick Strut Health if: You want compounded medication at a flat monthly price without a program fee.
Check Strut Health availability →Read the full Strut Health review →
LifeMD
- Access
- Wegovy from $149/mo (pill) or $199 (pen), plus a separate $149/mo program fee — $39 in month one
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit
What we like
- FDA-approved brand-name medication, including the Wegovy and Foundayo pills
- Insurance team checks your coverage and copay before you fill
- Lab work included in the program fee unless done in the past year
Watch-outs
- The $149 monthly program fee sits on top of medication and is never covered by insurance
- Medicare, Medicaid, TRICARE and other government coverage are excluded from the GLP-1 program
Pick LifeMD if: You want an FDA-approved brand and a primary-care practice around it.
Check LifeMD availability →Read the full LifeMD review →Want the full field? See every option in our GLP-1 providers roundup, or narrow by tirzepatide / semaglutide and price.