Strut Health vs Ro
Strut Health's $129 compounded semaglutide with no membership against Ro's brand-name GLP-1s with a $149 monthly membership.
Short answer
Strut Health is the cheaper route: $129 a month for compounded semaglutide injections, with the online doctor visit and shipping included. Ro prescribes brand-name drugs only, with a $149 membership on top, about $298 a month on the Wegovy pill. Ro helps with insurance and offers video visits. Strut has an FDA warning letter on record (721448).
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Is Strut Health or Ro better?
Strut is an online practice covering weight, testosterone, sexual health, hair and skin, where a physician reviews your intake asynchronously with no video visit. Its compounded semaglutide price includes the consultation, and there is no cancellation fee. Ro is a brand-name weight program with video and async care, a published price for every dose, and an insurance concierge for the Wegovy pen, Zepbound and Ozempic. The price gap is large, and so is the product difference: 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 onlyRo
Works with insurance- How you're seen
Strut Health
Async intakeRo
Video visit / Async intake- Medications
Strut Health
Compounded semaglutide, Compounded tirzepatideRo
Branded medication- FDA warning letter
Strut Health
Ro
None on record
| Strut Health | Ro | |
|---|---|---|
| Insurance | Cash-pay only | Works with insurance |
| How you're seen | Async intake | Video visit / Async intake |
| 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 lozengeRo
$39 the first month, then a $149 monthly membership plus medication: about $298 a month on the Wegovy pill- Once you're on a steady dose
Strut Health
The listed monthly price, with no membership on topRo
About $498 a month on a Wegovy pen at maintenance, or $598 on Zepbound at 10 to 15 mg- What the fee covers
Strut Health
Online physician review, follow-up care, dose adjustments and shippingRo
Clinician care and the insurance concierge; medication is billed at Ro's cash price or your copay- Medications
Strut Health
Compounded only: semaglutide by injection or buccal lozenge, plus an oral tirzepatide tabletRo
Brand-name only: the Wegovy pill and pen, Zepbound, Foundayo and Ozempic- Insurance
Strut Health
Cash-payRo
Can cover the Wegovy pen, Zepbound autoinjector and Ozempic; the membership is always cash, and Medicaid isn't eligible- Commitment and refunds
Strut Health
Month to month, with no cancellation feeRo
Month to month; a 12-month prepay cuts the membership to $74 a month; the $39 first month is refunded if you aren't eligible- How care works
Strut Health
Online physician review within a business day, with no video visit and free follow-up careRo
Video or async visits, plus an insurance concierge that files prior authorizations and appeals denials- Look elsewhere if
Strut Health
You want a live prescriber visit, brand-name medication or the pharmacy named before you orderRo
You're on Medicaid, want a GLP-1 pill billed to insurance, or want the lowest monthly price
| Strut Health | Ro | |
|---|---|---|
| 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 membership plus medication: about $298 a month on the Wegovy pill |
| Once you're on a steady dose | The listed monthly price, with no membership on top | About $498 a month on a Wegovy pen at maintenance, or $598 on Zepbound at 10 to 15 mg |
| What the fee covers | Online physician review, follow-up care, dose adjustments and shipping | Clinician care and the insurance concierge; medication is billed at Ro's cash price or your copay |
| Medications | Compounded only: semaglutide by injection or buccal lozenge, plus an oral tirzepatide tablet | Brand-name only: the Wegovy pill and pen, Zepbound, Foundayo and Ozempic |
| Insurance | Cash-pay | Can cover the Wegovy pen, Zepbound autoinjector and Ozempic; the membership is always cash, and Medicaid isn't eligible |
| Commitment and refunds | Month to month, with no cancellation fee | Month to month; a 12-month prepay cuts the membership to $74 a month; the $39 first month is refunded if you aren't eligible |
| How care works | Online physician review within a business day, with no video visit and free follow-up care | Video or async visits, plus an insurance concierge that files prior authorizations and appeals denials |
| Look elsewhere if | You want a live prescriber visit, brand-name medication or the pharmacy named before you order | You're on Medicaid, want a GLP-1 pill billed to insurance, or want the lowest monthly 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 low-cost compounded semaglutide alongside other everyday care, with no membership.
Check Strut Health availability →Read the full Strut Health review →
Ro
- Access
- Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separately
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit / Async intake
What we like
- FDA-approved brand-name medication only, including two GLP-1 pills
- Every dose price published, so the bill can be totaled before you start
- Insurance concierge checks coverage, files prior authorizations and appeals denials
Watch-outs
- Two charges, and the $149 monthly membership is cash-only even when insurance covers the drug
- Drug prices rise with dose: about $498 a month all-in on a Wegovy pen at maintenance
Pick Ro if: You want an FDA-approved brand, a video visit option and help with insurance.
Check Ro availability →Read the full Ro review →Want the full field? See every option in our GLP-1 providers roundup, or narrow by tirzepatide / semaglutide and price.