Best-value alternatives
Alternatives to Strut Health
Strut Health scores 87/100 on our Cost-Efficiency Index (ranked #5 of 539). Here are the closest-ranked programs on the board, scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02B+87/ 100Index
ShedRx (Shed)
Ranked #4The widest set of formats in the ranking — injection, drops, lozenges and a daily oral pill, plus a real brand Zepbound route — though its cheapest advertised rates need a year-long commitment.
- Sema
- $199/mo ($159 on a 12-month plan)
- Tirz
- $299/mo ($239 on a 12-month plan)
- Coverage
- All 50 states
- Brand
- Yes
- 03A−90/ 100Index
Ondra Health
Ranked #3A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it.
- Sema
- $93/mo
- Tirz
- $166/mo
- Coverage
- All 50 states
- Brand
- Yes
- 04B+88/ 100Index
Found
Ranked #2A real insurance-billing pathway on both molecules — but the widely-quoted $99/mo headline requires an insurance plan AND a full year prepaid upfront; the true no-commitment rate is $199-289/mo.
- Sema
- $199/mo (insurance-linked)
- Tirz
- $199/mo (insurance-linked)
- Coverage
- All 50 states
- Brand
- Compounded
- 05B86/ 100Index
Breeze Meds
Ranked #6The most transparent operator in our partner tier — all-50 compounded GLP-1 with NPI-verifiable named physicians, named pharmacies and LegitScript backing, so you can actually audit who's behind the script.
- Sema
- $199/mo
- Tirz
- $399/mo on the product grid; the post-intake screen shows $299 — Breeze publishes both
- Coverage
- All 50 states
- Brand
- Compounded
- 06B86/ 100Index
Sesame Care
Ranked #7The widest real brand-name GLP-1 access in the ranking — a LegitScript- and BBB-recognized national marketplace running since 2018 that dispenses FDA-approved Wegovy, Zepbound, Ozempic, Mounjaro and Rybelsus, not compounded copies.
- Sema
- $149/mo medication + $59/mo care subscription (that rate needs a 12-month commitment)
- Tirz
- Brand (Zepbound)
- Coverage
- Nationwide
- Brand
- Yes
- 07B86/ 100Index
Eden
Ranked #8You pay a premium per month, but you buy back certainty: all-50 access and high-disclosure clinical oversight that hold their value.
- Sema
- $239/mo
- Tirz
- $349/mo
- Coverage
- All 50 states
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Eden Health International Inc. dba Eden in June 2026. We still list and link to Eden; you should know the letter is on the public record before you decide.
- 08B+88/ 100Index
Invigor Medical
Ranked #9Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog.
- Sema
- $225/mo (starting dose)
- Tirz
- $350/mo (starting dose)
- Coverage
- All 50 states
- Brand
- Compounded
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.