Head-to-head · Cost-Efficiency Index
CoreAge Rx vs Strut Health
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
CoreAge Rx
Anyone optimizing for real value — a transparent flat price you can model for a full year, nationwide, without a bait-and-switch.
Visit CoreAge RxStrut Health
Anyone optimizing total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle.
Visit Strut HealthThe verdict
CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 87. Best 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. Strut Health still earns a B+ — Anyone optimizing total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | CoreAge Rx | Strut Health |
|---|---|---|
| Cost-Efficiency Index | 94/100 | 87/100 |
| Semaglutide / mo | $99/mo | From $99/mo sublingual, $149/mo injectable |
| Tirzepatide / mo | $149/mo | From $199/mo either route |
| Semaglutide / yr (modeled) | $1,188 | $1,188 |
| Tirzepatide / yr (modeled) | $1,788 | $2,388 |
| Coverage | All 50 states | 49 states (not Arkansas) |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #1 | #5 |
CoreAge Rx
94/100Where the value is
- Flat all-in monthly price — no intro rate that silently triples after month one, so the modeled annual cost is the real cost
- Both compounded semaglutide and tirzepatide on one account at published prices
- Available in all 50 states — no coverage gamble
The tradeoffs
- Not the rock-bottom sticker price — 30 of the 381 priced semaglutide programs we track list a cheaper figure, though most attach a term or a step-up that CoreAge does not
- No FDA-approved brand-name option (compounded only)
Strut Health
87/100Where the value is
- $99/mo for sublingual semaglutide is among the lowest disclosed rates we track; tirzepatide is $199 either route
- Sublingual lozenges for both molecules at the same price as the injection
- Free physician visit, free shipping and free follow-up care included rather than billed separately
The tradeoffs
- The $99 and $149 headline figures require auto-refill — a one-off order costs more, so the true cost depends on staying subscribed
- Asynchronous by design: their FAQ notes some states need no phone consultation, so you may never speak to the prescriber
Regulatory note: the FDA issued a warning letter to Strut Health, LLC dba Strut in February 2026. We still list and link to Strut Health; you should know the letter is on the public record before you decide.
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.