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Head-to-head · Cost-Efficiency Index

Strut Health vs Ravia 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.

Better valueGrade B+ · #4

Strut Health

Anyone optimising total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle.

Visit Strut Health
VS
Grade C · #429

Ravia Health

Cost-first shoppers who want florida integrative psychiatry + GLP-1 telehealth; sema+tirz; mental health + metabolic care combined.

Visit Ravia Health

The verdict

Winner · Strut HealthGrade B+ vs C

Strut Health takes it, leading the Cost-Efficiency Index 87 to 45. The lowest true entry cost on this board — $99/month sublingual semaglutide — and the only place selling the same molecule as a lozenge or an injection at one price. Ravia Health still earns a CCost-first shoppers who want florida integrative psychiatry + GLP-1 telehealth; sema+tirz; mental health + metabolic care combined.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs Strut Health.

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

92
45

Price Transparency

84
20

Nationwide Access

90
42

Formulation Options

95
53

Clinical Oversight

68
86

Contract Flexibility

92
41

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecStrut HealthRavia Health
Cost-Efficiency Index87/10045/100
Semaglutide / moFrom $99/mo sublingual, $149/mo injectableNot disclosed
Tirzepatide / moFrom $199/mo either routeNot disclosed
Semaglutide / yr (modeled)$1,188
Tirzepatide / yr (modeled)$2,388
Coverage49 states (not Arkansas)1 state
Oral / sublingualYesNo
Brand-name accessCompounded onlyYes
Rank on the board#4#429

Strut Health

87/100

Where the value is

  • Cheapest disclosed monthly cost here at $99/mo for sublingual semaglutide; tirzepatide $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
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Full Strut Health review →

Ravia Health

45/100

Where the value is

  • Integrative psychiatry model combines GLP-1 weight-loss with mental health and metabolic care under one board-certified NP provider
  • Founded by Dr. Raashida Portier (DNP, PMHNP-BC, FNP-BC); named clinician with dual board certifications in psychiatry and family medicine
  • Membership-supported ongoing care from $49/month provides medication management structure with consistent follow-up

The tradeoffs

  • GLP-1 medication pricing fully gated — not disclosed until consultation; compounded vs. brand status unclear on public pages
  • Primarily a psychiatric practice — weight loss is a secondary service, not the core offering or brand identity
Visit Ravia Health

Full Ravia Health review →

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.

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