Strut Health costs $129 a month, month to month

In short

As of October 2026, Strut Health costs $129 a month, month to month for semaglutide, all in, #7 of 21 programs we track by price. Its published plans run from $129 to $199 a month, and every one is read off Strut Health's own site.

Pros and cons

Strut Health at a glance

Verdict: Best for anyone wanting an affordable, needle-free way to take semaglutide. Not for you if you want to pay through insurance, or you want an FDA-approved brand drug.

Price

$129/mo all in#7 of 21 by price on our board

Commitment

Month to month

Fees

No membershipconsultation: free

Insurance

Cash only

Availability

Not in Alaska

Clinical oversight

Board-licensed doctors who stay with you through follow-up visits

Reviews

No Trustpilot profile

Cancellation

Cancel anytimeshipping included

FDA record

1 warning letter on filedetails below

Red flags and things to check

• !Not available in Alaska.
• ?No public Trustpilot profile we could find.

Every value is read from Strut Health’s own site or its public Trustpilot page. How we verify

Who runs Strut Health

The company behind the site, the clinicians who prescribe, and the pharmacy that fills the order, each taken from Strut Health’s own pages and quoted.

Operator

The site is owned and run by Strut Health, LLC. The footer lists 701 Commerce St, Dallas, TX 75202, and the terms are governed by Texas law.

“owned and controlled by Strut Health, LLC”

“701 Commerce St, Dallas, TX 75202”

“governed by and construed in accordance with the laws of the State of Texas”

Prescribers

Prescribing is done by physicians of Titan Health, P.A. (also called Titan Medical Group in the same terms and in the telemedicine consent), not by Strut. The FAQ describes them only as U.S.-licensed, board-certified physicians.

“Titan Health, P.A. and its affiliated entities (collectively defined as "Titan Health") provide the professional medical services through Titan Health physicians”

“Titan Medical Group delivers clinical services via the Strut platform to their patients. Providers are independently contracted or employed by Titan Medical Group. Providers are not contracted or employed by Strut.”

“Strut works with a knowledgeable team of U.S.-licensed and board-certified physicians.”

Pharmacy

Strut says a licensed U.S. partner pharmacy fills orders but does not name it anywhere we checked. Patients may ask for the prescription to go to a pharmacy of their choice.

Not named before you pay. A named, state-licensed pharmacy is something you can look up; ask which one will fill yours.

“Your medication comes from a licensed U.S. pharmacy at a competitive price”

“Will electronically transmit prescriptions to the pharmacy of your choice or to Strut Health's partner pharmacy”

“Our partner pharmacy begins filling these prescriptions immediately, making cancellations impossible after that point.”

The public record

FDA warning letters

FDA warning letter to Strut Health, LLC dba Strut, Feb 20, 2026: False & Misleading Claims/Misbranded (Telehealth). Open: no closeout letter published as of Oct 13, 2026.

A warning letter is FDA’s statement of alleged violations, not a court finding.

LegitScript

No LegitScript seal or checker link on its site. Many legitimate sellers are not certified; this is a missing confirmation, not a mark against them.

Cancelling, refunds and the contract

What Strut Health’s own terms say, in their words, so you know the exit before you pay.

Cancelling

Cancel at least 48 hours before the next refill processes. The help center says to use the "Cancel Subscription" button in your Strut account; the terms say to email care@struthealth.com. Once a refill is processed it cannot be cancelled or refunded, and for injections the pharmacy starts filling right away.

“please cancel at least 48 hours before your next refill is set to process to ensure the change goes into effect in time. Once a refill processes, it cannot be cancelled and refunded.”

“log into your Strut Account , find your active order, and click the "Cancel Subscription" button.”

“You can pause or cancel your subscription at any time by emailing care@struthealth.com.”

“if you have a prescription for injections, orders cannot be cancelled once the refill has been processed.”

Refunds

No returns or refunds once medication leaves the pharmacy, and no refunds for cancellations received after the pharmacy has processed the order. Items are replaced only if defective or damaged and reported within 2 weeks of delivery. No refund if the medication did not work.

“For all medications that leave the pharmacy, we are unable to accept returns or offer refunds due to government regulations.”

“We cannot do refunds for any cancellation requests received after the pharmacy has processed your order.”

“We only replace items if they are defective or damaged and must contact us within 2 weeks of delivery.”

“Per our policy, we do not accept returns or refunds once the medication leaves the pharmacy.”

Billing and contract

Every prescription is an auto-renewing subscription billed in full every 30 or 90 days until you pause or cancel. Disputes go to binding individual AAA arbitration (hearings in Dallas, Texas) with a class action waiver, under Texas law. No arbitration opt-out window was found in the terms.

“All of our prescriptions are subscriptions to help you stay on track with your medication. You will be charged the full amount for your prescription every 30 or 90 days, depending on your refill schedule, until you pause or cancel your subscription.”

“all disputes between you and Strut Health that in any way relate to these Terms of Use or you use of the Site will be resolved by BINDING ARBITRATION.”

“Unless Strut and you agree otherwise, any arbitration hearings will take place in Dallas, Texas.”

“YOU AND STRUT AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN YOUR OR ITS INDIVIDUAL CAPACITY, AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING.”

Plan details in the fine print

Lines in Strut Health’s terms, FAQ or checkout that change what you pay or how long you are committed. None of them is hidden, and all of them are easy to miss.

1. The semaglutide page labels the plan Auto-Refill, and the terms bill the full amount every 30 or 90 days until you cancel.

   “Auto-Refill”

   “You will be charged the full amount for your prescription every 30 or 90 days, depending on your refill schedule, until you pause or cancel your subscription.”

2. Cancel requests need 48 hours notice; once a refill is processed it cannot be cancelled or refunded. A new order cannot be cancelled once the doctor approves it.

   “we do ask for a minimum of 48 hours notice before your next order is set to process. We cannot guarantee refunds for any cancellation requests received after the pharmacy has processed your order.”

   “Once your order has been approved, we can not cancel the new order.”

3. The site says final pricing is set after the online consultation, so the listed price is not guaranteed before approval.

   “All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined.”

4. If you move and do not update your address at least 48 hours before a refill processes, an extra fee applies to resend the medication. The amount is not stated.

   “ensure it is updated prior to the processing of your next refill to avoid an additional charge for resending your medication.”

5. Clicking GET IT NOW on a refill processes it immediately with no further changes allowed.

   “If you choose this option, your order will process immediately and no additional changes can be made.”

6. Promo codes that fail on the first order are applied to the next refill instead, if still valid.

   “If the code is still valid, we will gladly apply it to your next refill.”

Shipping, what is included, insurance

Shipping

Shipping is free and does not need a signature. Injections ship within 7 business days of approval by 2-day delivery; most first orders go 2-day FedEx and refills go USPS. No overnight shipping, no weekend shipping, and no international shipping. The FAQ says medication typically arrives within 2 business days, which is shorter than the help center's injection timeline. Cold-pack packaging is not described.

“All of our medications are shipped to you completely for free.”

“All injections are shipped within 7 business days following order approval via 2-Day delivery service.”

“Please be advised that orders are not shipped on weekends.”

“We offer 2-day express shipping on most initial orders and USPS for refill orders. Unfortunately, we do not offer next-day delivery.”

“Your medication ships directly to you and typically arrives within 2 business days.”

“We do not require a signature upon receipt.”

Included in the price

The listed price includes the physician consultations, follow-ups and free shipping. Messaging with the provider is included. You pay only for the medication if a physician approves treatment.

“Price includes physician consultations and free shipping.”

“The initial online consultation is included with your subscription. You only pay for the medication if a Strut physician determines treatment is appropriate.”

“Yes, we do. We want to make sure you fully understand how to use your treatment and are set up to get the results you're looking for.”

Insurance and HSA/FSA

Strut does not take insurance and does not fill out medical necessity or prior authorization forms. It accepts major credit cards, but warns HSA and FSA card charges may be rejected by the card issuer.

“At this time, Strut does not accept insurance and services on Strut are not covered by insurance.”

“Strut accepts all major credit cards. Charges to HSA and FSA cards may be rejected by the card issuer.”

“Because we are a cash pay telemedicine practice and do not bill insurance, we do not complete insurance Medical Necessity Forms, prior authorization forms, or Letters of Medical Necessity for reimbursement purposes.”

How signing up works

The steps as Strut Health describes them, with the point where money changes hands.

1. 01Pick a treatment on the Strut site
2. 02Answer a short online health questionnaire (about 5 minutes)
3. 03Check out and pay
4. 04Wait for a U.S. physician to review and prescribe if appropriate
5. 05Receive the medication by free, discreet shipping

Also on the record, and what we could not find

LegitScript claim

Strut's sites say it is LegitScript accredited and the page loads a LegitScript seal. We could not confirm this on LegitScript's own lookup.

“LegitScript Accredited”

Age

Users must be 18 or older.

“THE SITE IS OFFERED AND AVAILABLE TO USERS WHO ARE 18 YEARS OF AGE OR OLDER.”

Where it serves

State coverage is stated two ways: the FAQ (dated September 2024) says every state except Arkansas, while an older help center article (dated March 2022) lists a shorter set of states.

“As of September 2024, we can ship to all states except for Arkansas. Certain medications may not be available in all states.”

“If you do not see your state on the above list, we do not currently service your state.”

The medication

Semaglutide is sold as a compounded weekly injection and as a daily oral lozenge, with the site noting compounded drugs are not FDA approved.

“Available as weekly injectable or daily oral lozenge”

“Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.”

Company records

Founder and CEO is Simal Patel, MD, a former emergency room physician.

“Founder and CEO at Strut Health”

“Strut founder Dr. Simal Patel spent years as a physician in emergency rooms, clinics, and telemedicine.”

Approval

Some states do not require a phone consultation, so approval can happen from the questionnaire alone. Patients upload ID and photos.

“Some states do not require phone consultations. If you are a good candidate for treatment, your prescription will be approved and sent to the pharmacy to process and ship.”

“We need your ID and photos to establish you as a patient.”

Also on its site

Strut says it does not charge sales tax.

“We do not charge sales tax.”

Support

Support is by email at care@struthealth.com, Monday to Friday 9am to 5pm ET, and by phone at 1-833-Strut24.

“care@struthealth.com”

“Mon-Fri 9am-5pm ET”

“Call 1-833-Strut24 or email care@struthealth.com”

Not published, or not found on Strut Health’s pages

• No pharmacy named on terms, privacy policy, telemedicine consent, refund policy, FAQ, semaglutide page or 177 help center articles.
• Cold packs or temperature packaging for injectables not described on site or help center.
• Whether the $129 semaglutide price changes with dose is not stated on the semaglutide page, FAQ or help center.
• Whether syringes and needles are included with injectable semaglutide is not stated.
• No arbitration opt-out window found in the terms.

Strut Health: common questions

Alternatives

Compare Strut Health with

Every plan of both programs side by side, with the cheaper one computed from this week’s prices.