Head-to-head · WeighScore
bmiMD vs Strut Health
The verdict
Strut Health takes it — 79.4/100 to 79.2/100, but only just.
Strut Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. The same molecule as a lozenge or an injection at the same price — the one place here where the needle is genuinely optional. bmiMD is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | bmiMD | Strut Health |
|---|---|---|
| WeighScore | 79.2/100 | 79.4/100 |
| Grade | C+ | C+ |
| Scorecard rank | #30 | #29 |
| Semaglutide | $129/mo month-to-month ($99 only on a 12-month plan) | From $99/mo sublingual, $149/mo injectable |
| Tirzepatide | $179/mo month-to-month ($139 only on a 12-month plan) | From $199/mo either route |
| Coverage | All 50 states | 49 states (not Arkansas) |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Yes |
Graded #30 · C+
Strengths
- Flat at every dose: 2.5 mg and 15 mg cost the same, so titrating up never raises the bill
- Both compounded semaglutide and tirzepatide on one account, plus a sublingual line
- Every rung of both ladders is published with the total charge beside each per-month figure
- All 50 states
Where it loses points
- The pricing block opens on the 3-Month tab, so the figure a reader meets first is a commitment rate rather than a month
- The cheapest figures, $99 and $139, require $1,188 or $1,668 paid up front for a full year
- A struck-through $228.60 and $349.20 sit above the ladders under a standing LIMITED TIME label, with no published basis
- Neither the compounding pharmacy nor the prescribing group is named on the product pages
Graded #29 · C+
FDAWarning letter issued to Strut Health, LLC dba Strut in February 2026. See the FDA warning-letter database.
Strengths
- Sublingual lozenges for both molecules at the same price as the injection — semaglutide from $99/mo, tirzepatide from $199/mo
- Every route and auto-refill saving published on the product page rather than inside an intake
- Free physician visit, free shipping and free follow-up care included
- Cancel, pause or delay yourself with 48 hours' notice
Where it loses points
- Asynchronous by design — some states need no phone consultation, so you may never speak to the prescriber
- No published lab or monitoring program
- Compounded only, with no brand-name lane
- Not available in Arkansas
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 544 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.