Compounded tirzepatide
Strut Health vs Zappy Health
Quick answer
Strut Health costs $151 a real month and Zappy Health costs $349 — a difference of $198 a month, or $2,374 a year. Both figures are computed from what each seller actually charges and how often, not from the price on its landing page.
Checked in . Both sellers are re-checked on the same schedule; a price either side changes after that date will not be reflected here until the next check.
Strut Health or Zappy Health?
Strut Health is the cheaper way to start, at $151 a month against $349 for Zappy Health; Strut Health does not publish what its top dose costs, so ask before you commit past the first month. Only Strut Health reaches Alabama, California, Hawaii, Kansas and three more states, going by where each says it ships. Both have received an FDA warning letter, Strut Health most recently in February 2026 and Zappy Health in February 2026.
What each one bills
| Strut Health | Zappy Health | |
|---|---|---|
| True monthly cost | $151 | $349 |
| Advertised as | $149 | $279 |
| Charged | every 30 days | every calendar month |
| Each charge | $149 | $349 |
| Price basis | a starting-dose price that climbs | the same at every dose |
| Mandatory recurring fee | none found | none found |
| States it names | 49 states | 42 states |
| FDA warning letter | yes | yes |
Where they actually differ
- They bill on different clocks. Strut Health charges every 30 days and Zappy Health charges every calendar month. That alone changes what a “month” costs, which is the whole reason this index recomputes every price.
- One price holds and the other climbs. Strut Health’s price is a starting-dose price that climbs; Zappy Health’s is the same at every dose. See what titration does to an advertised figure.
- What they advertise is not what they bill. Strut Health advertises $149 and bills $151; Zappy Health advertises $279 and bills $349.
How we know
Both figures were read on the seller’s own site and recomputed over a 30.4375-day calendar month from the charge and the billing period it covers. Neither is a seller’s own “/mo”. The full working for each — the charge, the period, the arithmetic and the date it was read — is on its own page: Strut Health and Zappy Health. The method is set out in how we verify.
To compare any two sellers in the index rather than these two, use the comparison tool.