Compounded tirzepatide

Strut Health review

By ·Editor·Reviewed

Strut Health prices injectable tirzepatide at $149 for a 30-day supply on auto-refill, which works out to $151 over a calendar month. The doctor visit, follow-ups and shipping are all in that figure. Strut prescribes it only when a physician finds a medical need.

A real month costs$151advertised $149 +$2.17 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesClimbs with the dose
Where it ships49 states
FDA warning letterOne on filestill listed here
Visit Strut Health →

Visit Strut Health →

On this page

Who it suits

Good fit if

  • You want the physician visit, follow-up care and shipping folded into one charge.
  • You like the idea of pausing or pushing back a refill from your account instead of calling someone.
  • You'd consider a needle-free option later, since Strut also sells a daily tirzepatide lozenge.

Look elsewhere if

  • You don't want auto-refill. The $149 rate depends on it, and a single order costs more.
  • You live in Arkansas, the one state Strut doesn't ship to.
  • You plan to pay with an HSA or FSA card. Strut warns the card issuer may reject the charge.

What you get

Strut's tirzepatide page lists a 30-day supply at $149 and says the price includes the provider and the medication. Follow-ups and shipping are free. No insurance is involved. The $149 is the auto-refill rate, which Strut labels as a 14% saving, so a one-off order costs more.

Strut Health is a cash-pay telehealth practice in Dallas. U.S.-licensed, board-certified physicians review your intake, and a licensed U.S. pharmacy compounds the medication. The site doesn't name that pharmacy. You inject once a week.

How it works

  1. Create a Strut account. The checkout asks you to sign up before it shows any treatment options.
  2. Fill in the medical questionnaire about your health and past weight-loss attempts.
  3. A physician reviews it. Some states don't require a phone consult, and you can message the doctor from your account at any point.
  4. If you're approved, the order ships free. Most first orders go by 2-day express, and Strut says medication typically arrives within 2 business days.
  5. Refills go out monthly by USPS. You can change how often they come, delay one or cancel from My Account.

Pros and cons

Pros

  • The $149 for 30 days covers the physician visit, free follow-ups and free shipping.
  • Strut's FAQ says no signature is needed on delivery, and first orders usually go 2-day express.
  • Refills can be paused, delayed or canceled under the Orders and Subscriptions tab of your account.

Cons

  • The $149 rate requires auto-refill, and Strut charges more for a one-off order.
  • Once the pharmacy processes an order, Strut's refund policy rules out getting that money back.
  • Strut doesn't ship to Arkansas, and HSA or FSA charges may be declined by the card issuer.

Check before you pay

Auto-refill or a single order
The $149 price is the auto-refill plan. Check which option you've chosen before you pay, because a one-time order is priced higher.
Canceling in time
Strut asks for 48 hours' notice before a subscription order is processed. After the pharmacy has processed it, you can't cancel for a refund.
Who qualifies
Compounded tirzepatide at Strut needs a physician to confirm medical necessity. The product page says it's for patients who have failed on, or can't use, a commercial GLP-1.
FDA warning letter
The FDA sent Strut Health a warning letter in February 2026 over false or misleading claims and misbranding.
FDA warning letter
FDA sent Strut Health a warning letter in February 2026. Read what it covers.

Price

Strut Health costs $151 a month for compounded tirzepatide. It advertises $149. The card is charged $149 every 30 days. That is the starting dose, and it rises as your dose does.

How we got $151

The arithmeticOne month = 30.4375 days

  1. Strut Health advertises

    Read on Strut Health's own site

    $149.00

  2. The card is charged $149.00 — exactly what it advertises

    + $0.00

  3. And it is charged every 30 days, not every month

    12.18 charges a year, not twelve — a thirteenth lands on day 360, inside the same year.

    + $2.17

A real month$151.17

A real month costs $2.17 more than the figure advertised.

The price above is the starting dose, and it rises as your dose does. This seller does not publish how far, so treat it as an entry price rather than what you will be paying in six months.

Where it sits, and what costs less

$86median $269$434+

28 cheaper · 8%335 dearer · 92%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. Strut Health$151

Another 23 sellers are cheaper than Strut Health. The whole cheapest list →

Where it says it operates

Listed in 49 states, all but 2 of the 51 we track.

State pages this seller appears on: AL AK AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Strut Health against other sellers

Side by side on what each one bills over a calendar month.

All comparisons →

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.

FDA has written to this seller

In , FDA sent warning letter 721448 to Strut Health, LLC dba Strut (Dallas, TX). The letter’s subject:

False & Misleading Claims/Misbranded (Telehealth)

Read the letter on fda.gov · The letter names struthealth.com — the same site this page links to.

This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →

Strut Health questions

Is Strut Health legit?
Strut Health is a cash-pay telehealth practice based in Dallas. U.S.-licensed, board-certified physicians prescribe, and a licensed U.S. pharmacy compounds the tirzepatide. Compounded tirzepatide isn't Zepbound or Mounjaro and isn't FDA-approved, which Strut states on its page. The FDA also issued Strut a warning letter in February 2026.
How much is Strut Health tirzepatide per month?
$149 for a 30-day supply on auto-refill, or about $151 across a calendar month. The physician visit, follow-ups and shipping are included. Strut's injectable semaglutide works out to $129 a month.
Does Strut Health take insurance?
No. Strut is cash-pay and doesn't fill in prior authorization forms or letters of medical necessity. It takes major credit cards, though an HSA or FSA card may be declined by the issuer.
Can you cancel Strut Health?
Yes. Cancel, pause or delay from the Orders and Subscriptions tab, at least 48 hours before the next order is processed. Medication that has left the pharmacy can't be returned or refunded.
How fast does Strut Health ship?
Strut says medication typically arrives within 2 business days, with 2-day express on most first orders. Refills travel by USPS. There's no next-day option, and nobody has to sign.