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Amazon Pharmacy vs Strut Health
An in-depth comparison of two leading GLP-1 Providers
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8.7
Amazon Pharmacy
Best for fastest brand-name Foundayo delivery with the cheapest insured price★★★★☆4.4
Starting at $25/mo
FoundayoBrandSame-Day DeliveryAll 50 States
Visit Amazon Pharmacy →8.1
Strut Health
Best for oral-lozenge compounded GLP-1 access★★★★☆4.1
Starting at $99/mo
CompoundedSemaglutideTirzepatideOral Lozenge Option
Visit Strut Health →Side-by-Side Comparison
| Feature | Amazon Pharmacy | Strut Health |
|---|---|---|
| Overall Score | ✓8.7/10 | 8.1/10 |
| Starting Price | ✓$25/mo | $99/mo |
| Editorial Rating | ✓4.4 ★ /5 | 4.1 ★ /5 |
| Features | 6 features | 6 features |
| States Available | ✓50 | 49 |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
Amazon Pharmacy
Pros
- ✓$1/day ($25/month) with insurance and the automatically-applied Lilly manufacturer-sponsored coupon — the cheapest brand-name Foundayo channel we've seen
- ✓Same-day delivery in nearly 3,000 US cities and towns at launch, expanding to 4,500 by year-end 2026 — most aggressive delivery footprint of any GLP-1 distribution channel
- ✓In-office, licensed-pharmacist-supported kiosks at select One Medical locations let patients walk out of an appointment with their Foundayo in hand — bypasses pharmacy lines entirely
- ✓Cash-pay $5/day ($149/month) is competitive with Ro and GoodRx for the same FDA-approved brand-name product
- ✓Real-time medication availability + transparent pricing + automatic manufacturer coupon application before checkout
- ✓Has been delivering GLP-1 medications since 2021 — operational track record on cold-chain biologic logistics
- ✓24/7 access to licensed pharmacists for clinical questions
Cons
- ✗Requires a valid existing prescription — Amazon Pharmacy does not employ prescribing clinicians or operate a telehealth intake. You need a separate visit (your PCP, a specialty endocrinologist, or another telehealth provider) to get the Foundayo script first
- ✗Headline $25/month price requires both insurance coverage AND the Lilly Savings Card — uninsured patients pay the $149/month cash price
- ✗Same-day delivery is geographically gated — outside the ~3,000 cities, delivery falls back to next-day, two-day, or three-day depending on remoteness
- ✗Pricing is set by Lilly's manufacturer-sponsored coupon program and could change
- ✗Does not offer compounded semaglutide or tirzepatide — brand-name only
- ✗Foundayo only at launch — Amazon Pharmacy carries other GLP-1s separately but the April 2026 announcement is Foundayo-specific
Strut Health
Pros
- ✓Both LegitScript and ACHC accreditation — pharmacy oversight standard most compounded GLP-1 providers don't advertise
- ✓Oral lozenge formulation available for semaglutide ($99/mo) and tirzepatide ($199/mo) — injection-free alternative
- ✓Transparent auto-refill pricing with 13–21% savings vs. one-off orders
- ✓Free unlimited follow-up messaging with board-certified US physicians
- ✓49 states covered (only Arkansas excluded as of September 2024)
Cons
- ✗'Medical necessity' eligibility gate — Strut's prescribers evaluate whether treatment is medically appropriate but the criteria are not publicly defined, so users can't self-screen before paying for a consultation
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
- ✗Pharmacy partners not publicly named — users can't independently verify 503A/503B compounding source
- ✗No insurance accepted — cash pay only
- ✗Phone consultation requirement varies by state (not every state mandates a synchronous visit)
Our Verdict
Winner: Amazon PharmacyScore: 8.7/10
Amazon Pharmacy edges out Strut Health with a higher overall score of 8.7/10 and is particularly strong for fastest brand-name Foundayo delivery with the cheapest insured price. Strut Health remains a solid alternative, especially if you're looking for oral-lozenge compounded GLP-1 access.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.