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Novi vs Strut Health

An in-depth comparison of two leading GLP-1 Providers

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8.6

Novi

Best for transparent all-in compounded GLP-1 pricing
★★★★4.3

Starting at $174/mo

CompoundedSemaglutideTirzepatideFree 2-Day Shipping
Visit Novi
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

FeatureNoviStrut Health
Overall Score8.6/108.1/10
Starting Price$174/mo$99/mo
Editorial Rating4.3 ★ /54.1 ★ /5
Features5 features6 features
States Available049
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

Pros & Cons

Novi

Pros

  • Transparent all-in monthly pricing — medication, clinician support, and shipping bundled with no hidden fees or membership add-ons
  • Both compounded semaglutide and tirzepatide available
  • Unlimited clinician messaging included at no extra cost
  • Free 2-day shipping on every refill

Cons

  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
  • 3-month minimum commitment is non-refundable per Terms of Service unless a clinician deems treatment medically inappropriate
  • State availability and pharmacy partners not publicly listed — patients learn during intake which states and pharmacies serve them

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: NoviScore: 8.6/10

Novi edges out Strut Health with a higher overall score of 8.6/10 and is particularly strong for transparent all-in compounded GLP-1 pricing. 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.