Verdict84/ 100
Grade B · #19Strut Health
The only programme here selling the same molecule as a lozenge or an injection at the same price — the needle is genuinely optional.
Visit Strut HealthHead-to-head verdict
Strut Health vs Sesame Care
Two GLP-1 providers, ruled side by side on The Verdict Score — our published six-factor rubric. Same yardstick, and no score is adjusted for payment.
vs
Verdict87/ 100
Grade B+ · #4Sesame Care
An established national telehealth marketplace with the widest real brand-name GLP-1 access on the board — Wegovy (pen and pill), Zepbound, Ozempic and Mounjaro — plus provider-by-provider price transparency.
Visit Sesame CareThe verdict
Winner: Sesame Care
Sesame Care takes it with a higher Verdict Score — 87/100 to 84/100 (grade B+ vs B). Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program. Strut Health still earns its place — anyone whose real objection is the needle rather than the medicine, and who wants every route priced on the page before signing up.
Neither of these is our overall #1. That title goes to CoreAge Rx (94/100) — the most honest middle of the market: nationwide access, both molecules at one flat, no-surprise price.
Factor by factor
Both scored on the same six factors — see the methodology. The brass bar marks the stronger side on each.
78Real-world results86
78
Real-world results86
93Price honesty80
93
Price honesty80
68Prescriber access92
68
Prescriber access92
92Formulary choice95
92
Formulary choice95
90Cancellation fairness82
90
Cancellation fairness82
80Member support80
80
Member support80
Price, coverage & features
| Metric | Strut Health | Sesame Care |
|---|---|---|
| Verdict Score | 84/100 | 87/100 |
| Grade | B | B+ |
| Semaglutide | From $99/mo sublingual, $149/mo injectable | From $149/mo (brand Wegovy pill) |
| Tirzepatide | From $199/mo either route | Brand Zepbound (price varies) |
| Coverage | 49 states (not Arkansas) | Nationwide marketplace |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
Strut Health
What we like
- Sublingual lozenges for both molecules — semaglutide from $99/mo, tirzepatide from $199/mo, the same price as the injection
- Every route and its auto-refill saving is published on the product page rather than revealed inside an intake
- Cancel, pause or delay a subscription yourself with 48 hours' notice before processing
- Free online physician visit, free shipping and free follow-up care included rather than added at checkout
The caveats
- Asynchronous by design — their FAQ notes some states do not require a phone consultation, so you may never speak to the prescriber
- Compounded only, with no brand-name pathway
- No published lab or monitoring programme
- Not available in Arkansas
Sesame Care
What we like
- Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Rybelsus
- Established platform (operating since 2018) with LegitScript, BBB accreditation and large third-party review volume
- You choose the provider and see the price up front — genuine marketplace transparency
- Oral routes available (Wegovy pill, Rybelsus)
The caveats
- A generalist marketplace, not a dedicated weight-loss program — lighter ongoing hand-holding than a specialist desk
- Two-part cost (a platform subscription plus the medication) makes the true monthly total harder to compare
- Brand-name cash prices can run high without insurance
Also worth a look
Anyone whose real objection is the needle rather than the medicine, and who wants every route priced on the page before signing up.
Visit Strut Health Read the full Strut Health review →Our pick — visit
Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program.
Visit Sesame Care Read the full Sesame Care review →Keep comparing
Or browse the full comparison hub and the complete rankings.
Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.