GLP Watchdog

Direct Meds vs Strut Health

Direct Meds has an open FDA warning letter dated September 9, 2025. Strut Health has an open FDA warning letter dated February 20, 2026. On compounded tirzepatide injection, Strut Health costs $3,000 less a year at standing rates: $149 a month against $399 a month at Direct Meds. It is one of four products the two sell at comparable terms.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Direct Meds / Strut Health

Direct Meds logo

Direct Meds

7.1/10

Strut Health logo

Strut Health

8.6/10

FDA warning letters
Pharmacy
None named in our record
None named in our record
Lowest standing price
$249/moCompounded oral semaglutide
$99/moCompounded oral semaglutide
States
48 states and DC
49 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Direct Meds
Visit Strut Health

Both Direct Meds and Strut Health are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, Strut Health 8.6). How we are paid

What the record shows

  1. 01

    Direct Meds has an open FDA warning letter dated September 9, 2025. Strut Health has an open FDA warning letter dated February 20, 2026.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    On compounded tirzepatide injection, Strut Health costs $3,000 less a year at standing rates: $149 a month against $399 a month at Direct Meds. It is one of four products the two sell at comparable terms.

  4. 04

    Direct Meds covers one state Strut Health does not and Strut Health covers two states Direct Meds does not.

  5. 05

    Direct Meds holds you to a 90-day supply shipped at once, remaining months billed every 30 days; Strut Health states you can cancel at any time.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Direct Meds

Strut Health

Compounded semaglutide injection

$297/mo

$3,564 a year

$149/moLower

$1,788 a year

Compounded tirzepatide injection

$399/mo

$4,788 a year

$149/moLower

$1,788 a year

Compounded oral semaglutide

$249/mo

$2,988 a year

$99/moLower

$1,188 a year

Compounded oral tirzepatide

$299/mo

$3,588 a year

$199/moLower

$2,388 a year

Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
No
Yes, stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
None
Refunds
No refunds for medication already received; $35 disposal fee on returns
No refunds once the pharmacy processes an order

Read off each seller’s own pages. Direct Meds: October 17, 2026. Strut Health: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10

The record gives Direct Meds no edge on this pair.

  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

The case for Strut Health

8.6/10
  • $1,776 a year less on compounded semaglutide injection
  • $3,000 a year less on compounded tirzepatide injection
  • States you can cancel at any time
  • Open FDA warning letter, February 20, 2026
  • Names no compounding pharmacy
Visit Strut Health

Scores

Direct Meds 7.1 · Strut Health 8.6 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
4.5

Accessibility10%

9.7A
vs
B
9.8

Support10%

7.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Direct Meds vs Strut Health: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. Strut Health has an open FDA warning letter dated February 20, 2026. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
Strut Health, by $1,776 a year at standing rates. Direct Meds: $297 a month, about $3,564 a year. Strut Health: $149 a month, about $1,788 a year.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). Strut Health states you can cancel at any time; refunds: no refunds once the pharmacy processes an order.
Both Direct Meds and Strut Health are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, Strut Health 8.6).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register