SkinnyRx vs Strut Health

What we like

• A compounded tirzepatide TABLET — a dissolving sublingual route for the dual GIP/GLP-1 molecule, priced identically to the injection at every rung, which is close to unique in this ranking
• Both molecules across three routes — injection, sublingual and daily tablet — so needle aversion never means changing provider or dropping back to the single-pathway drug
• Lower-dose "microdose" lines for both molecules are sold as their own products with their own published ladders, rather than being quoted at the full-dose price

The caveats

• –Carries an active FDA warning letter issued in February 2026 (see the notice on this page for FDA's own record)
• –Every price the site advertises is the TWELVE-MONTH rung: its own headline reads "Starting at $299/mo" while the month-to-month tirzepatide rate is $399 and the renewal price in its code is literally 399 — semaglutide is the same shape at $199 advertised against $349 month-to-month
• –The commitment is not named beside the number anywhere in the marketing copy, and the prepay rung is also what its schema.org product markup publishes as the price — so search engines and AI assistants are given the twelve-month rate as though it were the monthly one

What we like

• Sublingual lozenges for both molecules — a real option if injections are the thing stopping you, and rare in this ranking
• Every route prices publicly: semaglutide from $99 sublingual or $149 injectable, tirzepatide from $199 either way
• Cancel, pause or delay a subscription yourself, with 48 hours' notice before processing

The caveats

• –Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
• –No brand-name path at all
• –Asynchronous by design — their FAQ notes some states do not require a phone consultation, so you may never speak to the prescriber