Strut Health vs Apex MD
Strut Health's oral figure is a subscription rate and Apex MD's is not, which is most of what the $250 between them buys.
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Strut Health
Partner
$99/mo
The oral is the cheap route here, which is backwards for this market: $99 for oral semaglutide against $149 for the injection. Tirzepatide is $199 in either form. Every one of those is an auto-refill rate, so buying a single month costs more than the page implies.
- Oral semaglutide at $99, below its own injection price
- Both molecules in both routes from one intake
- Prices published before the intake
- No video visit required
- Every price is an auto-refill rate; one-off months cost more
- Alaska is excluded
- GLP-1 is one product line among several, not the focus
- Compounding pharmacy is not named
Pick it for: A much smaller monthly outlay, with a refill commitment attached
Not for: Buyers who want a single month without a recurring charge attached.
Apex MD
Editorial
$349/mo
Prices all four combinations: semaglutide at $299 injected and $349 orally, tirzepatide at $399 and $419. Expensive across the board, but one of the few sellers that will tell you the oral figure without an intake.
- No plan term — a month is a month
- Both molecules in both routes, each priced separately
- Prices published before the intake
- 51 jurisdictions
- Priced well above where this market sets compounded semaglutide
- The semaglutide injection contains additives with no trial behind the combination
- $50 to $100 route premium on top
- Compounding pharmacy is not named
Pick it for: Paying month to month with nothing to cancel
Not for: Anyone who wants the molecule on its own, or a competitive rate.
Our verdict
Apex MD's $349 oral semaglutide buys one thing Strut Health's $99 does not: no plan term at all, with every figure billed month to month and no multi-month rate published. Nothing in the Apex listing accounts for the rest of that gap, and Strut's price is an auto-refill rate, so this is really commitment weighed against cost.
What actually separates them
Strut Health and Apex MD state different things about published price and where you can use it. Everything else they publish, they publish the same way.
Apex MD costs $250 more than Strut Health — 253% more for the same molecule. Whether that buys anything is what the rest of this page is for.
Over twelve months that is about $1,188 at Strut Health against $4,188 at Apex MD — a difference of $3,000.
| Strut Health | Apex MD | |
|---|---|---|
| Published price | $99/mo | $349/mo |
| Where you can use it | 49 states | 51 jurisdictions |
What neither of them tells you
A comparison that only reports differences implies everything else is settled. Here it is not.
- Neither publishes a milligram dose, so neither price can be compared with the other — or with anything else.
Before you choose either
Coverage is not the same, and it decides the question outright for anyone living in the gap. Apex MD serves 2 that Strut Health does not — AR, DC. Check your own state before you weigh anything else here.
Neither of these sellers publishes a milligram dose, so neither price can be compared with the other or with anything else — which is normal in this category and is exactly the problem. Ask both what dose the monthly price buys, and see the sellers that do publish one before you assume the cheaper sticker is the cheaper product.
Our take is computed from a published rubric that does not read commercial status, and what is known about safety applies to both of them equally.