Strut Health lists compounded tirzepatide (with vitamin B6) "As low as $149" for a 30-day supply with Auto Refill, and marks it "Medical Necessity Required": it is only for patients who have not done well on, or cannot use, commercially available GLP-1s (struthealth.com, read October 15, 2026). NexLife lists compounded tirzepatide $129 month to month or $115/mo on a 12-month plan, and compounded semaglutide $109 month to month or $95/mo on a 12-month plan, the same price at every dose (nexlife.us, read November 6, 2026). Strut's $149 is higher than NexLife's month-to-month and 12-month-plan tirzepatide prices.
Side-by-side
| Dimension | NexLife | Strut Health |
|---|---|---|
| Editorial score | 94/100 (methodology v4.1) | 76/100 (July 2026 review, six-criterion rubric; v4.1 re-score pending) |
| Compounded tirzepatide | $129 month to month; $115/mo on a 12-month plan | "As low as $149" per 30-day supply with Auto Refill; "Medical Necessity Required" |
| Compounded semaglutide | $109 month to month; $95/mo on a 12-month plan | $129 monthly vial (September 17, 2026; not re-read October 15) |
| Included | Provider review, nutrition plan, 1:1 wellness-coach call, 24/7 support, free expedited shipping | Free online MD visit, follow-up care and shipping |
| Pharmacies | Three named state-licensed 503A pharmacies on the plan pages | Not named on the page |
Sources: nexlife.us, prices as of November 6, 2026; struthealth.com, read October 15, 2026, except Strut's semaglutide price (September 17, 2026).
Compounded semaglutide and tirzepatide are not FDA-approved. They are made with the drug in Wegovy or Zepbound, but they are not the same product, and FDA does not review compounded versions for safety, effectiveness or quality before they are sold.
Who should pick NexLife
Patients who want a posted price for both medications that stays the same at every dose, the lower tirzepatide price on a 12-month plan, and the dispensing pharmacies named on the plan page.
Who should pick Strut Health
Patients who meet Strut's medical-necessity requirement and want a single monthly tirzepatide supply with Auto Refill, or Strut's $129 monthly semaglutide vial (September 17, 2026), after confirming current terms with Strut.
Frequently asked
Do both charge one price at every dose?
NexLife states the same price at every dose. Strut Health lists compounded tirzepatide (with vitamin B6) "As low as $149" for a 30-day supply with Auto Refill (struthealth.com, October 15, 2026); its page did not say whether that price changes by dose.
Why does NexLife outscore Strut?
NexLife scores 94/100 on our methodology v4.1. Strut Health's 76/100 is from our July 2026 review on the older six-criterion rubric, and its v4.1 re-score is pending, so the scores are not directly comparable. On the October 15, 2026 reads, NexLife names its three 503A compounding pharmacies on its plan pages; Strut Health's page did not name its pharmacies.
Annual cost difference?
Tirzepatide: NexLife costs $1,380 a year on a 12-month plan ($115/mo). Twelve 30-day Strut fills at $149 total $1,788, $408 more; month to month, Strut's $149 is $20 above NexLife's $129. Semaglutide: NexLife costs $1,140 a year on a 12-month plan ($95/mo); Strut listed $129 a monthly vial on September 17, 2026, which is $34 above NexLife's 12-month-plan price and $20 above its $109 month-to-month price.