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Head-to-head · The Match Score

Strut Health vs 1st Optimal

Both scored on the same six-factor Match Score. Strut Health wins this matchup with a 88 to 45 edge.

Higher Match Score

Strut Health

#2 · Grade B+

People who want the strongest third-party pharmacy oversight available here, plus a needle-free lozenge option, without paying a premium for either.

Visit Strut Health
VS

1st Optimal

#489 · Grade C

Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Visit 1st Optimal

Factor by factor

The six sub-scores behind each Match Score. The quiz reweights these to your priorities — one provider can pull ahead for you on the factors you care about.

Budget Fit
94
48
Speed to Start
84
33
Formulary Match
90
51
Support Level
88
82
Flexibility
80
37
Transparency
90
20

Price, coverage & formulary

DetailStrut Health1st Optimal
Semaglutide$99/mo auto-refillNot disclosed
Tirzepatide$199/mo auto-refillNot disclosed
Coverage49 states — list not disclosedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesYes
Match Score88 · B+45 · C
Winner: Strut Health

Strut Health edges out 1st Optimal, 88 to 45 on the default Match Score. The only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry on this board.

1st Optimal is still a fair pick if its strengths line up with yours — best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Worth a look either way: our overall #1 pick is CoreAge Rx (Match Score 91) — nationwide access, both molecules at one flat price, easy to cancel. Or take the 6-question quiz to see your personalized match.

Visit Strut Health Visit 1st Optimal

Assume any provider we list may compensate us, at no cost to you. It never changes the Match Score.

Full Strut Health reviewFull 1st Optimal review

More head-to-heads

Or browse alternatives to Strut Health and all comparisons.

Pricing, states and verification reflect each provider's public disclosures at last review; the Match Score and its sub-scores are our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.