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This erectile dysfunction provider comparison is independently researched by our editorial team. We compare telehealth services based on publicly available information including pricing, available treatments, service areas, and verified customer reviews.
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Is Strut Health Safe? ED Pricing, Fees, and What's Actually Disclosed (2026)
Strut Health sells two genuinely different kinds of ED treatment, and the difference matters more than most reviews let on. One is standard generic sildenafil and tadalafil, which Strut's own site states plainly are FDA-approved and not compounded. The other is Super Strut, a compounded 4-in-1 combining tadalafil, vardenafil, apomorphine, and oxytocin, which is not FDA-approved and, in the same site's own words, has not been tested or approved by the FDA for its intended use. Both are available by prescription from a licensed telehealth provider, and Strut carries a 9.4 out of 10 rating in our own system. What you won't find is a price on Strut's main ED page. You have to open each product to see a number, and once you do, the two lines cost very different amounts for very different reasons. So this guide goes through Strut's pages item by item: what it charges, what's bundled into that price, what it never spells out anywhere we could find, and which product you're actually ordering at checkout. In the interest of the same transparency this guide is asking of Strut: we earn a commission if you sign up with Strut through a link on this page, which doesn't change any of the prices or facts below.
Step 1: See What Strut Actually Charges, Before You Click Get Started
- Generic sildenafil (FDA-approved, not compounded): $48 at 25mg, $96 at 50mg, $144 at 100mg. Read the unit carefully, because it isn't monthly: Strut's pricing block prices each strength at 30 doses and labels that a 90-day supply, while the same page advertises auto-refill 'starting at $48 for 30 doses' without stating how often the card gets charged
- Generic tadalafil (FDA-approved, not compounded): 5mg $30/mo, 10mg $60/mo, 20mg $120/mo, for a 10-dose monthly supply. Strut also lists 90-day supplies at $72, $144, and $288, which come out lower per dose than three monthly refills
- Super Strut, the compounded 4-in-1 (tadalafil, vardenafil, apomorphine, oxytocin), which is compounded and not FDA-approved: Low $79/mo, Medium $89/mo, High $99/mo, for 10 tablets over 30 days
- All prices as of August 2026, and they are Strut's list figures, not a quote for you. Our own brand database records Strut's ED line from $30/mo, last price-verified August 22, 2026, which matches the tadalafil floor above
Step 2: Know Which Product You're Actually Ordering
- Strut's standard products are single-drug tablets: sildenafil, the active ingredient in Viagra, and tadalafil, the active ingredient in Cialis; Strut's own product pages state these are FDA-approved generic tablets, not compounded
- Super Strut combines four actives in one dissolvable tablet: tadalafil, vardenafil, apomorphine, and oxytocin. It is compounded and not FDA-approved, and Strut's own product page carries the disclosure verbatim: 'Compound prescription products have not been tested or approved by the FDA for their intended use. No claims are made as to the safety, efficacy or use of this compound'
- Of the four Super Strut actives, tadalafil and vardenafil are individually FDA-approved for ED (as the active ingredients in Cialis and Levitra). Apomorphine's US approvals are all for Parkinson's disease, a different condition, and oxytocin's are in obstetric care. Strut states this itself on the Super Strut page: 'Apomorphine and oxytocin are not FDA-approved for erectile dysfunction and are prescribed off-label when a provider determines it is appropriate'
- None of that individual-ingredient approval carries over to the four-way combination itself; no FDA review exists for Super Strut as a combined product
- Strut's product pages don't break out how much of each of the four actives is in the Low, Medium, or High Super Strut tier, and because the formula is compounded rather than FDA-approved there's no approved label to look the amounts up in; the only place those numbers exist is with the prescriber, so raise it during intake rather than after the first shipment arrives
Step 3: Free Visit, Free Shipping, and Where the Fine Print Stops
- Included at no extra cost, per Strut's own site: the online physician visit, shipping, and follow-up care
- Not stated anywhere we could find on Strut's pages: a specific cancellation notice period, a cancellation fee (Strut says 'cancel anytime' but doesn't describe the process), or the name of the compounding pharmacy that fills Super Strut prescriptions, which carries more weight than it would for an FDA-approved drug, since a compounded formula gets no FDA review of its safety, effectiveness, or quality and the pharmacy's own standards are what stand in for one
- Not shown on the sexual health landing page that fronts the ED line: any of the actual dollar prices above, or the fact that sildenafil and tadalafil are priced on different units. You have to open each product page to see a number, which makes comparison-shopping across Strut's three ED options slower than it needs to be
- Strut does not ship to Alaska or Arkansas, per our own brand database; confirm your state is served before you start the intake
Step 4: Understand the Subscription and Refill Mechanics
- All three product lines ship as auto-refill subscriptions rather than one-time orders, according to the product pages themselves: the two FDA-approved generics, sildenafil and tadalafil, and the compounded Super Strut, which the FDA has not reviewed for safety, effectiveness, or quality
- Strut states you can cancel anytime, but the site does not publish a notice period, a refund policy for an already-shipped month, or a cancellation fee, so ask directly during intake or before your next refill date if any of that matters to you
- Switching between Strut products (say, from Super Strut to standard tadalafil) is not described as a single-click option on the pages checked; treat it as a new order until Strut's support confirms otherwise for your account
- Prices and terms both move, so every figure here reflects what Strut published in August 2026 and nothing more; re-check yours before the card gets charged
Compounded or FDA-Approved: What Each Strut ED Product Actually Is
What Strut Doesn't Put on the Page
What This Guide Discloses, and What We Get If You Sign Up
Online vs In-Person Treatment Comparison
Understanding the differences between online and in-person treatment helps you choose the right approach for your needs.
| Fee or Term | What Strut States (as of Aug 2026) | What to Confirm Yourself |
|---|---|---|
| Generic sildenafil / tadalafil price | Tadalafil $30-120/mo; sildenafil $48-144 per 30 doses (labeled a 90-day supply). FDA-approved, not compounded | Your billing cycle, the exact dose, and the total at checkout |
| Super Strut (4-in-1) price | $79-99/mo by tier, compounded, not FDA-approved | Per-ingredient dose in your specific tier; ask your clinician |
| Consultation fee | Free online physician visit, stated sitewide | Whether that holds if your intake needs follow-up questions |
| Shipping | Free, stated sitewide (packaging not described) | Delivery timeline for your state |
| Cancellation | "Cancel anytime" (no notice period or fee stated) | Exact process and whether a shipped month is refundable |
| Compounding pharmacy | Not named on the pages checked | Ask Strut which pharmacy fills your prescription, before the first refill |
| State availability | Not available in Alaska or Arkansas (per our brand database) | Confirm your state during intake regardless |
Frequently Asked Questions
Is Strut Health safe?
Strut is a licensed telehealth provider that requires an online medical intake before prescribing, which is the baseline structure any legitimate ED provider should have. Its standard sildenafil and tadalafil are FDA-approved generic medications. Its Super Strut product is compounded and not FDA-approved, and by Strut's own statement has not been tested or approved by the FDA for its intended use, which is a real distinction worth understanding rather than a reason to write the brand off. No ED medication is without risk either way: PDE5 inhibitors like sildenafil, tadalafil, and vardenafil carry a labeled contraindication with nitrate drugs, and headache, flushing, indigestion, and nasal congestion are among the side effects listed on their labels. We rate Strut 9.4 out of 10 in our own system, which scores what the brand publishes, not your individual suitability for any of these drugs. Whether any of them is appropriate for you is a question for a licensed provider during the intake, and if you specifically want a drug that has been through FDA review, ask for standard sildenafil or tadalafil rather than the combination product.
How much does Strut cost for ED treatment?
As of August 2026, checked directly on Strut's site: generic tadalafil runs $30-120/mo depending on dose (5mg-20mg) for 10 doses a month, with 90-day supplies listed at $72-288. Generic sildenafil is priced by the pack rather than by the month, at $48 for 30 doses at 25mg, $96 at 50mg, and $144 at 100mg, which Strut's own pricing block labels a 90-day supply. The compounded Super Strut 4-in-1, which is not FDA-approved, runs $79-99/mo by tier for 10 tablets. All three include a free online physician visit, free shipping, and free follow-up care. Strut doesn't display any of these numbers on its sexual health landing page; you see them only after opening a specific product. Confirm your exact total and your billing cycle at checkout, since these are list figures, not a quote for you.
Is Strut's ED medication FDA-approved or compounded?
Both, depending on which product you pick. Standard sildenafil and standard tadalafil are FDA-approved generic tablets; Strut's own tadalafil page states 'Not compounded, FDA-approved tablets.' Super Strut, the 4-in-1 combining tadalafil, vardenafil, apomorphine, and oxytocin, is compounded and not FDA-approved; Strut's own site puts it as 'Compound prescription products have not been tested or approved by the FDA for their intended use.' The two are genuinely different products with different regulatory status, not two names for the same thing.
What does Strut's free consultation actually include?
Strut's site states the online physician visit, shipping, and follow-up care are all included at no extra cost across its ED products. What isn't spelled out anywhere we read is what happens if your intake needs additional review or a follow-up question before a prescriber approves you, so if that's a concern, ask during the intake process rather than assuming.
Can I cancel my Strut subscription, and are there fees?
Strut's site says you can cancel anytime, but as of this check it does not publish a specific notice period, a cancellation fee, or a refund policy for a month that's already shipped. All three ED products ship as auto-refill subscriptions rather than one-time purchases: FDA-approved generic sildenafil, FDA-approved generic tadalafil, and the compounded Super Strut, which is not FDA-approved. If the exact cancellation process matters before you sign up, confirm it directly with Strut rather than assuming from the marketing copy.
Does Strut ship ED medication to every state?
No. Per our own brand database, Strut does not currently ship to Alaska or Arkansas. If you're in either state, confirm availability before starting the intake process, since state-by-state telehealth prescribing rules can also affect availability beyond what's listed here.
Are Strut Health reviews trustworthy?
We rate Strut 9.4 out of 10 in our own system, based on what the brand publishes about its process, products, and pricing. On the pages we checked for this guide, Strut doesn't display an independent review count or a Trustpilot score, so we're not able to point you to one here, and you should treat any specific review-count figure you see elsewhere as unverified unless you can confirm it directly on a third-party platform yourself.
Sources & References
Our comparisons are informed by official sources and regulatory guidelines. We encourage readers to verify information with authoritative sources.
- AUA - Clinical GuidelinesMedical research and clinical information
Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards