HSA Trackr

MEDVi vs Strut Health HSA Comparison (2026)

Personalized health Rx platform including weight-loss programs with compounded GLP-1.

Compounded GLP-1 plus broader compounded Rx platform (hair loss, ED, skin, women's health). Per-prescription pricing.

HSA Eligibility at a Glance

MEDVi

HSA-eligible (Rx required)

MEDVi prescription medications qualify under the IRS prescription-medicines rule (Pub 502) when prescribed for a diagnosed condition. Weight-loss GLP-1 specifically requires an obesity diagnosis (BMI 30+, or 27+ with comorbidity) or type 2 diabetes. Keep the prescription, pharmacy receipt, and clinician chart note.

Strut Health

HSA-eligible (Rx required)

Strut compounded GLP-1 prescriptions qualify under the same IRS prescription-medicines rule when prescribed for a diagnosed condition. Hair-loss prescriptions Strut also issues sit in IRS Pub 502 cosmetic-gray-area territory; treat hair-loss Rx as not eligible without a Letter of Medical Necessity. GLP-1 paperwork: prescription, pharmacy receipt, clinician diagnosis.

Pricing

MEDVi

Personalized weight-loss programs vary by tier, approximately $250/mo

Strut Health

Compounded semaglutide approximately $80+/mo, tirzepatide $140+/mo

Which Should You Pick?

When to choose MEDVi

  • You want personalized program tiers with structured weight-loss coaching
  • You prefer a bundled program model over a per-prescription approach
  • You're comfortable paying the mid-tier price for a more guided experience

When to choose Strut

  • You want the lowest-priced compounded GLP-1 option
  • You prefer per-prescription pricing without a subscription program
  • You want a platform that also covers other compounded Rx categories (ED, skin, women's health)

Visit Each Vendor

Visit MEDViVisit Strut Health

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Common Questions

Are MEDVi and Strut both HSA-eligible?▼
Yes when prescribed for a diagnosed condition. Both prescribe compounded GLP-1 (semaglutide and tirzepatide). The IRS Publication 502 prescription-medicines rule covers the medication when treating a diagnosed condition like obesity (BMI 30+, or 27+ with comorbidity) or type 2 diabetes. Keep the prescription, pharmacy receipt, and clinician chart note for both. One caveat: Strut also issues hair-loss prescriptions, which sit in the IRS Pub 502 cosmetic-gray-area and should be treated as not HSA-eligible without a Letter of Medical Necessity.
What's the price difference between MEDVi and Strut?▼
Strut tends to run lower on compounded GLP-1 (approximately $80-$140 per month depending on the medication and dose) compared to MEDVi's program tiers (approximately $250 per month). MEDVi bundles more structured program elements; Strut prices per prescription. The HSA tax shield applies equally to both.
Both use compounded GLP-1 - is that still HSA-eligible?▼
Yes. Compounded prescriptions from a licensed pharmacy with a valid Rx are HSA-eligible under the prescription-medicines rule. The FDA shortage list determines whether compounding is LEGAL at any given time, not whether the resulting prescription is HSA-eligible. If compounding becomes restricted, your provider should transition you to branded GLP-1 (Wegovy or Zepbound), which remain HSA-eligible without question.
Does MEDVi or Strut offer broader Rx beyond weight loss?▼
Strut covers more categories than MEDVi. Strut prescribes compounded formulations for hair loss, ED, skin care, women's health, and herpes in addition to GLP-1. MEDVi focuses primarily on weight management. If you want a single platform for multiple compounded Rx needs, Strut fits that pattern.
Do MEDVi or Strut accept HSA/FSA cards at checkout?▼
Card acceptance varies by program and merchant category code. If the card fails at checkout, pay with a regular card and reimburse from your HSA using the itemized receipt - this captures the same tax benefit either way.
What documentation do I need for HSA reimbursement?▼
Three documents for both vendors: the prescription from the provider, the pharmacy receipt showing the medication name and amount paid, and a clinician chart note documenting the diagnosis being treated. For GLP-1 the chart note needs to show the obesity diagnosis (BMI 30+, or 27+ with comorbidity) or type 2 diabetes. Save copies in your HSA receipt file.
How do I track MEDVi or Strut charges in HSA Trackr?▼
Set up a recurring monthly expense for whichever platform you use. Attach the monthly invoice and prescription label. MEDVi's program tiers and Strut's per-prescription pricing both produce predictable monthly amounts that fit the recurring-expense pattern in HSA Trackr.

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