Strut Health runs a dedicated ED-specific landing page with both FDA-approved generics and compounded formulations, billed as a recurring monthly subscription with auto-refill. Sesame runs a marketplace where you book a one-off visit with an independent clinician and pay only for that visit. Same end goal — a prescription — very different commitment structure.

Pricing Model: Subscription vs. Pay-Per-Visit

Strut's ED plans are structured as monthly subscriptions that include the medication, provider support, and auto-refill shipping — you're billed on a recurring basis until you cancel through their patient portal. Sesame has no subscription requirement for an ED visit: you pay the clinician's visit fee (commonly $34–$45) and separately for whatever medication gets prescribed, with no auto-renewal built in.

If you know you'll need ED medication regularly, a subscription can simplify reordering. If you're not sure yet, or you'd rather not manage a recurring charge, Sesame's one-off visit avoids that commitment entirely.

Compounded medication notice: some of Strut Health's ED formulations are compounded rather than FDA-approved — prepared by a licensed pharmacy under a clinician's prescription, but not independently reviewed by the FDA the same way brand-name or generic drugs are. Sesame's ED prescriptions, by contrast, are FDA-approved generics only.
Sesame CareStrut Health
BillingPay per visitMonthly subscription, auto-refill
MedicationFDA-approved generics onlyMix of FDA-approved and compounded formulas
Landing experienceMarketplace, choose your clinicianDedicated ED-specific page
CancellationNothing to cancel — one-time visitCancel via patient portal, advance notice required

Who Each One Fits

Strut makes sense if you want ongoing treatment handled automatically and you're comfortable with a compounded formulation as an option. Sesame makes sense if you'd rather test the waters with a single visit, know the exact price before booking, and stick to FDA-approved medication only.

Bottom Line

This is a commitment question more than a quality question. Strut's subscription suits people who know they'll need ongoing treatment. Sesame's pay-per-visit model suits people who want to try one visit first, or who specifically want to avoid compounded formulations.

ED-Specific Landing Page

Strut Health

A dedicated ED-specific landing page for people who already know what they're here for.

View Strut Health
Marketplace Model

Sesame Care

Book directly with a licensed clinician for an ED evaluation — FDA-approved treatment only, no compounded formulations under this listing.

Brand-name treatment only through this program. Confirm current pricing and availability on their site — it varies by provider.

View Sesame Care
Can I cancel a Strut Health subscription easily?
Strut's ED plans are billed as recurring monthly subscriptions managed through their patient portal, typically requiring advance notice to cancel. Confirm current cancellation terms directly on their site before subscribing.
Does Sesame Care require ongoing commitment?
No. Sesame's ED service is booked and paid for one visit at a time, with no subscription or auto-refill built into the visit itself.
Related on EdClinic
Advertising disclosure: EdClinic.co is an independent comparison site. We may earn a commission when you visit a provider through a link on this page — this does not affect the price you pay. Compounded medications referenced on this page are not FDA-approved; compounding pharmacies prepare medications under a licensed clinician's prescription. Nothing on this page is medical advice. Talk to a licensed healthcare provider about your specific situation.