BiltRx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.6/10
Best for: budget-focused patients wanting low-cost compounded glp-1 from a legitscript-verified provider
BiltRx is one of the most affordable GLP-1 options on the market.
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
No insurance needed · Vetted by our editors
BiltRx is a US health-optimization telehealth platform spanning men's health, women's health, aesthetics and weight loss that offers compounded and brand-name GLP-1 medications. Compounded semaglutide starts at 125 dollars per month and compounded tirzepatide at 129 dollars, among the lowest published prices. Brand options include Ozempic at 1,449 dollars, Zepbound and Mounjaro from 1,499 dollars and Wegovy at 1,849 dollars. Medication is compounded by licensed US 503A pharmacies (the site names Boothwyn and Southend Pharmacy). BiltRx is LegitScript verified and HIPAA compliant.
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
Vetted alternatives to BiltRx
MEDVi
Best for: patients who want the option to switch between compounded and brand-name GLP-1 through one provider
Editorial score · methodology
Liv Body
Best for: compounded GLP-1 paired with a muscle-preservation supplement stack
Editorial score · methodology
DudeMeds
Best for: men seeking no-fee GLP-1 access with oral and injectable options
Editorial score · methodology
BiltRx at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $125/mo (starting price per month)
- Pricing model
- Flat — dose increases don't raise the monthly price
- What's included
- Medication · Consult · Shipping
- FDA status
- No FDA warning letter on record
How we scored BiltRx
Each dimension is scored algorithmically from BiltRx’s real pricing, drugs offered, verification status, and disclosed inclusions — using the same six-dimension framework we apply to every provider.
Value25%
8.7/10At $125/mo, BiltRx runs about 26% below the $170 median for GLP-1 providers. Pricing is flat across doses, so there is no escalation markup as you titrate up.
Effectiveness25%
8.1/10BiltRx offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes. FDA-approved brand options are available alongside compounded versions.
User Experience15%
7.1/10Online intake and platform experience — consult included in the price; 7 platform features disclosed.
Trust & Safety15%
7.7/10Core details confirmed by our editors; no FDA warning letters on file; dispenses through an accredited compounding pharmacy (last checked 2026-07-16).
Accessibility10%
5.8/10BiltRx's exact state footprint isn't published — confirm coverage in your state before signing up.
Support10%
5.6/10BiltRx provides standard clinician follow-up; no extended coaching or community program is disclosed.
Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →
How we verified this BiltRx review
Last checked July 2026- Confirmed current pricing across 4 dose/plan tiers
- Confirmed what the monthly price does and doesn't include
- Checked the FDA warning-letter database for enforcement actions
- Walked the public intake/checkout flow on the provider's site
Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records — see the sources below. Editorial confidence in this data: medium.
GLP-1 medications BiltRx offers
Tap any medication to read our plain-English guide — how it works, dosing, side effects, and what the trials found.
Pricing
Prices re-verified
starting price per month
starting price per month
flat rate, brand Zepbound
flat rate, brand Wegovy
Ready to get started?
Plans and promotions change often — check BiltRx's current pricing and active discounts before you decide.
What we like
- Very low starting prices (semaglutide from 125 dollars, tirzepatide from 129 dollars)
- LegitScript verified and HIPAA compliant
- Names its 503A compounding pharmacies (Boothwyn and Southend)
- Offers both compounded and brand-name GLP-1 options
Watch-outs
- Covered states are behind a check-availability gate, not listed
- Starting prices may rise depending on plan and dose
Is BiltRx worth it? Our verdict
BiltRx positions itself around one thing: budget-focused patients wanting low-cost compounded glp-1 from a legitscript-verified provider. It runs $125/month, flat across every dose — toward the affordable end of the market. Its flat, all-dose pricing is a genuine plus for anyone worried about cost climbing as they titrate up.
BiltRx rounds out its offering with LegitScript, 503A pharmacy, and Low price.
How much BiltRx actually costs
- Compounded semaglutide — $125/month
- Compounded tirzepatide — $129/month
- Brand-name tirzepatide — $1499/month
- Brand-name semaglutide — $1849/month
That puts BiltRx below the roughly $170 median ongoing price across the GLP-1 providers we track — a real cost advantage.
For a direct comparison, Oak runs semaglutide and tirzepatide from $119/month — worth pricing against BiltRx before you commit.
Medications: what BiltRx prescribes
BiltRx prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the pair backed by the largest published weight-loss trials. Both routes are on the table: FDA-approved brand pens, or the cheaper compounded version that keeps the monthly cost down but isn't FDA-approved as a finished product.
Who BiltRx is best for — and who should skip it
A good fit if you…
- are focused on the lowest ongoing monthly cost.
Look elsewhere if you…
- need to bill insurance — like most of this market, it's cash-pay.
Trust, safety, and medical oversight
BiltRx dispenses through an accredited compounding pharmacy. We found no FDA warning letters on file for the provider. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation — we explain how in our scoring methodology.
Bottom line
BiltRx earns its place on the shortlist mainly on price: at $125/month it's one of the more affordable ways to stay on a GLP-1, without obvious corners cut on access or oversight.
The Bottom Line
BiltRx is one of the most affordable GLP-1 options on the market.
Ready to start with BiltRx?
Starting at $125/month. See current pricing and start your free consultation.
BiltRx might not be your best fit if…
We rank editorially, so here’s where a different provider we track may serve you better.
- If the lowest possible monthly price is your top priority, consider Sesame Care (from $59/mo).
- If you want built-in coaching and behavior-change support, consider MEDVi.
Frequently Asked Questions
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this BiltRx review:
Sources & methodology — as of July 2026
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See BiltRx's current pricing
Plans start at $125/month. Start your free consultation to check eligibility and today's price.