BiltRx review
Card prices for two compounded drugs, with a membership and a consultation billed separately.
The verdict
BiltRx lists compounded semaglutide at $81 a month and tirzepatide at $129. Each product page adds one line: consultation and shipping apply separately. The FAQ also names a monthly membership. With it, a month costs at least $90.99 and $138.99. Even those are not the full monthly cost.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- Dose pricing
- Flat across doses
- From
- From $90.99/mo
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
BiltRx is a telehealth brand based in Houston. It sells GLP-1 drugs beside NAD+, glutathione, hormone therapy and supplements. Its weight-loss grid lists two compounded drugs. It also lists four brand-name drugs.
Who writes the prescription, and what do they see?
A licensed U.S. provider runs the consultation. The FAQ describes phone and video visits. The provider decides whether to prescribe. The provider group behind the visits is not named.
Three charges stack here. The FAQ states that "BiltRx has a 9.99 monthly membership". It then says consultation fees and medication are billed separately. The consultation fee has no published amount. Partner compounding pharmacies fill the prescriptions.
What happens when the dose goes up?
Each card shows one rate per drug and names no dose. Whether the rate rises during escalation is not stated. The product pages give no dose ladder.
What the price includes
Start with the card: $81 for semaglutide, $129 for tirzepatide. Add the $9.99 monthly membership stated in the FAQ. That gives $90.99 and $138.99, the floors ranked here. Add a consultation fee, which has no published amount. Add shipping, which is also unpublished. The full monthly total cannot be computed from the public pages. The brand-name cards run $1,449 for Ozempic and $1,849 for Wegovy. Mounjaro and Zepbound are $1,499 each.
Where it holds up, and where it does not
- Strength: Compounded cards state a monthly figure
- Strength: Compounded status tagged on each card
- Strength: Brand-name drugs priced on the same grid
- Strength: Phone and video consultations offered
- Limitation: Consultation fee has no published amount
- Limitation: Membership billed on top of medication
- Limitation: Shipping charged separately, amount unstated
- Limitation: No dose attached to either rate
What the evidence says about this kind of treatment
The assessment above is about BiltRx. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A reader who will get the consultation fee in writing before paying.
- Wrong for
- A reader who needs the full monthly cost before starting an intake.
The evidence behind what BiltRx prescribes
These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation.
- Cochrane Review of Semaglutide for Obesity: 18 Trials Graded
A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower.
- Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?
In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points.
How BiltRx compares
| Seller | Who it suits | Go |
|---|---|---|
 Alloy | A reader comparing three molecules at one seller, where the same fixed fee sits on top of each of them. | See Alloy → |
 Rex MD | Readers who want an approved oral product with the clinician's cost stated inside it | See Rex MD → |
 Maximus | A reader weighing a compounded preparation against the manufacturer's own pen, with both priced on one seller's pages. | See Maximus → |
More GLP-1 telehealth sellers reviews: Nu Image MedicalNuBloomNucore HealthNuDay RxNuuVimNuviaRx
Sponsored alternative
SkinnyRx
Readers choosing tirzepatide, the one line with a published standing rate
Check SkinnyRx availability →Frequently asked
- Is $81 the full monthly cost?
- No. The product page says consultation and shipping apply separately. The FAQ adds a $9.99 monthly membership, so at least $90.99.
- What does the membership cover?
- Care coordination, priority support and member savings on supplements, per the FAQ. Consultation fees and medication are billed apart from it.
- Which brand-name drugs are listed?
- Mounjaro, Zepbound, Wegovy and Ozempic. Each carries its own monthly figure on the weight-loss grid.
- Is BiltRx expensive compared with other GLP-1 telehealth sellers?
- BiltRx publishes a starting figure of $90.99/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts BiltRx below the median, toward the cheaper end. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.