Aspire Health vs BiltRx
Aspire Health costs $22 less a month, and both sell semaglutide and tirzepatide.
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Aspire Health
Best for: a published price you can check dose by dose before handing over any health information
Visit Aspire Health →BiltRx
Best for: moving between compounded and brand without changing seller
Visit BiltRx →If you are choosing between Aspire Health and BiltRx, the first difference is cost: Aspire Health is $22 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Aspire Health leads our six-part score, 8.9 to 8.3.
Aspire Health vs BiltRx price
Aspire Health is the cheaper way in: $103 a month against $125 a month at BiltRx. That is $22 less each month (18% lower), or about $264 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Aspire Health ($103 a month vs $125 a month); tirzepatide is cheaper at BiltRx ($129 a month vs $149 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections and brand-name pens.
Where each one treats patients
Aspire Health lists 29 states, and BiltRx does not publish where it ships.
Pricing
Aspire Health
$129 for one vial, which Aspire's table says covers 5 weeks at 0.5 mg a week — about $103/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free. Aspire also lists a 0.25 mg starting-dose vial at $129 that its table says covers ten weeks, about $52/month; that is the titration starting rung, not a rate anyone stays on.
$159 for one vial, which Aspire's table says covers 5 weeks at 1 mg a week — about $127/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$189 for one vial, which Aspire's table says covers 5.8 weeks at 1.7 mg a week — about $130/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$189 for one vial, which Aspire's table says covers 4.1 weeks at 2.4 mg a week — about $184/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$149 for one vial covering 4 weeks at the 2.5 mg starting dose. This is the titration starting rung only. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$249 for one vial, which Aspire's table says covers 4 weeks at 5 mg a week — about $249/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$279 for one vial, which Aspire's table says covers 5.3 weeks at 7.5 mg a week — about $211/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$289 for one vial, which Aspire's table says covers 5 weeks at 10 mg a week — about $231/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$299 for one vial, which Aspire's table says covers 4.8 weeks at 12.5 mg a week — about $249/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$299 for one vial, which Aspire's table says covers 4 weeks at 15 mg a week — about $299/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$199 for a 4‑week supply of brand Wegovy at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$399 for a 4‑week supply of brand Wegovy at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$299 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$399 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$449 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$149/month for oral Wegovy at this dose, published by Aspire as a monthly figure. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
$299/month for oral Wegovy at this dose, published by Aspire as a monthly figure. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.
BiltRx
starting price per month
starting price per month
flat rate, brand Zepbound
flat rate, brand Wegovy
What each price covers
Both prices cover the clinician visit and the medication itself.
Aspire Health's price also covers coaching, which BiltRx does not claim.
BiltRx's price also covers shipping, which Aspire Health does not claim.
Aspire Health is silent on shipping.
BiltRx is silent on lab work and coaching.
Aspire Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Charged on top
Coaching
In the price
BiltRx
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Aspire Health scores 8.9 and BiltRx 8.3 out of 10.
Aspire Health is stronger on trust & safety (10.0 vs 6.5) and accessibility (6.6 vs 5.0).
BiltRx is stronger on value (9.8 vs 9.2).
Effectiveness, user experience and support are within half a point.
Aspire Health
8.9/10
BiltRx
8.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Aspire Health nor BiltRx has an FDA warning letter on record with us.
Features & Coverage
| Feature | Aspire Health | BiltRx |
|---|---|---|
| Starting Price | ✓$103/mo | $125/mo |
| Features | ✓8 features | 7 features |
| States Available | 29 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Aspire Health
Aspire Health is a Nebraska‑based telehealth practice that publishes dose‑by‑dose prices before any intake. Compounded semaglutide works out to about $103/month at 0.5 mg and $184 at the 2.4 mg maintenance dose; compounded tirzepatide is about $249/month at 5 mg. Brand Wegovy, brand Zepbound and oral Wegovy are priced separately. Medication is billed on top of a $49/month medical‑care fee, and the cost of lab work is not included. A named PA/NP team prescribes, and all three dispensing pharmacies are named publicly.
Read our full Aspire Health review →About BiltRx
Among the lowest published prices: 125 dollars per month to start for compounded semaglutide, 129 dollars for compounded tirzepatide. Brands run far higher, at 1,449 dollars for Ozempic, 1,849 dollars for Wegovy, and from 1,499 dollars for Mounjaro or Zepbound. Southend Pharmacy and Boothwyn are the 503A compounders the site names, both US-licensed. This platform covers weight loss, aesthetics, and health for women and men, and holds LegitScript verification and HIPAA compliance.
Read our full BiltRx review →Pros & Cons
Aspire Health
What we like
- Semaglutide costs $103 a month, 44% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $211 a month, 16% below the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and coaching
- Names 3 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Aspire Health
Watch-outs
- Not included in the monthly price: lab work
- Serves only 29 states, so check that yours is one of them
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
BiltRx
What we like
- Semaglutide costs $125 a month, 32% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $129 a month, 48% below the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to BiltRx
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Aspire Health wins this one, 8.9 to 8.3, above all for a published price you can check dose by dose before handing over any health information. It also costs $22 less each month than BiltRx. BiltRx fits better if moving between compounded and brand without changing seller is your priority.
Choose Aspire Health if…
You want a published price you can check dose by dose before handing over any health information and an opening price near $103 a month.
Choose BiltRx if…
You want moving between compounded and brand without changing seller and an opening price near $125 a month.
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Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.