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BiltRx vs Citizen Meds

BiltRx and Citizen Meds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed

BiltRx

8.3
★★★★☆4.2/5

Best for: moving between compounded and brand without changing seller

Visit BiltRx →
VS
Citizen Meds logo

Citizen Meds

7.7
★★★★☆3.9/5

Best for: semaglutide at $125/month, 34% below the typical price

Visit Citizen Meds →

If you are choosing between BiltRx and Citizen Meds, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. BiltRx leads our six-part score, 8.3 to 7.7.

BiltRx vs Citizen Meds price

BiltRx and Citizen Meds start at the same figure, $125 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $125 a month; tirzepatide is cheaper at BiltRx ($129 a month vs $185 for the first month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, BiltRx prices compounded injections and brand-name pens, while Citizen Meds prices compounded injections.

If you want the FDA-approved brand rather than a compounded version, BiltRx is the only one of the two with a brand-name price.

Where each one treats patients

Neither BiltRx nor Citizen Meds publishes the states it serves, so enter your state at the very start of each sign-up.

Pricing

BiltRx

All doses (flat)Compounded
$125/mo
semaglutide

starting price per month

All doses (flat)Compounded
$129/mo
tirzepatide

starting price per month

ZepboundBrand-name
$1499/mo
tirzepatide

flat rate, brand Zepbound

WegovyBrand-name
$1849/mo
semaglutide

flat rate, brand Wegovy

Citizen Meds

0.25mg starter (4 inj, 30-day)Compounded
$125/mo
semaglutide

Per-dose ladder: 0.5mg $245, 1.0mg $295, 1.7/2.4mg $345, 2.5mg $395.

2.5mg first month (4 inj, 30-day)Compounded
$185/mo
tirzepatide

Per-dose ladder: 5mg $295, 7.5mg $345, 10mg $395, 12.5mg $445, 15mg $545. (Homepage promo tile lists tirz $145, but the product page month-1 price is $185.)

What each price covers

Both prices cover the clinician visit and the medication itself.

BiltRx's price also covers shipping, which Citizen Meds does not claim.

BiltRx is silent on lab work and coaching.

Citizen Meds is silent on shipping, lab work and coaching.

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

Citizen Meds

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, BiltRx scores 8.3 and Citizen Meds 7.7 out of 10.

BiltRx is stronger on value (9.8 vs 7.8) and support (7.0 vs 5.5).

Effectiveness, user experience, trust & safety and accessibility are within half a point.

How we score

BiltRx

8.3/10

Overall

Citizen Meds

7.7/10

Value25%

9.8A
vs
B
7.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
5.5

FDA warning letters

Neither BiltRx nor Citizen Meds has an FDA warning letter on record with us.

Features & Coverage

FeatureBiltRxCitizen Meds
Starting Price$125/mo$125/mo
Features✓7 features1 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name✓ Yes—
FSA/HSA Accepted——
FDA Warning LettersNoneNone

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 →

About Citizen Meds

Citizen Meds is a GLP-1 and weight-loss injection seller offering semaglutide. The storefront is built on WooCommerce. Information is limited because the content is JavaScript-rendered.

Read our full Citizen Meds review →

Pros & Cons

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

Citizen Meds

What we like

  • Semaglutide costs $125 a month, 32% below the $185 median for compounded semaglutide 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 and clinician visits
  • We found no FDA warning letters issued to Citizen Meds

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

Winner: BiltRx

BiltRx wins this one, 8.3 to 7.7, above all for moving between compounded and brand without changing seller. Citizen Meds fits better if semaglutide at $125/month, 34% below the typical price is your priority.

Choose BiltRx if…

You want moving between compounded and brand without changing seller and an opening price near $125 a month.

Choose Citizen Meds if…

You want semaglutide at $125/month, 34% below the typical price and an opening price near $125 a month.

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Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

BiltRx vs Citizen Meds: FAQ

Neither on the entry price: BiltRx and Citizen Meds both start at about $125 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
BiltRx does not publish where it ships; Citizen Meds does not publish where it ships. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only BiltRx includes shipping.
BiltRx has none. Citizen Meds has none.
No. Neither BiltRx nor Citizen Meds pays us anything.

Or see the full category ranking.

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.