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BiltRx vs NuvaHealth

BiltRx and NuvaHealth 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
NuvaHealth logo

NuvaHealth

6.4
★★★☆☆3.2/5

Best for: seeing what it charges before you answer any medical questions

Visit NuvaHealth →

If you are choosing between BiltRx and NuvaHealth, 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 6.4.

BiltRx vs NuvaHealth price

NuvaHealth only publishes an introductory price, $139 for the first month, and does not say what month two costs. BiltRx lists $125 a month. Until NuvaHealth posts a standing rate, the two numbers are not a like-for-like comparison.

Drug by drug: Semaglutide is cheaper at BiltRx ($125 a month vs $139 for the first month); tirzepatide is cheaper at BiltRx ($129 a month vs $229 for the first month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, BiltRx prices compounded injections and brand-name pens, while NuvaHealth prices compounded injections, an oral option and brand-name pens.

Where each one treats patients

Neither BiltRx nor NuvaHealth 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

NuvaHealth

Compounded semaglutide injection (first month)Compounded
$139/mo
semaglutide

first month; ongoing price shown at checkout (month two)

Semaglutide tablets (first month)oral
$179/mo
semaglutide

first month; ongoing price shown at checkout (month two)

Compounded tirzepatide injection (first month)Compounded
$229/mo
tirzepatide

first month; ongoing price shown at checkout (month two)

Tirzepatide tablets (first month)oral
$239/mo
tirzepatide

first month; ongoing price shown at checkout (month two)

Ozempic injections (first month)Brand-name
$1159/mo
Ozempic

first month; ongoing price shown at checkout (month two)

Wegovy injections (first month)Brand-name
$1179/mo
Wegovy

first month; ongoing price shown at checkout (month two)

Mounjaro injections (first month)Brand-name
$1049/mo
Mounjaro

first month; ongoing price shown at checkout (month two)

What each price covers

Both prices cover the medication itself and shipping.

BiltRx's price also covers the clinician visit, which NuvaHealth does not claim.

BiltRx is silent on lab work and coaching.

NuvaHealth is silent on the clinician visit, 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

NuvaHealth

Covered by the monthly price

Medication

In the price

Clinician visits

Not stated

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, BiltRx scores 8.3 and NuvaHealth 6.4 out of 10.

BiltRx is stronger on value (9.8 vs 3.0) and support (7.0 vs 4.5).

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

How we score

BiltRx

8.3/10

Overall

NuvaHealth

6.4/10

Value25%

9.8A
vs
B
3.0

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
4.5

FDA warning letters

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

Features & Coverage

FeatureBiltRxNuvaHealth
Starting Price$125/mo$139 first month
Features✓7 features5 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name✓ Yes✓ 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 NuvaHealth

NuvaHealth advertises compounded semaglutide from $159 and compounded tirzepatide from $259, both first-month figures; standard ongoing pricing is disclosed at checkout after the medical intake. The program covers an online medical consultation, free shipping and 24/7 patient support, and the platform is LegitScript-certified. A Newark, DE address is listed. It does not disclose a specific legal entity name on the home page.

Read our full NuvaHealth 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

NuvaHealth

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication and shipping
  • We found no FDA warning letters issued to NuvaHealth

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 6.4, above all for moving between compounded and brand without changing seller. NuvaHealth fits better if seeing what it charges before you answer any medical questions 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 NuvaHealth if…

You want seeing what it charges before you answer any medical questions.

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7.8

Oak

Semaglutide at $119/month, 37% below the typical price

9.4

Trimi Health

Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

BiltRx vs NuvaHealth: FAQ

We cannot say for certain. NuvaHealth shows $139 for the first month but no ongoing rate; BiltRx charges $125 a month.
Yes, both sell semaglutide and tirzepatide.
BiltRx does not publish where it ships; NuvaHealth does not publish where it ships. Confirm your state before paying.
Both include the medication itself and shipping. Only BiltRx includes the clinician visit.
BiltRx has none. NuvaHealth has none.
No. Neither BiltRx nor NuvaHealth 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.