BiltRx vs StackMD
BiltRx and StackMD both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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BiltRx
Best for: moving between compounded and brand without changing seller
Visit BiltRx →
StackMD
Best for: coverage in all 50 states, which most sellers will not confirm
Visit StackMD →If you are choosing between BiltRx and StackMD, 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 7.0.
BiltRx vs StackMD price
BiltRx and StackMD 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 $199 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, BiltRx prices compounded injections and brand-name pens, while StackMD 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
BiltRx does not publish where it ships, and StackMD lists 50 states.
Pricing
BiltRx
starting price per month
starting price per month
flat rate, brand Zepbound
flat rate, brand Wegovy
StackMD
Published per-dose ladder on /product/semaglutide-compounded-glp-1: 1mg $125, 2mg $149, 4mg $175, 6mg $199, 10mg $225 — all 1ml vials of semaglutide with B12 and glycine, billed as a monthly plan ('Plans starting at just $125/month'). No membership or platform fee on top.
Published per-dose ladder on /product/tirzepatide-compounded-glp-1-gip: 5mg $199, 10mg $249, 15mg $299, 20mg $349, 25mg $399, 30mg $449 — all 2ml vials of tirzepatide with B12 and glycine. A patient titrated to a high dose pays more than double the advertised starting price.
What each price covers
Both prices cover the medication itself and shipping.
BiltRx's price also covers the clinician visit, which StackMD does not claim.
BiltRx is silent on lab work and coaching.
StackMD 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
StackMD
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 StackMD 7.0 out of 10.
BiltRx is stronger on value (9.8 vs 3.0) and support (7.0 vs 4.5).
StackMD is stronger on trust & safety (7.5 vs 6.5) and accessibility (10.0 vs 5.0).
Effectiveness and user experience are within half a point.
BiltRx
8.3/10
StackMD
7.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither BiltRx nor StackMD has an FDA warning letter on record with us.
Features & Coverage
| Feature | BiltRx | StackMD |
|---|---|---|
| Starting Price | $125/mo | $125/mo |
| Features | 7 features | ✓8 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
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 StackMD
Rather than a single starting figure, each strength carries its own: five strengths of semaglutide from $125 to $225 a month, six of tirzepatide from $199 to $449. Membership costs nothing. Out of New York, Medical 360 HC PLLC sells other longevity peptides, sermorelin and NAD+ next to compounded tirzepatide and semaglutide, both carrying glycine and B12, and SamaritanMD, named as its partner, handles the prescribing.
Read our full StackMD 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
StackMD
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
- Serves all 50 states
- We found no FDA warning letters issued to StackMD
Watch-outs
- 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
BiltRx wins this one, 8.3 to 7.0, above all for moving between compounded and brand without changing seller. StackMD fits better if coverage in all 50 states, which most sellers will not confirm 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 StackMD if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $125 a month.
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Luvo Health
Moving between compounded and brand without changing seller
From $249/mo
Get started →Strut Health
Semaglutide at $99/month, 48% below the typical price
From $99/mo
Get started →Enhance MD
Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
Get started →BiltRx vs StackMD: FAQ
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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.