BiltRx vs SurpassMD
SurpassMD costs $1 less a month, and both sell semaglutide and tirzepatide.
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BiltRx
Best for: moving between compounded and brand without changing seller
Visit BiltRx →
SurpassMD
Best for: coverage in all 50 states, which most sellers will not confirm
Visit SurpassMD →If you are choosing between BiltRx and SurpassMD, the first difference is cost: SurpassMD is $1 a month cheaper at the entry price. 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 7.3.
BiltRx vs SurpassMD price
SurpassMD is the cheaper way in: $124 a month against $125 a month at BiltRx. That is $1 less each month (1% lower), or about $12 over a year of treatment.
Drug by drug: Semaglutide is cheaper at SurpassMD ($124 a month vs $125 a month); tirzepatide is cheaper at BiltRx ($129 a month vs $184 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, BiltRx prices compounded injections and brand-name pens, while SurpassMD 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 SurpassMD lists 51 states.
Pricing
BiltRx
starting price per month
starting price per month
flat rate, brand Zepbound
flat rate, brand Wegovy
SurpassMD
Homepage/FAQ: 'Semaglutide starts as low as $124/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'
Homepage/FAQ: 'tirzepatide starts as low as $184/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'
What each price covers
Both prices cover the clinician visit and the medication itself.
BiltRx's price also covers shipping, which SurpassMD does not claim.
BiltRx is silent on lab work and coaching.
SurpassMD 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
SurpassMD
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 SurpassMD 7.3 out of 10.
BiltRx is stronger on value (9.8 vs 3.0) and support (7.0 vs 5.5).
SurpassMD is stronger on trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).
Effectiveness and user experience are within half a point.
BiltRx
8.3/10
SurpassMD
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither BiltRx nor SurpassMD has an FDA warning letter on record with us.
Features & Coverage
| Feature | BiltRx | SurpassMD |
|---|---|---|
| Starting Price | $125/mo | ✓$124/mo |
| Features | 7 features | ✓8 features |
| States Available | Not disclosed | 51 |
| 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 SurpassMD
For patients who qualify, the floor is $124/month on semaglutide and $184/month on tirzepatide. Payment is cash only, with Klarna-style financing and HSA/FSA both accepted. Life Vitality LLC runs the site, putting patients in touch with independent providers who hold licenses; the compounded drug then leaves a 503A pharmacy under cold chain. Consent and clinical intake are handled on the telehealth platform belonging to OpenLoop.
Read our full SurpassMD 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
SurpassMD
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 clinician visits
- Serves all 50 states
- We found no FDA warning letters issued to SurpassMD
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 7.3, above all for moving between compounded and brand without changing seller. SurpassMD undercuts it by $1 a month, so if the monthly bill is what decides it, SurpassMD is the pick. SurpassMD 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 SurpassMD if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $124 a month.
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Get started →BiltRx vs SurpassMD: 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.