Southend Pharmacy
“Your prescription will be filled by one of our third-party compounding pharmacies (i.e. Southend Pharmacy (855) 414-5356 and Boothwyn pharmacy (800) 476-7496 )”
BiltRx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.7/10
Best for: moving between compounded and brand without changing seller
6.7
★★★☆☆6.7/10
BiltRx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $81 a month; its brand-name tirzepatide, at $1,499, is 15% above the $1,299 median among the sellers we compare.
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$81/mo
Covered by the monthly price
Medication
In the price
Clinician visits
Charged on top
Shipping
Charged on top
Lab work
Not stated
Coaching
Not stated
See plans →See plans at BiltRx →
Compare top-rated alternatives ↓Prices checked October 2026
BiltRx is a Texas telehealth platform selling compounded and brand GLP-1s next to TRT, peptides, NAD+ and aesthetics. Compounded semaglutide starts at $81 a month and compounded tirzepatide at $129, but every product page says consultation and shipping are charged separately, and the FAQ requires a $9.99 monthly membership. Brand pens run $1,449 to $1,849 a month. The site names Southend Pharmacy and Boothwyn Pharmacy as its compounders.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $81/moPrice shown up frontPharmacy namedNo FDA warning letters found
Is BiltRx legit?
Yes. BiltRx is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 6.7/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a BiltRx promo or coupon code?
We know of no promo or coupon code for BiltRx. Its listed price is $81 a month. Coupon sites advertising "BiltRx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how BiltRx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to BiltRx
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CompoundedSemaglutideTirzepatideNAD+LegitScript Verified
Get StartedRead full YourEra review →9.1/ 10
Verified partnerCollective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
★★★★★9.1/10
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$59/mo+ membership
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →7.3/ 10
Verified partnerFound
Best for: people who want clinician visits billed to commercial insurance, with compounded medication in the plan price
★★★★☆7.3/10
Editorial score · methodology
$149/mo+ membership
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Found review →BiltRx at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $81/mo
- What's included
- Medication
- FDA status
- No FDA warning letters found
How BiltRx scores
Six columns, each one computed from something BiltRx has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
4.0/10$1,499/month is 15% above the $1,299 median for brand-name tirzepatide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
8.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information.
Accessibility10%
5.0/10No state list is available to check, so this is held at the midpoint rather than scored on reach.
Support10%
3.0/10The price covers the medication.
6weighted dimensions
734sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on BiltRx
Last checked October 2026- Checked the listed price across 4 dose or plan tiers
- Checked what the monthly price covers, and what it leaves out
- Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
- Checked FDA warning letters for BiltRx
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with BiltRx involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1BiltRx shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2BiltRx names 2 pharmacies that fill its prescriptions, including Southend Pharmacy, which most sellers do not do.
- 3The monthly price includes the medication.
Price shown before you start
- Lowest ongoing monthly price: tirzepatide $1,499, semaglutide $1,849. That leaves out membership fees, first-month rates and insurance copays.
- Confirm that BiltRx serves your state before you start.
Cancelling BiltRx
Taken from the terms BiltRx publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None stated; subscriptions renew until canceled
- Refund policy
- No refunds for partially used subscription periods, except case by case
- Early-termination fee
- None
Medications BiltRx lists
BiltRx lists Wegovy, Ozempic, Zepbound, Mounjaro, compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
Starting price; dose tiers not publishedCompounded
$81/mo
semaglutide
"$81/month" on the product page. Consultation and shipping are billed separately, and the FAQ lists a $9.99 monthly membership.
Starting price; dose tiers not publishedCompounded
$129/mo + membership
tirzepatide
"Starting at $129/Month". Consultation and shipping are billed separately, plus the $9.99 monthly membership.
ZepboundBrand-name
$1,499/mo
tirzepatide
$1,499/month for brand Zepbound; consultation and shipping extra. Mounjaro is also $1,499/month.
WegovyBrand-name
$1,849/mo
semaglutide
$1,849/month for brand Wegovy; consultation and shipping extra. Ozempic is $1,449/month.
Check the price yourself before you pay
Every figure here comes from BiltRx's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
BiltRx compounding-pharmacy partners
BiltRx names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.
Boothwyn Pharmacy
“Your prescription will be filled by one of our third-party compounding pharmacies (i.e. Southend Pharmacy (855) 414-5356 and Boothwyn pharmacy (800) 476-7496 )”
In its favor
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication
- Names 2 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to BiltRx
Against it
- Tirzepatide costs $1,499 a month, 15% above the $1,299 median for brand-name tirzepatide across the sellers we compare
- Semaglutide costs $1,849 a month, 42% above the $1,299 median for brand-name semaglutide across the sellers we compare
- Not included in the monthly price: clinician visits, shipping
- Confirm it serves your state before you start the intake
- Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
What BiltRx charges
BiltRx charges $81/month.
- Compounded semaglutide: $81/month
- Compounded tirzepatide: $129/month + membership
- Zepbound: $1,499/month
- Wegovy: $1,849/month
For brand-name tirzepatide, the median across the sellers we compare is $1,299/month, so BiltRx's $1,499 is a premium, and a premium has to buy something. Check what is bundled before you accept it. Some of BiltRx's prices are for the medication alone, with a membership billed on top, so read the terms you agree to at checkout before you pay.
CoreAge Rx dispenses semaglutide and tirzepatide from $79/month, which makes it the fair comparison to run before you commit here.
What BiltRx dispenses
BiltRx prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. You can take the approved brand pen or the cheaper compounded preparation. What separates them is review: the approved product went through it, the compounded one did not, and that is the whole of the trade. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.
Safety and disclosure
BiltRx tells you its price before you start the medical questionnaire, the pharmacy that fills its prescriptions, and that its pharmacy is accredited. We found no FDA warning letters issued to BiltRx. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You care most about the twelve-month total, not the first bill. A flat-rate seller such as Collective will usually win that math.
- You need insurance to cover the cost. Check whether BiltRx bills your plan before you start.
Our read
BiltRx costs more than the middle of this market. If the extras it charges for are ones you would actually use, that is a defensible trade. If not, the same molecule is available for less.
The Bottom Line
BiltRx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $81 a month; its brand-name tirzepatide, at $1,499, is 15% above the $1,299 median among the sellers we compare.
Score: 6.7/10Best for: moving between compounded and brand without changing sellerFrom: $81/mo
Before you pay BiltRx
Starting at $81 a month. Check today's price, then start the intake.
Where BiltRx is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these two counts, another seller does better.
- If the standing monthly cost is what decides it, consider WellMedRx (from $49/mo).
- If you want a human checking in, not just a prescription, consider Found.
If none of these fits, our guide to alternatives to BiltRx sets more sellers in the same category beside BiltRx on price, states and what the price includes.
Frequently Asked Questions
BiltRx is a Texas telehealth platform selling compounded and brand GLP-1s next to TRT, peptides, NAD+ and aesthetics. Compounded semaglutide starts at $81 a month and compounded tirzepatide at $129, but every product page says consultation and shipping are charged separately, and the FAQ requires a $9.99 monthly membership. Brand pens run $1,449 to $1,849 a month. The site names Southend Pharmacy and Boothwyn Pharmacy as its compounders. We rate it 6.7/10 overall.
BiltRx starts at $81 a month. The pricing table above lists every tier.
Ask BiltRx whether it serves your state before you start the intake, and get the answer in writing.
BiltRx lists Wegovy, Ozempic, Zepbound, Mounjaro, compounded semaglutide and compounded tirzepatide. It lists both FDA-approved brand-name products and cheaper compounded versions.
BiltRx lists both. Compounded semaglutide and tirzepatide come out of a licensed compounding pharmacy and cost less. The brand pens are the FDA-approved reference products and cost more. What you give up on each path is set out in the review above.
Check whether BiltRx bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
BiltRx says the price covers medication. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. BiltRx runs that whole sequence on its own site.
We found no FDA warning letters issued to BiltRx. Before you buy, weigh these: Tirzepatide costs $1,499 a month, 15% above the $1,299 median for brand-name tirzepatide across the sellers we compare. Semaglutide costs $1,849 a month, 42% above the $1,299 median for brand-name semaglutide across the sellers we compare. Not included in the monthly price: clinician visits, shipping. None of them rules BiltRx out, but each is worth settling before you pay.
Other sellers we cover include Embody, CoreAge Rx, and altRX. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.
How to check BiltRx yourself
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this BiltRx review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See BiltRx's current pricing
Plans start at $81 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on BiltRx?
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