Provider review
BiltRx review
Puts each product's FDA status on its own card, and prices compounded semaglutide lowest here.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
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$81/mo sema · $129/mo tirz, no dose published behind either
Visit BiltRxEvery card states whether that product is FDA-approved and every label is right, with the compounded pair marked not approved. The semaglutide figure is the lowest published on this site, and nothing says what dose it buys.
Price as published
BiltRx
$81/mo sema · $129/mo tirz, no dose published behind either
- Vs median
- $94/mo below the $175 median
- Market
- $59–$1,300/mo across 299 of 548
- Structure
- Standard plan, self-directed low dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
The disclosure here is done properly. Each product card carries its own approval status next to its price — the two compounded products marked not approved, the four branded ones marked approved — and each label is accurate. Most sellers put that in a footer if they make the point at all, and moving it beside the price is where it belongs, because that is where the decision happens. The price is the other headline. Compounded semaglutide at eighty-one dollars a month is the lowest monthly figure published by any provider here, and it is the price the page actually shows. What is missing is what it buys. No dose sits behind either compounded figure — no milligrams, no starting strength, no ladder — so there is no way to tell from the site whether that price covers a maintenance dose or a starter quantity that climbs once you are enrolled. On a figure this far below everyone else, that is the question to put to them first.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You want each product's approval status stated on the card rather than buried in small print.
- You are price-shopping compounded semaglutide and want the lowest published figure here.
- You want branded and compounded priced side by side so the gap between them is visible.
Look elsewhere if
- You need to know what dose the price covers. None is published behind either figure.
- You want reassurance that a very low price holds at a maintenance dose. Nothing published says so.
- You want the compounding pharmacy named. It is not.
What it actually costs
Price as published
$81/mo sema · $129/mo tirz, no dose published behind either
- Vs median
- $94/mo below the $175 median across the 299 of 548 programs here that publish a plain monthly rate
- Market
- $59–$1,300/mo is the full published spread on this site
- Structure
- Standard plan, self-directed low dose
No low-dose product of its own. Starting low means asking for a smaller amount inside a standard plan, at the standard plan's price.
235 of the 548 programs here price a small dose this way. Both compounded molecules carry a monthly figure readable before intake, and no low-dose product exists alongside them — starting small means asking for less inside the standard plan at the standard price. No dose is published behind either figure, so whether the price holds as the dose rises is unstated rather than promised either way.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not confirmed
- Labs
- Not required
- Pricing
- Check plan terms
What it does well
- Each product card states its own FDA-approval status, accurately, beside the price rather than in a footer.
- Compounded semaglutide is the lowest published monthly figure on this site.
- Branded and compounded options are priced side by side, so the gap between them is visible.
Pharmacy, labs and oversight
BiltRx does not publicly identify the pharmacy that fills its prescriptions. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
2 of 4 published openly
What BiltRx publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNo pharmacy is identified anywhere on its own pages.
- Not published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsPriced by dose, plan or tier, and the higher rungs are not published — the advertised figure does not tell you what a larger dose costs.
- Not published
- No FDA warning letter on fileChecked against the FDA's own warning-letter database; nothing on file for this company.
- None on file
How the program works
Two things stand out. The first is the approval labeling: each product card states whether that product is FDA-approved, and each label is correct — the compounded semaglutide and tirzepatide are marked NOT FDA APPROVED, the branded four are marked approved. Most sellers here put that disclosure in a footer if they make it at all, and putting it on the card beside the price is the honest place for it. The second is the price. Compounded semaglutide at $81 a month is the lowest figure published anywhere on this site, low enough to be worth checking twice, which is why it was read on two separate loads and confirmed against the page markup before being recorded. What the site does not do is say what that money buys. There is no dose behind either compounded figure — no milligrams, no starting strength, no ladder — so a reader cannot tell whether $81 buys a starter quantity that rises later or a rate that holds. On a price this far below the field, that is the question worth asking before ordering.
The honest cons
No dose sits behind either compounded price, so what the figure buys is unstated.
- A price this far below the field is worth confirming covers a maintenance dose and not just a starting one.
- No compounding pharmacy is named.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
BiltRx is one of 548 low-dose GLP-1 programs compared on this site, and 299 of them publish a monthly rate you can read before signing up. The full list puts every published price in one place, with the companies that pay us listed first — something we state there, on the page it applies to.
Also consider
Two more programs that price a small dose the way BiltRx does. Both are partners: we may earn a commission if you start care through these links.
Partner
HealthRX
$190/mo sema · $239/mo tirz (monthly plan)
Standard plan, self-directed low dose
Partner
Sprout Health
$149 sema · $199 tirz
Standard plan, self-directed low dose
FDA warning letter · Sprout Health · September 2025 · addressed to Sprout Health Partners LLC dba Sprout Health. Details in our review.
Where this sits
#174 of 548
Ordered with the companies that pay us first, and BiltRx is not one of them. A disclosed partition, not a score.
Compare all 548 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- Is compounded GLP-1 safe?
- What microdosing GLP-1 costs
- The true annual cost of a plan
- Microdose & reconstitution calculator
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
Direct Meds
From $249/mo sublingual · $297/mo injection
FDA warning letter · Direct Meds · September 2025 · addressed to directmeds.com, Inc. dba DirectMeds. Details in our review.
- Vs median
- $74/mo above the $175 median
- Market
- $59–$1,300/mo across 299 of 548
- Structure
- Standard plan, self-directed low dose
- Dispensed
- Compounded by CraftedRx · ChemistryRx
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the Direct Meds review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.