Provider review
BiltRx review
Puts each product's FDA status on its own card, and prices compounded semaglutide lowest here.
Every 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.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
How we’re funded. Some links here are affiliate links: start care through one and we may earn a commission, at no extra cost to you. Affiliate partners are listed first on our rankings — what we write about a provider is the same either way, and unflattering findings about one that pays us stay in. Full disclosure.
Price as published
BiltRx
$81/mo sema · $129/mo tirz, no dose published behind either
- Vs median
- $88/mo below the $169 median
- Market
- $59–$1300/mo across 242 of 373
- 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 anywhere on this site, low enough that it was read twice on separate loads and checked against the page markup before being recorded here rather than taken at face value. It is real. 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
Compounded semaglutide $81/month and compounded tirzepatide $129/month — the semaglutide figure is the lowest published on this site, reproduced on two separate loads and confirmed against the page markup · branded Mounjaro $1,499, Zepbound $1,499, Ozempic $1,449 and Wegovy $1,849, all monthly · ★ every card carries its own approval badge, and each one is accurate: the two compounded products are labeled NOT FDA APPROVED and the four branded ones FDA APPROVED — stated per product rather than buried in a footer · sold beside NAD+, glutathione, Lipo-C and B12 lines · no dose is published behind either compounded figure
- Vs median
- $88/mo below the $169 median across the 242 of 373 programs we track that publish a plain monthly rate
- Market
- $59–$1300/mo is the full published spread in our ranking
- 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.
152 of the 373 programs we track 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 included
- Labs
- Not required
- Pricing
- Varies by dose, plan or tier
- Price last updated
- August 2026
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 dispenses through a Not named facility. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
3 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 we could find on its own pages.
- 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 373 low-dose GLP-1 programs we track, and 242 of them publish a monthly rate you can read before signing up. The ranking lists every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to.
Where this sits
#172 of 373
Ordered with the companies that pay us first, and BiltRx is not one of them. A disclosed partition, not a score.
Compare all 373 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
RxSpan MD
From $194/mo
- Vs median
- $25/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- 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.
Read the RxSpan MD 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.