BiltRx review

What it is

BiltRx Inc. is a health-optimization telehealth company founded in July 2022 by CEO Joe Duarte, a former professional athlete and MMA champion, with Dr. Nishant Rao, who has more than 17 years in patient care. It lists offices in Houston and Heath, Texas. The menu spans weight loss, testosterone and hormone therapy, sexual health, peptides and anti-aging, hair loss, aesthetics and a supplement store, with an athletic, performance-focused tone. Its terms say clinical care comes from independent medical groups, including OpenLoop Healthcare Partners, and that prescriptions are filled by GoGo Meds or Tailor Made Compounding Pharmacy. It claims more than 7,800 active members, displays a LegitScript seal and runs a referral program that pays partners a commission.

How it works

You create an account and complete a short health assessment, then meet a licensed provider by phone or video. If the provider prescribes, the order goes to a partner pharmacy, is usually processed within one to three business days, and typically arrives three to seven business days after approval. Some treatments need lab work, especially hormone therapy, and the provider tells you during the consult. Follow-up runs through a patient portal, with care coordination and priority support included in the membership. The company also offers a free insurance check for brand-name GLP-1s, interest-free installment payments, and custom diet plans. Availability varies by state, and the site shows coverage on an interactive map rather than a written list.

Pricing transparency

Compounded semaglutide is listed at $81 a month and compounded tirzepatide at $129 a month. Both product pages say the consultation and shipping are charged separately, and the FAQ says a $9.99 monthly membership is required, with consultation fees and medication billed on top. The consultation fee isn't shown anywhere public. Brand-name drugs are listed at flat monthly prices: Ozempic $1,449, Mounjaro and Zepbound $1,499 and Wegovy $1,849. Subscriptions charge your card automatically each period, the first renewal may be charged early, and shipments can be charged up to two days early. You can cancel by email, phone or in your account; cancellation takes effect at the end of the current period, and you must cancel at least two days before renewal. Refunds for a partly used period are case by case. Some HSA and FSA cards work. To compare it fairly with all-in programs, add the membership, shipping and consultation fee to the medication price, and look at the second month as well as the first.

Branded vs compounded

BiltRx sells compounded semaglutide and compounded tirzepatide as injections, and its pages label them plainly: compounded, not FDA-approved, not reviewed by the FDA for safety, effectiveness or quality. Its terms name GoGo Meds and Tailor Made Compounding Pharmacy as the pharmacies it uses, and say prescriptions can be moved between them. It also prescribes brand-name Ozempic, Mounjaro, Zepbound and Wegovy at list-style cash prices, and will help check whether your insurance covers them. Subscribers get medication shipped each cycle, and the FAQ says a subscription costs less than one-off orders. The weight-loss trial results belong to the FDA-approved brand-name drugs; compounded versions are made for individual prescriptions and aren't tested the same way. A search of the FDA warning-letter database under BiltRx returned no letters.

Pros and watch-outs

The evidence behind what BiltRx prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• What the semaglutide weight-loss trials actually showed

  STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.

• Tirzepatide vs semaglutide for weight loss: what the trials actually support

  Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.

• Compounded vs branded GLP-1: regulatory status, sourcing and the evidence

  Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.

How BiltRx compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Trimi Health

  Low-cost compounded GLP-1 with thorough dosing guidance

  See Trimi Health →
• Collective

  A low all-in GLP-1 cost, if you will actually keep the annual membership

  See Collective →
• Henry Meds

  Simple flat-fee compounded access without insurance

  See Henry Meds →

More GLP-1 telehealth reviews: Better Med Spa · BeyondMD · Bliv · Blue Sky MD · BodyLogicMD · Actin