Best-value alternatives
Alternatives to BiltRx
BiltRx scores 72/100 on our Cost-Efficiency Index (ranked #73 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02C73/ 100Index
Clume Health
Ranked #72Clume Health charges one $259 monthly price for its Signature program whichever GLP-1 a provider picks and whichever route you take, names its four dispensing pharmacies with addresses, and advertises a $199 figure that matches nothing it sells.
- Sema
- $259/month month-to-month (one Signature price covers semaglutide or tirzepatide, oral or injectable; $186/mo needs a 52-week plan)
- Tirz
- $259/month month-to-month (the same Signature price; $186/mo needs a 52-week plan)
- Coverage
- All 50 states
- Brand
- Compounded
- 03C73/ 100Index
Trillium Meds
Ranked #71Trillium Meds is a small, Portland-OR-based telehealth platform connecting patients to independent licensed providers and compounding pharmacies for GLP-1 therapy, serving all 50 states plus Puerto Rico.
- Sema
- $159/mo (all doses, compounded)
- Tirz
- $249/mo (all doses, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
- 04C73/ 100Index
Ozari Health
Ranked #70Ozari Health is a telehealth weight-loss platform selling physician-prescribed compounded GLP-1 from licensed 503A/503B pharmacies.
- Sema
- $86/mo (3-mo starter plan, new patients only, compounded)
- Tirz
- $125/mo (3-mo starter plan, new patients only, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
- 05C73/ 100Index
Navio MD
Ranked #69NavioMD is a 48-state telehealth platform selling compounded tirzepatide from $189/mo plus brand-name Ozempic, Zepbound, and Mounjaro at near-retail 'as low as' prices.
- Sema
- $345/mo (brand Ozempic)
- Tirz
- $189/mo (starting dose, compounded)
- Coverage
- 48 states
- Brand
- Yes
- 06C73/ 100Index
MyFastRx
Ranked #68MyFastRx is a cash-pay compounded-GLP-1 platform with a full published price ladder: a $139/mo semaglutide and $199/mo tirzepatide standing month-to-month rate, a discounted first month with a promo code.
- Sema
- $139/mo (all doses, promotional rate, compounded)
- Tirz
- $199/mo (all doses, promotional rate, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
- 07C73/ 100Index
Amazon One Medical
Ranked #67Amazon One Medical's GLP-1 program (health.amazon.com/onemedical) is a branded-only prescribing service it will not write compounded prescriptions that charges a separate ~$39 initial care fee from the medication cost itself.
- Sema
- $299/mo (brand Wegovy, plus a separate fee)
- Tirz
- $299/mo (brand Zepbound)
- Coverage
- All 50 states
- Brand
- Yes
- 08C71/ 100Index
SkinnyRx
Ranked #66Publishes a complete four-term ladder for both molecules — and advertises only the rung that costs a year up front, at $199 against a month-to-month rate of $349.
- Sema
- $349/mo month-to-month ($299 on 4 months, $249 on 6, $199 only on 12)
- Tirz
- $399/mo month-to-month ($349 on 4 months, $329 on 6, $299 only on 12)
- Coverage
- Most states
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Lean Rx, Inc. dba SkinnyRx in February 2026. We still list and link to SkinnyRx; you should know the letter is on the public record before you decide.
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.