Head-to-head · Cost-Efficiency Index
BiltRx vs Apex MD
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
BiltRx
Cost-first shoppers who want low-cost compounded glp-1 from a legitscript-verified provider.
Visit BiltRxApex MD
Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine.
Visit Apex MDThe verdict
BiltRx takes it, leading the Cost-Efficiency Index 72 to 71. BiltRx is a US health-optimization telehealth platform spanning men's health, women's health, aesthetics and weight loss that offers compounded and brand-name GLP-1 medications. Apex MD still earns a C — Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs BiltRx.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | BiltRx | Apex MD |
|---|---|---|
| Cost-Efficiency Index | 72/100 | 71/100 |
| Semaglutide / mo | $125/mo (all doses, compounded) | $299/mo (all doses, bundle, compounded) |
| Tirzepatide / mo | $129/mo (all doses, compounded) | $399/mo (all doses, bundle, compounded) |
| Semaglutide / yr (modeled) | $1,500 | $3,588 |
| Tirzepatide / yr (modeled) | $1,548 | $4,788 |
| Coverage | Coverage not published | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #73 | #80 |
BiltRx
72/100Where the value is
- Very low starting prices (semaglutide from 125 dollars, tirzepatide from 129 dollars)
- LegitScript verified and HIPAA compliant
- Names its 503A compounding pharmacies (Boothwyn and Southend)
The tradeoffs
- Covered states are behind a check-availability gate, not listed
- Starting prices may rise depending on plan and dose
Apex MD
71/100Where the value is
- Genuinely all-in flat pricing: 'no other fees' across all doses, with unlimited provider visits and Labcorp labs included
- No membership fee, no sign-up fee, no lab fee — confirmed verbatim on the pricing page
- Both semaglutide and tirzepatide, in injectable or daily-oral form
The tradeoffs
- Not single-ingredient GLP-1 — every tier bundles NAD, B-12, and L-carnitine into the compound, so the $299/$399 price isn't directly comparable to a plain-semaglutide/tirzepatide competitor
- Compounding pharmacies are never named, only described generically as 'Legit Script Certified pharmacies'
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.