Head-to-head · Cost-Efficiency Index
BiltRx vs Heally
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 BiltRxHeally
Patients who want to pay per order with no recurring membership charge, across a broad GLP-1 menu (compounded or brand).
Visit HeallyThe verdict
BiltRx and Heally tie on the Cost-Efficiency Index at 72/100, so neither wins outright on the numbers. For most shoppers we'd start with BiltRx (ranked #73, a hair above #76) — Cost-first shoppers who want low-cost compounded glp-1 from a legitscript-verified provider. But Heally is a genuine coin-flip alternative here.
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 | Heally |
|---|---|---|
| Cost-Efficiency Index | 72/100 | 72/100 |
| Semaglutide / mo | $125/mo (all doses, compounded) | $149/mo (starting dose, plus a separate fee, compounded) |
| Tirzepatide / mo | $129/mo (all doses, compounded) | $299/mo (starting dose, plus a separate fee, compounded) |
| Semaglutide / yr (modeled) | $1,500 | $1,788 |
| Tirzepatide / yr (modeled) | $1,548 | $3,588 |
| Coverage | Coverage not published | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Yes |
| Rank here | #73 | #76 |
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
Heally
72/100Where the value is
- No membership or subscription — pay only when you order, with flexible refills
- Broad GLP-1 menu: compounded semaglutide/tirzepatide plus a brand-Wegovy self-pay route
- LegitScript verified; care delivered by a named medical entity, HLY Medical Group PA
The tradeoffs
- No compounding pharmacy is named on either drug's page
- No per-dose price ladder published — only a single 'starting at' figure before consultation
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.