Provider review
BiltRx review
Names two pharmacies and a LegitScript ID — but no refund policy could be found
BiltRx names two compounding pharmacies, Southend Pharmacy and Boothwyn Pharmacy, and displays a LegitScript seal with a specific certificate number, #43437713 — a rarer level of specificity than a badge alone. Following that certificate number to an independent verification did not surface a confirming result, which does not prove the certification is false, only that it could not be confirmed with the tools we use. No refund or cancellation policy of any kind turned up anywhere on the pages we read.
Straight talk: how we earn — some, not all, of these are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
On this page
The verdict
BiltRx (Houston, TX) prices compounded semaglutide at $81/month when we checked, though our last check recorded $125/month for the same product — a gap worth reconfirming directly rather than assuming either figure is current. Compounded tirzepatide is priced at $129/month, and the site prints the FDA-approved brand-name alternatives at $1,449 to $1,849/month for comparison, a genuinely useful transparency touch most competitors skip. It names two specific compounding pharmacies rather than a generic claim, and displays a LegitScript certificate number rather than just a seal. What it doesn't publish anywhere is a refund or cancellation policy, or a named medical director.
BiltRx is not ranked on any of our rankings. This is a standalone read of what the company publishes about itself — the providers we do rank in this category are on our semaglutide provider ranking. Nothing on this page is a performance claim — see the evidence review for what these compounds do and do not do.
Who it is for, and who it is not
A good fit if
- You want two named pharmacy partners rather than a generic claim
- You want the FDA-approved brand-name comparison price shown alongside the compounded rate
- You don't need a stated refund policy before enrolling
Look elsewhere if
- You want a refund or cancellation policy you can read before paying — none was found
- You want a named medical director
- You want the LegitScript certificate number confirmed — it could not be verified with the tools we use
What it actually costs
What they advertise
Compounded semaglutide $81/month, compounded tirzepatide $129/month, per biltrx.com — with FDA-approved brand alternatives shown at $1,449-$1,849/month for comparison.
What you actually pay, month to month
Our own read confirms $81/month for semaglutide; our last check of the same row recorded $125/month instead — a gap worth confirming directly before relying on either figure.
The commitment trap
Price drift — our last check recorded $125/month for semaglutide, well above the $81/month we saw; verify the current rate directly rather than assuming either figure is stable.
Money you will meet later
- No refund or cancellation policy found anywhere on the site
- our last check recorded a higher semaglutide price ($125/mo vs. $81/mo we saw) — verify the current rate directly
Checked live on BiltRx's own site at https://biltrx.com/ in August 2026. Prices change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what BiltRx bundles in, and what it does not.
Clinician consult
Not itemized with specific inclusion terms.
Bloodwork / labs
Not published.
Follow-ups and dose changes
No cadence published.
Human support
Not itemized.
Injection supplies
Not itemized.
Shipping
Medication is mailed directly to the shipping address on file
per the homepage.
Pharmacy, labs and oversight
The pharmacy
Named: Southend Pharmacy and Boothwyn Pharmacy, both stated on the homepage with phone numbers.
Oversight
No cadence published.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
Not published as a list — the site directs readers to "Check State Availability" through an on-site tool.
The honest cons
The part they would rather you skipped
A genuinely cheap, transparently-compared price and two named pharmacies still sit next to a gap that matters just as much: no refund or cancellation policy of any kind could be found anywhere on the site, in a category where prescription medication typically can't be returned once shipped regardless.
- No refund or cancellation policy found anywhere on the site
- No medical director named
- LegitScript certificate number could not be confirmed with the tools we use
- State availability not published as a list — check the on-site tool directly
None of this is unique to BiltRx — the whole category shares it. What we hold against a provider is the part it hides, and the ways vendors hide things are cataloged in our vendor red-flags guide.
How it compares
The providers we rank on our semaglutide provider ranking, in the order that ranking ranks them. BiltRx is not among them: it is reviewed here, not ranked there, and we would rather show you the comparison than pretend the two are the same thing.
- COCollectiveThe cheapest medication price here, on a membership the headline omits
- CoreAge RxOne price that does not move when your dose does

- BHBodybuilding Health+The deep peptide catalog is gone; the GLP-1 pricing got better
- RxSpan MDOral tablet only, at a real $179 monthly rate

- Enhance MDWrites a flat-price-at-every-dose policy down — and charges near the top for it
- Found HealthInsurance-integrated, unlike every cash-only compounder here — but $99 needs a prepay
- Direct MedsThe plainest price mechanics on either ranking, from a company with an FDA warning letter
- Synergy RxPublishes a starting number, and nothing about what it commits you to

13 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect BiltRx's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on BiltRx's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.