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Head-to-head · WeighScore

AquaVita NextGen vs BiltRx

AquaVita NextGen
Graded #415

Lower grade

vs+19
BiltRx
Graded #57

Higher grade

The verdict

BiltRx takes it — 75.3/100 to 56.3/100.

BiltRx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. 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.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueBiltRx +68
23
91
Dose & formulationBiltRx +10
75
85
Clinical oversightAquaVita NextGen +8
82
74
Labs & monitoringAquaVita NextGen +1
53
52
FulfillmentBiltRx +9
62
71
Contract termsBiltRx +8
47
55
AquaVita NextGen · left barBiltRx · right bar

The numbers

MetricAquaVita NextGenBiltRx
WeighScore56.3/10075.3/100
GradeCC
Scorecard rank#415#57
Semaglutide$375/mo (first-month rate, compounded)$125/mo (all doses, compounded)
Tirzepatide$320/mo (starting dose, 3-month plan, compounded)$129/mo (all doses, compounded)
Coverage5 statesCoverage not published
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
AquaVita NextGen

Graded #415 · C

Strengths

  • Physical address in Lake Forest CA
  • Named medical director (Dr. Steve Groke)
  • Both semaglutide and tirzepatide including ODT tablets
  • Compounding disclaimer present on site

Where it loses points

  • Only 5 states (AZ, CA, FL, TX, NV)
  • No LegitScript or PCAB accreditation
  • Primarily a local medspa expanding into telehealth
  • Only a first-month semaglutide price ($375, originally $499) is published; ongoing monthly price and all tirzepatide pricing remain unpublished
BiltRx

Graded #57 · C

Strengths

  • 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)
  • Offers both compounded and brand-name GLP-1 options

Where it loses points

  • Covered states are behind a check-availability gate, not listed
  • Starting prices may rise depending on plan and dose

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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