Skip to content
GLP-1 Scorecard
Menu

Head-to-head · WeighScore

BiltRx vs Open Water Rx

BiltRx
Graded #57

Higher grade

vs+16.5
Open Water Rx
Graded #360

Lower grade

The verdict

BiltRx takes it — 75.3/100 to 58.8/100.

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 +43
91
48
Dose & formulationOpen Water Rx +3
85
88
Clinical oversightBiltRx +20
74
54
Labs & monitoringOpen Water Rx +8
52
60
FulfillmentBiltRx +29
71
42
Contract termsEven
55
55
BiltRx · left barOpen Water Rx · right bar

The numbers

MetricBiltRxOpen Water Rx
WeighScore75.3/10058.8/100
GradeCC
Scorecard rank#57#360
Semaglutide$125/mo (all doses, compounded)$249/mo (compounded)
Tirzepatide$129/mo (all doses, compounded)$339/mo (compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessYesYes
Oral / sublingualInjection onlyYes
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
Open Water Rx

Graded #360 · C

Strengths

  • Combines weight-loss and longevity verticals in one brand
  • Established brand domain

Where it loses points

  • Limited public data — most details are gated behind signup or rendered only in JavaScript
  • Pricing not disclosed
  • GLP-1 options (semaglutide vs. tirzepatide, compounded vs. brand, injection vs. oral) not stated
  • States-served list not disclosed
  • Pharmacy partner not named

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.

← Back to the scorecard