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Head-to-head · WeighScore

BiltRx vs Optimized Health

BiltRx
Graded #57

Higher grade

vs+8.099999999999994
Optimized Health
Graded #166

Lower grade

The verdict

BiltRx takes it — 75.3/100 to 67.2/100.

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 +46
91
45
Dose & formulationBiltRx +10
85
75
Clinical oversightOptimized Health +2
74
76
Labs & monitoringOptimized Health +37
52
89
FulfillmentBiltRx +4
71
67
Contract termsEven
55
55
BiltRx · left barOptimized Health · right bar

The numbers

MetricBiltRxOptimized Health
WeighScore75.3/10067.2/100
GradeCC
Scorecard rank#57#166
Semaglutide$125/mo (all doses, compounded)$200/mo (starting dose, compounded)
Tirzepatide$129/mo (all doses, compounded)$250/mo (starting dose, compounded)
CoverageCoverage not published5 states
Brand-name accessYesCompounded only
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
Optimized Health

Graded #166 · C

Strengths

  • Fully transparent pricing published on the website
  • Semaglutide from $200/mo and tirzepatide from $250/mo
  • Lab panels included with clinician-supervised dosing
  • LegitScript certified clinic
  • Lead PA-C with over a decade in obesity medicine

Where it loses points

  • Telehealth limited to MO, IA, KS, UT, and WA
  • Compounded GLP-1 only, not brand-name
  • No insurance billing (cash-pay)
  • PA-led rather than MD/DO-led

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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