Licensed telehealth provider offering compounded tirzepatide at a flat $129 per month through US 503A pharmacies. Brand-name Mounjaro and Zepbound also available at $1,499.
BiltRx Tirzepatide: Pricing, Fees and Provider Review
$129/mo
Our rating 4.3/5
Monthly: $129 / Form: Injectable / Rx: Required / Pharmacy: US 503A
BiltRx compounded tirzepatide review: $129 per month base price, what consultation and shipping add, pharmacy details and our editorial rating. Verified October 2026.
Lowest base price at $129 per month regardless of dose
Brand-name tirzepatide also available alongside compounded
Prescriptions filled through US-licensed 503A pharmacies
Consultation and shipping fees not included in $129 price
Dose tier details not published before enrollment
Key Features
- Compounded tirzepatide: $129/month flat, all doses (biltrx.com, verified 22 Oct 2026)
- Brand-name Mounjaro and Zepbound: $1,499/month (biltrx.com, verified 22 Oct 2026)
- Pharmacy: Southend Pharmacy and Boothwyn Pharmacy (US 503A)
- Consultation: Telehealth, charged separately (amount not publicly listed)
- Shipping: Charged separately (amount not publicly listed)
- Financing: Buy Now Pay Later available
- Form: Injectable only
- Prescription required: Yes
The $129 medication price is the lowest base figure among compounded tirzepatide providers we track. Arc-1 starts at $199.99 for its 2.5 mg tier and climbs to $399.99 at 7.5 mg. Over 12 months at 5 mg, that $129 flat rate saves roughly $1,452 in medication cost alone compared to Arc-1's $249.99. The catch is that BiltRx's consultation and shipping fees are billed on top. Those amounts are not disclosed on the public pricing page, which makes it impossible to calculate the true all-in monthly cost from the website alone. For a head-to-head breakdown factoring in all known fees, see our BiltRx vs Arc-1 comparison.
| Dose | BiltRx | Arc-1 | BiltRx Savings (Medication Only) |
|---|---|---|---|
| 2.5 mg | $129 | $199.99 | $70.99/mo |
| 5 mg | $129 | $249.99 | $120.99/mo |
| 7.5 mg | $129 | $399.99 | $270.99/mo |
What's Inside
BiltRx dispenses compounded tirzepatide as an injectable solution. Tirzepatide is a dual GIP and GLP-1 receptor agonist, the same active ingredient found in Mounjaro and Zepbound. The compounded version is prepared by a 503A pharmacy based on an individual patient's prescription rather than manufactured in bulk by Eli Lilly.
Specific inactive ingredients, excipients and per-milliliter concentration are not published on BiltRx's public-facing pages. This is common among telehealth platforms that withhold formulation specifics until after a patient completes the consultation. It does not necessarily indicate a problem, but it limits the ability to compare formulations before committing. Arc-1, by contrast, publishes its full ingredient breakdown including tirzepatide concentration, glycine and B12 content. That transparency gap is reflected in our scoring below.
The medication is compounded by either Southend Pharmacy or Boothwyn Pharmacy. Both are US-licensed 503A compounding pharmacies operating under Section 503A of the Federal Food, Drug, and Cosmetic Act. These pharmacies prepare medications based on individual prescriptions and are regulated by state pharmacy boards. They are not 503B outsourcing facilities, which face direct FDA inspection and follow current good manufacturing practice (cGMP) standards.
How to Store and Handle
Compounded tirzepatide is typically shipped in temperature-controlled packaging to maintain potency. Once received, store the vial in the refrigerator at 36 to 46 degrees Fahrenheit (2 to 8 degrees Celsius). Do not freeze it. Protect the vial from direct light.
Before injecting, allow the medication to reach room temperature for a few minutes. Follow the injection technique and site rotation instructions provided by your prescribing physician. Use alcohol swabs to clean the injection site and the vial stopper before each draw. Dispose of used needles and syringes in an FDA-cleared sharps container.
BiltRx's specific handling instructions will accompany your shipment. If your medication arrives warm, with a broken seal, or with visible particles in the solution, contact BiltRx before using it. Do not use any injectable that appears cloudy or discolored. For broader storage guidance across all tirzepatide products, see our tirzepatide cost guide, which covers both compounded and brand-name handling.
Check price at BiltRx
Sold and shipped by BiltRx. Price checked October 2026. We may earn a commission.
BiltRx is a telehealth platform that sells compounded tirzepatide at a flat $129 per month regardless of dose. The company also offers brand-name Mounjaro and Zepbound at $1,499 per month. Prescriptions are filled through Southend Pharmacy or Boothwyn Pharmacy, both US-licensed 503A compounding facilities. A telehealth consultation is required before any prescription is written. We reviewed BiltRx's publicly available pricing, pharmacy sourcing and ordering model to produce the assessment below.
BiltRx Compounded Tirzepatide Overview
BiltRx connects patients with licensed prescribers through an online platform. After completing a health intake and telehealth consultation, approved patients receive compounded tirzepatide shipped directly to their door on a monthly schedule. The medication arrives in injectable form only. There are no tablets, capsules or nasal sprays.
The flat pricing model is what sets BiltRx apart. Most compounded tirzepatide providers charge more as the dose increases because higher doses require more active ingredient per vial. BiltRx charges $129 whether you are on the 2.5 mg starting dose or a higher maintenance dose (biltrx.com, verified 22 Oct 2026). That structure benefits patients who expect to titrate above 5 mg, where dose-tiered providers like Arc-1 charge significantly more.
BiltRx also lists brand-name Mounjaro and Zepbound at $1,499 per month (biltrx.com, verified 22 Oct 2026). Having both compounded and FDA-approved options under one platform gives patients the ability to start with the compounded product and switch to the branded drug later without changing providers. That said, the $1,499 brand-name price is substantially higher than Zepbound self-pay vials through LillyDirect, which run $299 to $449 depending on dose. The brand-name option through BiltRx only makes sense if you specifically want BiltRx's telehealth model handling the entire process.
State availability varies. BiltRx does not publish a specific list of restricted states on its public pages. Patients should confirm eligibility during the intake process. Buy Now Pay Later financing is available for patients who want to spread costs over time.
Our Verdict
BiltRx Compounded Tirzepatide receives an editorial rating of 4.3 out of 5.
- Price
- 4.8 / 5
- Transparency
- 3.5 / 5
- Convenience
- 4.0 / 5
- Value
- 4.5 / 5
- Overall
- 4.3 / 5
The price score of 4.8 reflects the reality that $129 per month is the lowest compounded tirzepatide base price we found anywhere. No other verified provider undercuts it. The flat rate structure amplifies the savings at higher doses, where tiered providers charge two or three times as much. For patients whose primary concern is keeping the medication bill as low as possible, BiltRx delivers.
Transparency is the weak point at 3.5. BiltRx does not publish consultation fees, shipping fees or formulation details on its public pricing pages. A patient browsing the site cannot calculate the true monthly cost without entering the enrollment process. That is frustrating and it makes honest comparison harder. You will discover the full cost only after you are already partway through onboarding.
Convenience scores a 4.0. The telehealth model is standard and functional. Monthly delivery removes the hassle of pharmacy trips. Buy Now Pay Later financing adds flexibility. The lack of a published satisfaction guarantee costs it points relative to Arc-1, which offers a 30-day money-back policy. For patients who want total pricing clarity before signing up, Arc-1 is the better fit despite its higher sticker price. For patients who prioritize the lowest medication cost and are comfortable discovering the full fee structure during enrollment, BiltRx is a strong option. Both sell compounded tirzepatide that is not FDA-approved. Our brands page places them side by side.
$129monthly cost, all doses
$1,499brand-name Mounjaro/Zepbound option
2US 503A pharmacies (Southend, Boothwyn)
Our rating
4.3out of 5
Rated by the Tirzepatide Price editorial team, October 2026
Licensed telehealth provider offering compounded tirzepatide at a flat $129 per month through US 503A pharmacies. Brand-name Mounjaro and Zepbound also available at $1,499.
Lowest base price at $129 per month regardless of dose
Brand-name tirzepatide also available alongside compounded
Prescriptions filled through US-licensed 503A pharmacies
Consultation and shipping fees not included in $129 price
Dose tier details not published before enrollment
FAQ - BiltRx Tirzepatide
Is BiltRx compounded tirzepatide FDA-approved?
No. Compounded tirzepatide is not FDA-approved and requires a prescription after medical consultation. The FDA-approved tirzepatide products are Mounjaro (for type 2 diabetes) and Zepbound (for chronic weight management), both manufactured by Eli Lilly. BiltRx also offers brand-name Mounjaro and Zepbound at $1,499 per month for patients who prefer an FDA-approved product (biltrx.com, verified 22 Oct 2026).
What is the total monthly cost including consultation and shipping?
The $129 figure covers the compounded medication only. Consultation and shipping are billed separately. BiltRx does not publish those amounts on its public pricing page. Patients should request a complete cost breakdown during the initial consultation before filling a prescription. The total monthly cost will be higher than $129. For a comparison that accounts for bundled versus unbundled pricing, see our BiltRx vs Arc-1 page.
Does the $129 price stay the same at higher doses?
Yes. BiltRx advertises a flat $129 per month for compounded tirzepatide at all dose levels (biltrx.com, verified 22 Oct 2026). Whether you are on 2.5 mg or a higher maintenance dose, the medication price does not change. This is unusual among compounded providers. Arc-1, for example, charges $199.99 at 2.5 mg and $399.99 at 7.5 mg. The flat rate becomes a significant advantage as patients titrate upward.
How does BiltRx compare to buying Zepbound directly from LillyDirect?
Zepbound self-pay vials through LillyDirect cost $299 per month at 2.5 mg and $449 for a 45-day supply at higher doses. BiltRx's compounded tirzepatide at $129 per month (plus fees) is cheaper but is not FDA-approved. LillyDirect sells the FDA-approved product with Eli Lilly's manufacturing quality assurance. The trade-off is price versus regulatory status. For patients who want the lowest cost, BiltRx is cheaper. For patients who want an FDA-approved product at below-list pricing, LillyDirect is the better route. Our cheapest tirzepatide ranking compares every option.
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