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BiltRx vs Defy Medical: Which Is Better?

Head-to-head comparison of BiltRx and Defy Medical based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 60/100), leading on trust & safety, experience, product range, reputation. BiltRx comes out ahead on value. BiltRx has the lower entry price (from $65/mo vs $150/mo), so the better value depends on which treatment you need.

60
BiltRx
Fair

BiltRx is a Houston-based, coach-led telehealth clinic, which absorbed the long-running Diet Doc weight-loss brand, selling compounded GLP-1s, TRT, ED, hair-loss and peptide treatments.

Visit BiltRx

Physician-led telemedicine hormone clinic offering TRT, women's HRT, peptides, GLP-1s, and sexual-health treatments through its own 503B pharmacy.

Visit Defy Medical

Score Breakdown

DimensionBiltRxDefy Medical
Overall Score60/10071.9/100 ✓
Trust & Safety30%55/10072/100 ✓
Value25%62/100 ✓60/100
Experience20%58/10078/100 ✓
Product Range15%76/10078/100 ✓
Reputation10%50/10080/100 ✓

At a Glance

Founded20222011
HeadquartersHouston, TXTampa, FL
Publicly tradedNoNo
Treatment categories73
Treatments listed144
Starting price$65/mo$150/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryBiltRxDefy Medical
Weight Loss / GLP-1$81
Compounded Semaglutide
$150–$250
GLP-1 Weight Loss (Semaglutide/Tirzepatide)
Hormone Therapy$65–$97
Testosterone (injection or cream)
$150–$250
Women's Bioidentical HRT
Sexual Health$84
Sildenafil or Tadalafil
—

BiltRx

+Low headline medication prices: compounded semaglutide $81/mo, tirzepatide $129/mo, testosterone injections $65/mo, sildenafil or tadalafil $84/mo
+Broad catalog covering GLP-1s, TRT, women's HRT, ED, hair loss and peptides (sermorelin, tesamorelin, NAD+, glutathione, MIC-B12)
+Inherits Diet Doc's patient base and review record (4.7/5 across 129 Trustpilot reviews), with named care coordinators praised repeatedly
−GLP-1 pages state 'consultation and shipping apply separately' without publishing those fees, so the all-in monthly cost is unclear
−Branded GLP-1s listed at $1,449–1,849/mo, far above the manufacturers' direct self-pay prices
−Hair-loss pricing is high for the category (finasteride $149/mo, minoxidil $199/mo)
Read the full BiltRx review →

Defy Medical

+15 years in operation (founded 2011) — one of the longest-running cash-pay hormone-therapy telehealth brands, with a named Medical Director (Dr. Justin Saya)
+Trustpilot rating of 4.8/5 across 4,144 reviews, and the company responds to 94% of negative reviews, typically within 24 hours
+Broad treatment range from a single provider — TRT, women's HRT, peptides, GLP-1s, sexual dysfunction, and hair loss — dispensed through its own 503B-registered pharmacy with labs required before prescribing
−Pricing is not published on the website; patients must complete a roughly $250 consult before learning treatment costs, a transparency gap versus competitors that post pricing upfront
−Some patients report delays of a week or more between consult and medication fulfillment
−Mobile app quality lags the web experience, per patient feedback
Read the full Defy Medical review →

BiltRx vs Defy Medical — FAQ

Is BiltRx better than Defy Medical?

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Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 60/100), leading on trust & safety, experience, product range, reputation. BiltRx comes out ahead on value. BiltRx has the lower entry price (from $65/mo vs $150/mo), so the better value depends on which treatment you need.

Is BiltRx or Defy Medical cheaper?

▾

BiltRx has the lower starting price (from $65/mo vs $150/mo for Defy Medical). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do BiltRx and Defy Medical both offer?

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Both platforms treat Weight Loss / GLP-1, Hormone Therapy, Sexual Health. BiltRx covers 7 treatment categories total and Defy Medical covers 3.

Still deciding?