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BiltRx vs Fay: Which Is Better?

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

Our Verdict

Fay scores higher overall in our independent evaluation (61.9/100 vs 60/100), leading on trust & safety, value, experience, reputation. BiltRx comes out ahead on product range.

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.

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62
Fay
Fair

Insurance-billed marketplace for virtual registered-dietitian care (weight management, diabetes, GLP-1 support, PCOS); it does not prescribe medication.

Visit Fay

Score Breakdown

DimensionBiltRxFay
Overall Score60/10061.9/100 ✓
Trust & Safety30%55/10066/100 ✓
Value25%62/10070/100 ✓
Experience20%58/10062/100 ✓
Product Range15%76/100 ✓40/100
Reputation10%50/10062/100 ✓

At a Glance

Founded20222022
HeadquartersHouston, TXSchaumburg, IL
Publicly tradedNoNo
Treatment categories72
Treatments listed141
Starting price$65/mo$0/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.

CategoryBiltRxFay
Weight Loss / GLP-1$81
Compounded Semaglutide
Free–$150
Registered Dietitian Sessions

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 →

Fay

+Registered dietitians only, in-network with 700+ plans; many members pay $0 per session
+Pre-booking price estimator based on the member's insurance benefits
+Large clinician bench (3,400+ RDs) covering 30+ specialties including diabetes, PCOS and GLP-1 nutrition support
−No prescribers: Fay cannot prescribe or supply GLP-1s or any other medication
−Insurance estimates are unreliable per reviewers, with '$0 copay' visits later billed at $230 up to $1,400
−Reports of unexpected recurring charges and charges continuing after cancellation
Read the full Fay review →

BiltRx vs Fay — FAQ

Is BiltRx better than Fay?

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Fay scores higher overall in our independent evaluation (61.9/100 vs 60/100), leading on trust & safety, value, experience, reputation. BiltRx comes out ahead on product range.

Is BiltRx or Fay cheaper?

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Fay has the lower starting price (from $0/mo vs $65/mo for BiltRx). 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 Fay both offer?

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Both platforms treat Weight Loss / GLP-1. BiltRx covers 7 treatment categories total and Fay covers 2.

Still deciding?

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