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BiltRx vs Fem Excel: Which Is Better?

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

Our Verdict

Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 60/100), leading on trust & safety, experience, reputation. BiltRx comes out ahead on value, product range. BiltRx has the lower entry price (from $65/mo vs $108/mo), so the better value depends on which treatment you need.

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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
64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel

Score Breakdown

DimensionBiltRxFem Excel
Overall Score60/10063.9/100 ✓
Trust & Safety30%55/10066/100 ✓
Value25%62/100 ✓60/100
Experience20%58/10072/100 ✓
Product Range15%76/100 ✓55/100
Reputation10%50/10064/100 ✓

At a Glance

Founded2022—
HeadquartersHouston, TXCharlotte, NC
Publicly tradedNoNo
Treatment categories72
Treatments listed145
Starting price$65/mo$108/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.

CategoryBiltRxFem Excel
Hormone Therapy$65–$97
Testosterone (injection or cream)
$114–$149
Testosterone for Women (compounded)
Women's Health—$108–$123
PCOS Support (metformin / spironolactone)

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 →

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel review →

BiltRx vs Fem Excel — FAQ

Is BiltRx better than Fem Excel?

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Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 60/100), leading on trust & safety, experience, reputation. BiltRx comes out ahead on value, product range. BiltRx has the lower entry price (from $65/mo vs $108/mo), so the better value depends on which treatment you need.

Is BiltRx or Fem Excel cheaper?

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BiltRx has the lower starting price (from $65/mo vs $108/mo for Fem Excel). 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 Fem Excel both offer?

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Both platforms treat Hormone Therapy, Women's Health. BiltRx covers 7 treatment categories total and Fem Excel covers 2.

Still deciding?

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