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BiltRx vs Paloma Health: Which Is Better?

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

Our Verdict

BiltRx scores higher overall in our independent evaluation (60/100 vs 57.7/100), leading on experience, product range. Paloma Health comes out ahead on trust & safety, reputation. Paloma Health has the lower entry price (from $20/mo vs $65/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
58

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

Visit Paloma Health

Score Breakdown

DimensionBiltRxPaloma Health
Overall Score60/100 ✓57.7/100
Trust & Safety30%55/10058/100 ✓
Value25%62/10062/100
Experience20%58/100 ✓55/100
Product Range15%76/100 ✓55/100
Reputation10%50/10055/100 ✓

At a Glance

Founded20222018
HeadquartersHouston, TXNew York, NY
Publicly tradedNoNo
Treatment categories72
Treatments listed143
Starting price$65/mo$20/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.

CategoryBiltRxPaloma Health
Hormone Therapy$65–$97
Testosterone (injection or cream)
$20
Thyroid Care Membership

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 →

Paloma Health

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.
+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.
+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.
−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.
−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.
−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.
Read the full Paloma Health review →

BiltRx vs Paloma Health — FAQ

Is BiltRx better than Paloma Health?

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BiltRx scores higher overall in our independent evaluation (60/100 vs 57.7/100), leading on experience, product range. Paloma Health comes out ahead on trust & safety, reputation. Paloma Health has the lower entry price (from $20/mo vs $65/mo), so the better value depends on which treatment you need.

Is BiltRx or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/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 Paloma Health both offer?

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Both platforms treat Hormone Therapy. BiltRx covers 7 treatment categories total and Paloma Health covers 2.

Still deciding?

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