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BiltRx vs Twentyeight Health: Which Is Better?

Head-to-head comparison of BiltRx and Twentyeight 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

Twentyeight Health scores higher overall in our independent evaluation (75/100 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.

Visit BiltRx

Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionBiltRxTwentyeight Health
Overall Score60/10075/100 ✓
Trust & Safety30%55/10076/100 ✓
Value25%62/10080/100 ✓
Experience20%58/10072/100 ✓
Product Range15%76/100 ✓72/100
Reputation10%50/10070/100 ✓

At a Glance

Founded20222018
HeadquartersHouston, TXBrooklyn, NY
Publicly tradedNoNo
Treatment categories74
Treatments listed147
Starting price$65/mo$15/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.

CategoryBiltRxTwentyeight Health
Weight Loss / GLP-1$81
Compounded Semaglutide
—
Sexual Health$84
Sildenafil or Tadalafil
—
Women's Health—$15–$19.99
Complete 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 →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

BiltRx vs Twentyeight Health — FAQ

Is BiltRx better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 60/100), leading on trust & safety, value, experience, reputation. BiltRx comes out ahead on product range.

Is BiltRx or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/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 Twentyeight Health both offer?

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Both platforms treat Weight Loss / GLP-1, Sexual Health, Women's Health. BiltRx covers 7 treatment categories total and Twentyeight Health covers 4.

Still deciding?