Head-to-head · Cost-Efficiency Index
Apex MD vs Bionomy Health
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Apex MD
Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine.
Visit Apex MDBionomy Health
Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons.
Visit Bionomy HealthThe verdict
Apex MD takes it, leading the Cost-Efficiency Index 71 to 70. Apex MD is a nationwide telehealth platform selling compounded semaglutide and tirzepatide bundled with NAD, B-12, and L-carnitine (not single-ingredient GLP-1) at a flat $299/mo and $399/mo month-to-month respectively. Bionomy Health still earns a C — Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Apex MD.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Apex MD | Bionomy Health |
|---|---|---|
| Cost-Efficiency Index | 71/100 | 70/100 |
| Semaglutide / mo | $299/mo (all doses, bundle, compounded) | $189/mo (starting dose, compounded) |
| Tirzepatide / mo | $399/mo (all doses, bundle, compounded) | $249/mo (compounded) |
| Semaglutide / yr (modeled) | $3,588 | $2,268 |
| Tirzepatide / yr (modeled) | $4,788 | $2,988 |
| Coverage | All 50 states | 48 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #80 | #86 |
Apex MD
71/100Where the value is
- Genuinely all-in flat pricing: 'no other fees' across all doses, with unlimited provider visits and Labcorp labs included
- No membership fee, no sign-up fee, no lab fee — confirmed verbatim on the pricing page
- Both semaglutide and tirzepatide, in injectable or daily-oral form
The tradeoffs
- Not single-ingredient GLP-1 — every tier bundles NAD, B-12, and L-carnitine into the compound, so the $299/$399 price isn't directly comparable to a plain-semaglutide/tirzepatide competitor
- Compounding pharmacies are never named, only described generically as 'Legit Script Certified pharmacies'
Bionomy Health
70/100Where the value is
- Cancellation is genuinely unconditional: no subscription, no card on file, no auto-renewal, no cancellation fee — you pay per refill
- Prices are published before intake on a dedicated GLP-1 page, and the same figures appear in the site's own llms.txt
- Available in 48 states
The tradeoffs
- The $189 is a starting rate, not a flat one: the page says 'From', the product card says 'Starter', and doses are titrated every four weeks with no published price for the dose you end up on
- The homepage says muscle preservation is 'included' while the GLP-1 page sells a Muscle Preserve Pack at $109/mo as a separate line item
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.