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Head-to-head · Cost-Efficiency Index

Bodybuilding Health+ 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.

Grade C · #79

Bodybuilding Health+

Someone buying semaglutide on a long commitment, where the ladder really does fall the further out you go.

Visit Bodybuilding Health+
VS
Better valueGrade C · #86

Bionomy Health

Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons.

Visit Bionomy Health

The verdict

Winner · Bionomy HealthGrade C vs C

Bionomy Health takes it, leading the Cost-Efficiency Index 70 to 69. Bionomy Health is a physician-led, direct-to-consumer men's telehealth service selling compounded GLP-1 weight-loss medication alongside testosterone, peptides and longevity protocols. Bodybuilding Health+ still earns a CSomeone buying semaglutide on a long commitment, where the ladder really does fall the further out you go.

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 Bionomy Health.

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

78
49

Price Transparency

58
84

Nationwide Access

60
78

Formulation Options

70
77

Clinical Oversight

72
83

Contract Flexibility

80
53

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecBodybuilding Health+Bionomy Health
Cost-Efficiency Index69/10070/100
Semaglutide / mo$179/mo month-to-month; $159.33 on three months, $158 on six and $141.50 on twelve$189/mo (starting dose, compounded)
Tirzepatide / mo$209/mo month-to-month; $179 on three months, $174.67 on six and $187.33 on twelve$249/mo (compounded)
Semaglutide / yr (modeled)$2,148$2,268
Tirzepatide / yr (modeled)$2,508$2,988
CoverageNot disclosed48 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#79#86

Bodybuilding Health+

69/100

Where the value is

  • The semaglutide ladder genuinely descends: $179 monthly, $159.33 on three months, $158 on six and $141.50 on twelve, each with its saving shown
  • Every savings badge is arithmetically honest against the monthly rate, on both molecules
  • Both molecules are priced on one page before any intake

The tradeoffs

  • The twelve-month tirzepatide rung is badged "Best Value" at $187.33 while the six-month rung is $174.67 — the badge is on the worse of the two
  • The product card calls $179 a "first month" beside a struck-through $279 while the plan selector treats it as the monthly rate; the site never reconciles the two
Visit Bodybuilding Health+

Full Bodybuilding Health+ review →

Bionomy Health

70/100

Where 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
Visit Bionomy Health

Full Bionomy Health review →

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.

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