Head-to-head · Cost-Efficiency Index
Bionomy Health vs Fresh Day Meds
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.
Bionomy Health
Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons.
Visit Bionomy HealthFresh Day Meds
Shoppers comfortable prepaying a 3-month quarterly bundle for the lowest per-month rate.
Visit Fresh Day MedsThe verdict
Bionomy Health and Fresh Day Meds tie on the Cost-Efficiency Index at 70/100, so neither wins outright on the numbers. For most shoppers we'd start with Bionomy Health (ranked #86, a hair above #87) — Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons. But Fresh Day Meds is a genuine coin-flip alternative here.
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
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 | Bionomy Health | Fresh Day Meds |
|---|---|---|
| Cost-Efficiency Index | 70/100 | 70/100 |
| Semaglutide / mo | $189/mo (starting dose, compounded) | $140/mo (compounded) |
| Tirzepatide / mo | $249/mo (compounded) | $179/mo (compounded) |
| Semaglutide / yr (modeled) | $2,268 | $1,680 |
| Tirzepatide / yr (modeled) | $2,988 | $2,148 |
| Coverage | 48 states | All 50 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Yes |
| Rank here | #86 | #87 |
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
Fresh Day Meds
70/100Where the value is
- No membership fees and free expedited shipping stated on-site
- LegitScript seal displayed
- Transparent quarterly-renewal totals shown next to the monthly-equivalent price, so the prepay isn't hidden
The tradeoffs
- The 'from $99/mo' headline is a new-patient-only, low-dose, 3-month-prepay price ($299 upfront) — the flat month-to-month rate is $140/mo
- No named compounding pharmacy or medical director/prescriber disclosed
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.