Head-to-head · Cost-Efficiency Index
GOAL.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.
GOAL.MD
Shoppers comparing a named physician-led practice, who won't mistake the $149 ad price for the ongoing rate.
Visit GOAL.MDBionomy Health
Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons.
Visit Bionomy HealthThe verdict
GOAL.MD takes it, leading the Cost-Efficiency Index 71 to 70. GOAL.MD (goal.md) is a physician-run telehealth weight-loss practice, led by Chief Physician Dr. Michael Mimlitz, MD. 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 GOAL.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 | GOAL.MD | Bionomy Health |
|---|---|---|
| Cost-Efficiency Index | 71/100 | 70/100 |
| Semaglutide / mo | $199/mo (promotional rate, compounded) | $189/mo (starting dose, compounded) |
| Tirzepatide / mo | $299/mo (compounded) | $249/mo (compounded) |
| Semaglutide / yr (modeled) | $2,388 | $2,268 |
| Tirzepatide / yr (modeled) | $3,588 | $2,988 |
| Coverage | All 50 states | 48 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #81 | #86 |
GOAL.MD
71/100Where the value is
- Named Chief Physician (Dr. Michael Mimlitz, MD) rather than an anonymous provider network
- Multiple product tiers (standard, micro-dose, combination 'Synergy') for different budgets and needs
- 3-month bundle discount available on the combination product ($547/mo vs. $597/mo single-month)
The tradeoffs
- The widely advertised '$149' price is a first-month-only discount; the standing rate is $199/mo semaglutide and $299/mo tirzepatide — more than double the headline for tirzepatide
- No named compounding pharmacy — only generic '503A & 503B licensed U.S. pharmacies' language
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.