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Head-to-head · Cost-Efficiency Index

Ondra 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.

Better valueGrade A− · #2

Ondra Health

Value shoppers who want one of the lowest disclosed prices on both molecules without giving up nationwide access or pharmacy verification.

Visit Ondra Health
VS
Grade C · #94

Bionomy Health

Cost-first shoppers who want men seeking physician-led compounded glp-1 weight loss with trt and longevity add-ons.

Visit Bionomy Health

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 70. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Bionomy Health still earns a CCost-first shoppers who want men seeking physician-led compounded glp-1 weight loss with 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 board). See how it stacks up: CoreAge Rx vs Ondra 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

94
50

Price Transparency

88
84

Nationwide Access

96
78

Formulation Options

86
77

Clinical Oversight

88
83

Contract Flexibility

88
53

Pricing, coverage & formulary

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

SpecOndra HealthBionomy Health
Cost-Efficiency Index90/10070/100
Semaglutide / mo$93/mo$189/mo (starting dose, compounded)
Tirzepatide / mo$166/mo$249/mo (compounded)
Semaglutide / yr (modeled)$1,116$2,268
Tirzepatide / yr (modeled)$1,992$2,988
CoverageAll 50 states48 states
Oral / sublingualNoYes
Brand-name accessYesCompounded only
Rank on the board#2#94

Ondra Health

90/100

Where the value is

  • Among the lowest disclosed prices on the board — $93 semaglutide and $166 tirzepatide
  • Available in all 50 states with both molecules published for clean cost modeling
  • LegitScript-certified, and offers FDA-approved brand-name access alongside compounded

The tradeoffs

  • A newer, lower-profile operator without CoreAge's long flat-price track record
  • No oral/sublingual route
Visit Ondra Health

Full Ondra 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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