Head-to-head · Cost-Efficiency Index
Queen RX 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.
Queen RX
Cost-first shoppers who want a low one-time cost to try a GLP-1 without committing to a monthly subscription.
Visit Queen RXBionomy Health
Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons.
Visit Bionomy HealthThe verdict
Queen RX takes it, leading the Cost-Efficiency Index 71 to 70. Queen RX sells one flat bundle covering whichever of semaglutide, tirzepatide, or liraglutide a patient is prescribed: $299 as a one-time purchase for a virtual consult, 3 months of medication, and supplies. 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 Queen RX.
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 | Queen RX | Bionomy Health |
|---|---|---|
| Cost-Efficiency Index | 71/100 | 70/100 |
| Semaglutide / mo | $100/mo (starting dose, bundle, compounded) | $189/mo (starting dose, compounded) |
| Tirzepatide / mo | $100/mo (bundle, compounded) | $249/mo (compounded) |
| Semaglutide / yr (modeled) | $1,200 | $2,268 |
| Tirzepatide / yr (modeled) | $1,200 | $2,988 |
| Coverage | 45 states | 48 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #82 | #86 |
Queen RX
71/100Where the value is
- Full refund if the physician determines you can't be prescribed anything
- No subscription or membership fee — a single $299 purchase covers a full 3-month course including supplies
- Works out to one of the lower per-month equivalents in this batch when averaged over the 3-month term
The tradeoffs
- Not actually a monthly price — it's a one-time $299 purchase per 3-month term; there is no month-to-month billing option at all
- No price differentiation between semaglutide, tirzepatide, and liraglutide — all fall under the same $299 bundle regardless of which drug is prescribed or its dose
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.