Bionomy Health review
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.
- Semaglutide
- $189/mo (starting dose, compounded)
- Tirzepatide
- $249/mo (compounded)
- Coverage
- 48 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$2,268
Tirzepatide · modeled / year
$2,988
Pricing verified August 2026
The Index scorecard
Bionomy Health scored on our six Cost-Efficiency Index factors. See the methodology.
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
- No FDA-approved pathway and no oral route — the site does not mention Wegovy, Ozempic, Zepbound or Mounjaro at all
- Not available in Alaska or Hawaii
- Compounded semaglutide and tirzepatide are not FDA-approved finished products
The bottom line
Best for: Cost-first shoppers who want men wanting physician-led GLP-1 plus TRT and longevity add-ons. 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.
Ranked #86 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Bionomy Health.
- #76Heally— Heally is a per-order (not subscription) telehealth platform for GLP-1 prescriptions, care delivered by HLY Medical Group PA, with semaglutide starting at $149/mo and tirzepatide at $299/mo.72/100
- #77Recovery Delivered— Recovery Delivered is primarily an online addiction/recovery telehealth brand (buprenorphine treatment is its lead offering) that also runs a real, separately priced GLP-1 weight-loss vertical.72/100
- #78Nova— Nova (trynova.co) bundles the medication, refrigerated shipping and a $99 monthly membership into one figure — $198 for semaglutide and $210 for tirzepatide — and serves 49 states, everywhere except California.72/100
- #79Bodybuilding Health+— The Bodybuilding.com fitness brand's telehealth arm, with a genuinely descending semaglutide ladder — and a twelve-month tirzepatide rung badged Best Value while costing more than the six-month one.69/100
- #80Apex MD— Apex MD is a nationwide telehealth platform selling compounded semaglutide and tirzepatide bundled with NAD, B-12, and L-carnitine (not single-ingredient GLP-1) at a flat $299/mo and $399/mo month-to-month respectively.71/100
- #81GOAL.MD— GOAL.MD (goal.md) is a physician-run telehealth weight-loss practice, led by Chief Physician Dr. Michael Mimlitz, MD.71/100
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Pricing, states and verification reflect Bionomy Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Bionomy Health's site. Not medical advice; see our disclosure.