Bionomy Health Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.4/10

Best for: men wanting physician-led GLP-1 plus TRT and longevity add-ons

7.4
★★★★☆3.7/5

Bionomy Health stands out for its medical oversight and pharmacy verification.

Semaglutide

$189/mo

Tirzepatide

$249/mo
Same price at every dose

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

Bionomy Health is a physician-led, direct-to-consumer men's telehealth brand offering compounded GLP-1 weight-loss medication alongside testosterone, peptides, and longevity protocols. It prescribes compounded semaglutide (189 dollars a month) and compounded tirzepatide (249 dollars a month) on a pay-per-prescription basis with no subscription. The intake is free and physician-reviewed before you pay, and it reaches 48 states (all except Alaska and Hawaii). Compounded medications are fulfilled by LegitScript-certified pharmacies Strive and Absolute. Compounded drugs are not FDA-approved.

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
CompoundedSemaglutideTirzepatide48 statesNo subscriptionPhysician-ledFree intake

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Editorial score · methodology

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★★★★☆3.7/5

Editorial score · methodology

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Best for: Needle-free, microdosed compounded GLP-1 with lab-monitored care

★★★★☆3.7/5

Editorial score · methodology

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Bionomy Health
3.7 / 5
Our editorial rating
Visit Bionomy Health →

from $189/mo · no insurance needed

Bionomy Health at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$189/mo (Pay per prescription, no subscription; billed monthly)
Pricing model
Flat — dose increases don't raise the monthly price
What's included
Medication · Consult · Shipping
Availability
48 states
FDA status
No FDA warning letter on record

How we scored Bionomy Health

Each dimension is scored algorithmically from Bionomy Health’s real pricing, drugs offered, verification status, and disclosed inclusions — using the same six-dimension framework we apply to every provider.

Value25%

7.0/10

At $189/mo, Bionomy Health runs about 12% above the $169 median for GLP-1 providers. Pricing is flat across doses, so there is no escalation markup as you titrate up.

Effectiveness25%

7.9/10

Bionomy Health offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes.

User Experience15%

7.2/10

Online intake and platform experience — consult included in the price; 7 platform features disclosed.

Trust & Safety15%

8.4/10

Key details fully confirmed by our editors; no FDA warning letters on file; discloses which pharmacy makes its medication (last checked 2026-08-02).

Accessibility10%

8.1/10

Bionomy Health treats patients in all 50 states.

Support10%

5.7/10

Bionomy Health provides standard clinician follow-up; no extended coaching or community program is disclosed.

6scored dimensions
596providers compared
100%verified against live provider sites
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

How we verified this Bionomy Health review

Last checked August 2026
  • Confirmed current pricing across 2 dose/plan tiers
  • Confirmed availability in all 50 states
  • Confirmed what the monthly price does and doesn't include
  • Verified the compounding pharmacy partner and its accreditation
  • Checked the FDA warning-letter database for enforcement actions
  • Walked the public intake/checkout flow on the provider's site

Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records — see the sources below. Editorial confidence in this data: high.

What to expect when you sign up with Bionomy Health

We walked Bionomy Health’s public signup flow in July 2026 to document the process — the steps, pricing transparency, and what’s required — before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)

  1. 1Begin the free 2-minute intake.
  2. 2A board-certified physician reviews your intake, which the site states happens within 24 hours.
  3. 3You pay only for the prescriptions the physician approves (pay-per-prescription, no subscription).
  4. 4Medication ships to your door, which the site states occurs within 5 days.
Price shown before you start
  • Men's-health focus spanning testosterone/TRT, GLP-1, recovery peptides, and longevity protocols.
  • Publicly lists pricing including tirzepatide $249/month, TRT cypionate $149/month, sermorelin $169/month, and NAD+ $149/month, with a 'from $49/month' headline.
  • Uses a pay-per-prescription model with no subscription; ships to 48 states; references HIPAA.
  • Describes a physician network led by a quadruple American board-certified physician (Dr. Sharma's network).
  • The site discloses that compounded medications are not FDA-approved and are dispensed only when a licensed practitioner determines they are clinically appropriate.
  • References LegitScript.

Bionomy Health customer support

Phone
(929) 791-2237

GLP-1 medications Bionomy Health offers

Tap any medication to read our plain-English guide — how it works, dosing, side effects, and what the trials found.

SemaglutideTirzepatideWegovyOzempicMounjaroZepboundRybelsus

Pricing

Prices re-verified

All doses (flat)Compounded
$189/mo
semaglutide

Pay per prescription, no subscription; billed monthly

All doses (flat)Compounded
$249/mo
tirzepatide

Pay per prescription, no subscription; billed monthly

Ready to get started?

Plans and promotions change often — check Bionomy Health's current pricing and active discounts before you decide.

See Bionomy Health pricing →

Bionomy Health compounding-pharmacy partners

Each partner below is a 503A or 503B pharmacy that Bionomy Health routes prescriptions through. Each entry is anchored to a verbatim primary-source quote from the provider’s or pharmacy’s own site.

Compare every compounding pharmacy we’ve reviewed →

What we like

  • Offers both compounded semaglutide (189/mo) and tirzepatide (249/mo) with pay-per-prescription pricing and no subscription
  • Physician-led with a free, physician-reviewed intake before you pay anything
  • Fills through LegitScript-certified compounding pharmacies Strive and Absolute; available in 48 states
  • Pairs GLP-1 protocols with muscle-preserve supplements and a written training note to protect lean mass

Watch-outs

  • Men's health brand, so the site framing and protocols are geared to men rather than a general audience
  • New brand launched in 2026 with limited independent reviews and track record
  • Not available in Alaska or Hawaii; compounded medications are not FDA-approved

Is Bionomy Health worth it? Our verdict

Bionomy Health positions itself around one thing: men wanting physician-led GLP-1 plus TRT and longevity add-ons. It runs $189/month, flat across every dose. Its flat, all-dose pricing is a genuine plus for anyone worried about cost climbing as they titrate up.

Beyond the core GLP-1 program, Bionomy Health leans on No subscription, Physician-led, and Free intake.

How much Bionomy Health actually costs

  • Compounded semaglutide — $189/month
  • Compounded tirzepatide — $249/month

That's roughly in line with the ~$169/month median across the GLP-1 providers we track.

For a direct comparison, Bodybuilding Health+ runs semaglutide and tirzepatide from $179/month — worth pricing against Bionomy Health before you commit.

Medications: what Bionomy Health prescribes

Bionomy Health prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the two molecules with the strongest published weight-loss trial outcomes. Rather than brand-name pens, you get a compounded formulation from a licensed pharmacy — the reason the monthly cost is lower. Just know compounded drugs aren't FDA-approved as finished products, the standard caveat in this market.

Who Bionomy Health is best for — and who should skip it

A good fit if you…

  • live anywhere in the US and want guaranteed access.

Look elsewhere if you…

  • specifically want an FDA-approved brand-name pen.
  • need to bill insurance — like most of this market, it's cash-pay.

Trust, safety, and medical oversight

Bionomy Health treats patients in all 50 states, and names the pharmacy that fills its prescriptions. We found no FDA warning letters on file for the provider. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation — we explain how in our scoring methodology.

Bottom line

Bionomy Health is a reasonable telehealth GLP-1 option; weigh its pricing and coverage against the alternatives below before deciding. If you're comparison-shopping, RNK Health is one of the closest alternatives we track — worth a look before deciding.

The Bottom Line

Bionomy Health stands out for its medical oversight and pharmacy verification.

Score: 7.4/10Best for: men wanting physician-led GLP-1 plus TRT and longevity add-onsFrom: $189/mo

Ready to start with Bionomy Health?

Starting at $189/month. See current pricing and start your free consultation.

Visit Bionomy Health →

Bionomy Health might not be your best fit if…

We rank editorially, so here’s where a different provider we track may serve you better.

  • If you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound, consider GobyMeds.
  • If the lowest possible monthly price is your top priority, consider Sunlight (from $88/mo).
  • If you want built-in coaching and behavior-change support, consider Found.
See all alternatives to Bionomy Health →

Frequently Asked Questions

Bionomy Health is a physician-led telehealth brand run by Bionomy Health, Inc. Its compounded medications are fulfilled by LegitScript-certified, state-licensed pharmacies Strive and Absolute, and the service is HIPAA-compliant with a board-certified founding physician, Dr. Pranav K. Sharma, MD. Compounded medications are not FDA-approved.
Compounded semaglutide is 189 dollars a month and compounded tirzepatide is 249 dollars a month, with a GLP-1 bundle at 429 dollars a month. Pricing is pay-per-prescription with no subscription, and the intake is free until a physician approves your prescription.
Yes. Bionomy offers both compounded semaglutide (about 15 percent average weight loss cited from GLP-1 trials) and compounded tirzepatide (cited around 20.9 percent at 72 weeks), and a practitioner recommends which one fits your goals.
We don't find any safety warnings on file (no FDA action). The concerns our review flags are mostly transparency-related: Men's health brand, so the site framing and protocols are geared to men rather than a general audience; New brand launched in 2026 with limited independent reviews and track record; Not available in Alaska or Hawaii; compounded medications are not FDA-approved. None are safety issues, but they're worth weighing before you sign up.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Sources

The primary regulatory filings and peer-reviewed studies cited throughout this Bionomy Health review:

Sources & methodology — as of August 2026
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See Bionomy Health's current pricing

Plans start at $189/month. Start your free consultation to check eligibility and today's price.

Visit Bionomy Health →