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 the pharmacy behind it.
Semaglutide
$189/mo
Tirzepatide
$249/mo
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
See plans →See plans at Bionomy Health →
Compare top-rated alternatives ↓No insurance needed · Vetted by our editors
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
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
Vetted alternatives to Bionomy Health
★★★★☆3.6/5
Editorial score · methodology
$165/mosemaglutide
$399/motirzepatide
CompoundedSemaglutideTirzepatideBoard-Certified Clinicians
Get StartedRead full Fella Health review →★★★★☆3.8/5
Editorial score · methodology
$149/mosemaglutide
$224/motirzepatide
CompoundedSemaglutideTirzepatideFDA Warning
Get StartedRead full SkinnyRx review →★★★★☆3.9/5
Editorial score · methodology
$79/mosemaglutide
$129/motirzepatide
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →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%
7.0/10At $189/mo, Bionomy Health runs about 11% above the $170 median for GLP-1 providers. Pricing is flat across doses, so there is no escalation markup as you titrate up.
Effectiveness25%
7.9/10Bionomy Health offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes.
User Experience15%
7.2/10Online intake and platform experience — consult included in the price; 7 platform features disclosed.
Trust & Safety15%
8.4/10Key details fully confirmed by our editors; no FDA warning letters on file; discloses which pharmacy makes its medication.
Accessibility10%
8.1/10Bionomy Health treats patients in all 50 states.
Support10%
5.7/10Bionomy Health provides standard clinician follow-up; no extended coaching or community program is disclosed.
6scored dimensions
648providers 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 we checked
- Provider's own pricing page
- $189–$249/mo across 2 dose/plan tiers — checked August 2026
- FDA warning-letter register
- No letter on file for this provider
- Compounding pharmacy partners
- Strive Pharmacy, Absolute Pharmacy
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.)
- 1Begin the free 2-minute intake.
- 2A board-certified physician reviews your intake, which the site states happens within 24 hours.
- 3You pay only for the prescriptions the physician approves (pay-per-prescription, no subscription).
- 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.
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.
Bionomy Health compounding-pharmacy partners
Each partner below is a 503A or 503B pharmacy that Bionomy Health routes prescriptions through.
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?
The short version of what Bionomy Health offers is men wanting physician-led GLP-1 plus TRT and longevity add-ons. It runs $189/month, the same price at every dose, — squarely in the middle of what this category charges, so what you get for it matters more here than the number itself. Its flat, all-dose pricing is a genuine plus for anyone worried about cost climbing as they titrate up.
Bionomy Health doesn't lock you into a subscription and is physician-led.
How much Bionomy Health actually costs
Compounded semaglutide runs $189/month and compounded tirzepatide runs $249/month.
That's roughly in line with the ~$170/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 the certainty that your state is already covered.
Look elsewhere if you…
- specifically want an FDA-approved brand-name pen instead of a compounded formulation — that's not what this provider fills.
- need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.
Trust, safety, and medical oversight
Bionomy Health treats patients in all 50 states, and names the pharmacy that fills its prescriptions, and we found no FDA warning letter on file for it. 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, Eden 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 the pharmacy behind it.
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.
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 Collective (from $59/mo).
- If you want built-in coaching and behavior-change support, consider Fella 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.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this Bionomy Health review:
Sources & methodology — as of October 2026
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 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.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 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.
Not sold on Bionomy Health?
Vetted alternatives