Provider review
Bionomy Health review
Two clean monthly rates, and not one milligram figure anywhere to measure them against.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
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$189/mo semaglutide, dose not published
Visit Bionomy HealthNo dose is published behind either price, so what a quarter dose costs you here cannot be answered before you hand over a medical history. Its own homepage says the protocol and the pricing arrive together, after intake.
Price as published
Bionomy Health
$189/mo semaglutide, dose not published
- Vs median
- $14/mo above the $175 median
- Market
- $59–$1,300/mo across 299 of 548
- Structure
- Standard plan, self-directed low dose
- Dispensed
- Compounded by Strive Pharmacy and Absolute Pharmacy
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
Nobody here will tell you what a low dose costs, because no dose is published against either price. Bionomy quotes one monthly figure for compounded semaglutide and another for tirzepatide, and not a single milligram appears beside either one. Its own homepage says you will see a suggested protocol and the pricing the same day you complete the intake, so the dose-to-price relationship is settled after you have handed over a medical history rather than before. Give it real credit for what it does publish. It names both fulfilling pharmacies outright, lists 48 states and names the two it excludes, labels its testimonials as illustrative or compensated, footnotes its outcome statistics with a sample size and field dates, and only holds your card until a clinician signs off rather than charging it. That is more disclosure than most of this category manages. It is just not disclosure about dose.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You want the dispensing pharmacies named before you order
- You want your card held rather than charged until a clinician has actually approved the prescription
- You are comfortable learning at intake what dose the price buys
- You want to check your state against a published list rather than a promise
Look elsewhere if
- You are taking less to spend less and want that priced before you commit — no dose sits behind either figure
- You want to compare cost against a milligram anywhere else here; there is nothing here to compare
- You want the three-month rate before choosing a plan. It is offered at checkout and published nowhere
- You live in Alaska or Hawaii
What it actually costs
Price as published
$189/mo semaglutide, dose not published
- Vs median
- $14/mo above the $175 median across the 299 of 548 programs here that publish a plain monthly rate
- Market
- $59–$1,300/mo is the full published spread on this site
- Structure
- Standard plan, self-directed low dose
No low-dose product of its own. Starting low means asking for a smaller amount inside a standard plan, at the standard plan's price.
235 of the 548 programs here price a small dose this way. One monthly figure per molecule with no dose attached to either, and no statement anywhere about how the price behaves as the dose changes. The pricing structure is public; the dose behind it is not, so the microdose question cannot be answered before the intake.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not confirmed
- Labs
- Not required
- Pricing
- Check plan terms
What it does well
- Names both fulfilling pharmacies in the footer — Strive Pharmacy and Absolute Pharmacy — where most of this category stops at "licensed US pharmacies"
- Publishes an explicit 48-state list and names the two states it excludes rather than claiming "most states"
- Only places a hold at signup: "we only place a hold. The card isn't actually charged until a licensed Bionomy practitioner signs off", and refunds anything not approved
- Labels every short testimonial "Illustrative composite reflection" and every long patient story "Compensated member — Self-reported — Individual results vary" instead of passing either off as spontaneous
- Footnotes its own outcome statistics with a sample size and field dates — a self-reported member survey, n=142, fielded January to March 2026
- Charges per refill with no membership fee and no subscription lock-in
Pharmacy, labs and oversight
Bionomy Health names its pharmacy: Strive Pharmacy and Absolute Pharmacy. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
3 of 4 published openly
What Bionomy Health publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNames its pharmacy: Strive Pharmacy and Absolute Pharmacy.
- Published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsPriced by dose, plan or tier, and the higher rungs are not published — the advertised figure does not tell you what a larger dose costs.
- Not published
- No FDA warning letter on fileChecked against the FDA's own warning-letter database; nothing on file for this company.
- None on file
How the program works
Bionomy Health is a men's health telehealth brand selling compounded semaglutide and compounded tirzepatide alongside testosterone, sermorelin and NAD+/metformin, with GLP-1 treatment as one of four pillars rather than the whole business. It charges per prescription rather than by membership — "There's no membership and no subscription lock-in. Pay per refill, pause whenever, come back whenever" — and defers the dose question to the intake: "Based on your intake, you'll see a suggested protocol and transparent pricing the same day." It names Strive Pharmacy and Absolute Pharmacy as the fulfilling compounders in its footer, publishes a 48-state list, and holds rather than charges the card until a clinician signs off.
The honest cons
NO DOSE IS PUBLISHED AGAINST EITHER PRICE. Not one milligram figure appears anywhere near a GLP-1 price on the site, so a reader deliberately holding at a quarter dose cannot tell what that quarter dose is costing them until after the intake
- The checkout offers a "3 Months Save more" plan whose rate appears nowhere on the site, so what it saves cannot be checked before you reach the payment step
- No week count is published, so what a month of medication contains is not stated
- GLP-1 treatment is one of four product lines here rather than the focus, so the weight-loss detail is thinner than at a dedicated provider
- The LegitScript claim is made about the two pharmacies rather than about the site, and no seal identifier is published
- Does not ship to Alaska or Hawaii
- Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
Bionomy Health is one of 548 low-dose GLP-1 programs compared on this site, and 299 of them publish a monthly rate you can read before signing up. The full list puts every published price in one place, with the companies that pay us listed first — something we state there, on the page it applies to.
Also consider
Two more programs that price a small dose the way Bionomy Health does. Both are partners: we may earn a commission if you start care through these links.
Partner
Direct Meds
From $249/mo sublingual · $297/mo injection
Standard plan, self-directed low dose
FDA warning letter · Direct Meds · September 2025 · addressed to directmeds.com, Inc. dba DirectMeds. Details in our review.
Partner
Strut Health
$99/mo sema lozenge (auto-refill)
Standard plan, self-directed low dose
FDA warning letter · Strut Health · February 2026 · addressed to Strut Health, LLC dba Strut. Details in our review.
Where this sits
#135 of 548
Ordered with the companies that pay us first, and Bionomy Health is not one of them. A disclosed partition, not a score.
Compare all 548 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- What the evidence actually shows
- What microdosing GLP-1 costs
- Low dose vs full dose
- What a flat price costs at a low dose
- The true annual cost of a plan
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
RxSpan MD
$249/mo month to month ($199 on 6-mo)
- Vs median
- $74/mo above the $175 median
- Market
- $59–$1,300/mo across 299 of 548
- Structure
- Standard plan, self-directed low dose
- Dispensed
- Compounded by Belmar · Strive · Epiq Scripts · Casa Pharma Rx
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the RxSpan MD review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.