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Bionomy Health review

By Gut Metabolic EditorialUpdated

68/100

Price transparency

What is disclosed before intake, not a clinical rating.

Bionomy Health offers compounded semaglutide at $189 for a one-month purchase and tirzepatide at $249, with practitioner review, medication, shipping and refill questions included. Three-month purchases reduce the equivalent price but require larger payments. Labs remain separate, and the terms identify Telegra for clinical consultations rather than making the platform’s founder the automatic prescriber for every patient.

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Bionomy Health does not pay us. We review it so you can compare it with the programs that do. Disclosure

Bionomy Health publishes its price before the medical intake — you can see what it costs without handing over your health history first.

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Bionomy Health at a glance

Price visibility
Published before intake
Pharmacy information
2 pharmacy partners named
Where it operates
Company advertises the 48 contiguous states; excludes AK, HI, territories and military mailing addresses. Confirm selected prescription and pharmacy eligibility

The verdict

Bionomy Health shows a price before the medical intake, but the advertised figure comes with conditions the headline leaves out, or its own terms don't fully back it up. It ranks 157 of 293 on price transparency.

The score beside Bionomy Health's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.

Considering Bionomy Health?

Confirm the plan, billing terms and availability before you begin.

What do you get with Bionomy Health?

  • An intake reviewed by a licensed practitioner, who determines whether a prescription is appropriate and handles treatment adjustments.
  • Compounded semaglutide or tirzepatide with one-month or three-month purchase choices, including medicine, discreet U.S. shipping and refill questions in chat.
  • Clinical services through Telegra-affiliated practitioners contracted by Bionomy’s professional entities, as described in the terms.
  • Pharmacy fulfillment through named partners, with the disclosure identifying Absolute Pharmacy for some GLP-1 and metabolic prescriptions and Strive for other protocols.
  • A dashboard for protocol approval, communication and cancellation, with laboratory panels and optional supplement packs purchased separately.

How does Bionomy Health work?

  1. Choose medicine and actual purchase term

    The semaglutide page lists $189 for one month or $539 for three months; tirzepatide is $249 or $719. The displayed longer-term equivalents are rounded. Compare the full invoice and intended supply rather than assuming the three-month amount can be paid or canceled one month at a time.

  2. Complete the clinical review

    A practitioner evaluates intake information and relevant labs before authorizing treatment. The terms say cases are routed to Telegra-affiliated clinicians licensed in the patient’s state. Ask for the treating practice and clinician’s identity rather than relying on the founder’s biography or general credential claims.

  3. Approve the prescription and fulfillment

    The product pages describe review, medicine, shipping and chat questions as included, with labs separate unless a protocol adds them. Confirm whether you need testing, which pharmacy is assigned, the actual formulation and concentration, and the shipment’s supply period before payment.

  4. Plan refills and changes with the practitioner

    A refill still requires practitioner involvement. Use the dashboard for questions and to cancel future fills, and obtain confirmation before the next shipment. If treatment becomes inappropriate, discuss it with the clinician promptly because the refund policy has a specific practitioner-recommended discontinuation exception within 30 days of approval.

How much does Bionomy Health cost?

Semaglutide

Compounded semaglutide: $189 for one month including review, medicine, shipping and refill questions; labs separate. Three months $539.

Tirzepatide

Compounded tirzepatide: $249 for one month including review, medicine, shipping and refill questions; labs separate. Three months $719.

Where it operates

Company advertises the 48 contiguous states; excludes AK, HI, territories and military mailing addresses. Confirm selected prescription and pharmacy eligibility

One-month semaglutide is $189 and tirzepatide $249, including practitioner review, medication, U.S. shipping and refill questions. Three-month totals are $539 and $719; the site displays rounded equivalents of $180 and $240. Labs and supplement packs are separate unless expressly added to the protocol. The $119 GLP-1 Weight Loss shop item is a supplement pack, not a prescription GLP-1 medicine.

  • Use the one-month purchase when comparing flexible medication access. The lower three-month equivalents require the full larger purchase, and the normal refill still needs clinical approval. Confirm the payment amount and term on the final receipt.
  • The shop also sells a GLP-1 laboratory panel and several support supplements. Those prices should not be transferred to semaglutide or tirzepatide treatment. Ask which testing or additions are clinically required and obtain a complete first-order budget if you need them.
  • The terms say new-fill prices may change with at least 14 days’ notice, while an in-progress fill retains its approved price. The current advertised monthly figures therefore describe the offer, not an indefinite lifetime price guarantee.
  • The shipping policy says standard shipping is free with no minimum and describes supplies for injectable protocols. It excludes Alaska, Hawaii, territories, military mailing addresses and international destinations, with additional prescription-specific restrictions checked during intake.
  • The refund policy allows a refund or reshipment for a pharmacy error reported within seven days with label documentation. Lost or damaged shipments have a separate replacement route after a carrier trace. Ordinary changes of mind after shipment do not make medication returnable.
  • When the practitioner recommends discontinuation within 30 days of approval, the policy describes a 50% refund of the most recent fill, not every prior purchase. It excludes lab-panel refunds after a requisition is issued. Canceling future fills before shipment is separate from reversing medication already sent.

Considering Bionomy Health?

Confirm the plan, billing terms and availability before you begin.

Who is Bionomy Health best for?

A good fit if

  • Adults in the supported contiguous states who want a clearly stated monthly medicine price
  • Patients comfortable keeping labs and supplements separate from medication costs
  • People who want practitioner messaging and control over future protocol fills

Look elsewhere if

  • Residents of Alaska, Hawaii or excluded shipping destinations
  • Anyone treating a supplement pack’s price as prescription GLP-1 treatment
  • Shoppers expecting an unconditional refund after a prescription ships

Considering Bionomy Health?

Confirm the plan, billing terms and availability before you begin.

What are Bionomy Health's pros and cons?

Pros

  • The product pages separate monthly and larger-purchase totals
  • The terms identify the clinical network
  • The pharmacy disclosure names partners and their protocol roles
  • The refund policy has a specific medical-discontinuation exception

Cons

  • Labs can add to the initial and ongoing budget
  • Rounded equivalents require checking the actual three-month invoice
  • The precise professional entity and pharmacy assignment need confirmation
  • After-shipment refunds are limited to stated exceptions

The pharmacy behind the medicine

It names its pharmacy. Bionomy Health discloses Absolute Pharmacy, Strive Pharmacy as its compounding partners. That matters more here than the price does: a compounded medicine is only as good as the pharmacy that made it, and a company willing to name one is a company you can go and check.

A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.

What else do people ask about Bionomy Health?

What is the one-month price?

The semaglutide product page lists $189 and tirzepatide $249 for one month, including practitioner review, medicine, U.S. shipping and refill questions in chat. Labs remain separate unless the protocol adds them. Confirm the actual supply, formulation and any necessary testing before paying.

How do the three-month offers differ?

The listed totals are $539 for semaglutide and $719 for tirzepatide, with rounded monthly equivalents of $180 and $240. These are larger purchases rather than independent one-month payments. Obtain the shipment schedule and cancellation rules before choosing the discounted term.

Is the $119 GLP-1 Weight Loss product medication?

No. Its product page identifies it as a supplement pack, not a prescription. The shop also has separate laboratory and support products. Compare the semaglutide or tirzepatide prescription itself, and ask the clinician whether any optional addition is appropriate for your care.

Who provides clinical care and pharmacy fulfillment?

The terms identify Telegra-affiliated practitioners for clinical consultations. The pharmacy disclosure names Absolute Pharmacy for some GLP-1 and metabolic prescriptions and Strive for other protocols. Ask for the professional practice and actual dispensing pharmacy assigned to your particular prescription and location.

Where does Bionomy ship?

The terms and shipping page describe the 48 contiguous states and exclude Alaska, Hawaii, U.S. territories, military mailing addresses and international shipping. Additional medication-specific rules can apply. Confirm current provider and pharmacy access for your actual address before authorizing a prescription.

What if the practitioner recommends stopping?

The policy describes a 50% refund of the most recent fill when the practitioner recommends discontinuation within 30 days of approval. It is not a general refund for changing your mind after shipment. Discuss treatment concerns promptly and obtain the conditions for your purchase before relying on the exception.

Sources for this review

Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.

How it compares

Bionomy Health ranks 157 of 293 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.

Because Bionomy Health shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking.

  • $49 clinical visits plus separately priced Wegovy, subject to dose, coverage and savings-card terms; ongoing month-to-month total not established.Show the full pricing note
  • Compounded semaglutide advertised from $81/month, with consultation and shipping separate; ongoing month-to-month total not established.Show the full pricing note
  • Personalized GLP-1 category starts at $199/month; exact active ingredient and complete continuing order require confirmation; ongoing month-to-month total not established.Show the full pricing note
  • No current complete semaglutide quote established; the earlier oral-product route is unavailable; ongoing month-to-month total not established.Show the full pricing note
  • Compounded injection total not published as a usable numerical quote; branded Wegovy route shows $99 membership plus medication; ongoing month-to-month total not established.Show the full pricing note

Read this before you start

Prices change — confirm on Bionomy Health's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.