Bionomy Health review
The short answer: Bionomy Health charges $189 a month for compounded semaglutide, paid per refill with no subscription. Your card is charged only after a physician approves.
By LongevityGLP1 desk, Publisher
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Bionomy Health by the numbers
- From
- $189/mo · starting dose, month to month
- Prescribes
- Compounded semaglutide · Compounded tirzepatide · Metformin
- Prescriber
- A clinician reviews your answers online
- Pharmacy
- Named on its site
- States
- 48 states
- Healthspan Score
- 79 out of 100
Our take on Bionomy Health
Bionomy Health prices compounded semaglutide at $189 a month and compounded tirzepatide at $249, and there is no subscription behind either. You pay per refill, each refill still needs a practitioner's sign-off, and nothing renews on its own. A 3-month plan trims the monthly figure slightly, but the month-to-month price is the one to compare. The plan covers the practitioner's review, the medication and shipping; labs are separate unless your protocol adds them. The compounded semaglutide cost guide shows where that sits against other programs.
The payment order is the reason to look closely. The intake is free and needs no card. After it, you see a suggested protocol and approve the items you want, and Bionomy places only a hold on your card. The charge goes through when a licensed practitioner signs off, usually within 24 hours, and anything the practitioner doesn't approve is refunded automatically. Refunds after shipping are narrower: pharmacy or shipping errors, lost packages, and half of the latest fill if your practitioner recommends stopping within 30 days. Changing your mind after a shipment doesn't qualify.
Bionomy is also clearer than most about who's involved. Its founding physician, Dr. Pranav K. Sharma, is named with the four board certifications Bionomy lists for him, and protocols come from physicians on his network. Care is chat-based, with no video call required. The pharmacy page names both compounding pharmacies and says each holds a 503A license: Strive Pharmacy in Arizona and Absolute Pharmacy in Ohio, which Bionomy says fills a share of its GLP-1 orders. Bionomy ships to 48 states, every state but Alaska and Hawaii, and publishes the list.
Two things to read with care. The brand is built for men, and its marketing leans on member survey figures and stories that Bionomy itself labels self-reported or illustrative composites. Treat those as marketing, not evidence. Beyond GLP-1s it sells generic metformin at $69 a month; metformin for longevity is off-label, as the metformin for longevity guide explains. The compounded semaglutide lineup scores Bionomy against other programs.
What Bionomy Health costs
| Product | Real monthly cost | |
|---|---|---|
| Compounded semaglutideInjection | $189/mo | $189/mo |
| Compounded tirzepatideInjection | $249/mo | $249/mo |
| MetforminTablet | $69/mo | $69/mo |
Prices are taken from Bionomy Health's own site and current as of this update. Real monthly cost folds in required fees and turns four-week billing into calendar months; that's our math.
Compounded semaglutide skips FDA approval: no one at the FDA judges whether it is safe, whether it works, or how well it was made before a pharmacy sends it out.
Want Bionomy Health's current price for your dose?
Your monthly price is the same through our link.
What signing up looks like
Take the free intake
A two-minute online intake with no card required. You see a suggested protocol at the end.
Approve, then a hold
You approve the items you want and Bionomy places a hold on your card, not a charge.
A physician signs off
A licensed practitioner on the founding physician's network reviews it in chat, usually within 24 hours. Unapproved items are refunded.
Ships from a 503A pharmacy
Strive or Absolute Pharmacy fills the order and it ships in about five business days in plain packaging. Refills are requested in chat.
Who prescribes, and the pharmacy
Protocols come from American board-certified physicians on the network of Bionomy's founding physician, Dr. Pranav K. Sharma, MD, through a private chat with no video call required. Bionomy's pharmacy page names Strive Pharmacy in Gilbert, Arizona, and Absolute Pharmacy in Streetsboro, Ohio, says both hold 503A compounding licenses, and says Absolute fills a portion of its GLP-1 and metabolic prescriptions.
Where Bionomy Health does well
- No card to start: the intake is free, and your card is charged only after a practitioner approves.
- No subscription or auto-renewal. You pay per refill, and each refill gets a practitioner's sign-off.
- Names both compounding pharmacies, Strive in Arizona and Absolute in Ohio, and their 503A licenses.
- Names its founding physician and lists the states it serves: 48, all but Alaska and Hawaii.
- Anything the practitioner doesn't approve is refunded to your card automatically.
What to check first
- Labs cost extra unless your protocol adds them. Ask for the lab price before you approve a plan.
- After shipping, refunds are narrow; a stop your practitioner recommends returns half of the latest fill.
- Member results on its pages are self-reported or composites. Don't treat them as trial results.
- Doesn't serve Alaska or Hawaii. Check the states page before you start the intake.
- The homepage quotes a lower testosterone starting price than its product pages. Go by the product page.
It fits you if
You want compounded semaglutide or tirzepatide without a subscription, would rather be charged only after a physician approves, and like knowing which pharmacy fills it.
Look elsewhere if
You want labs built into the price, a live video visit, or you live in Alaska or Hawaii.
How Bionomy Health scored
on the compounded semaglutide lineup
79out of 100
- Price19 of 35
$189 a month at the starting dose, month to month, fees folded in. Full points at $90 or less, none at $300 or more.
- Care25 of 25
- Shown: Who prescribes
- Shown: A clinician reviews your intake
- Shown: Labs and who pays
- Shown: Follow-up schedule
- Shown: Dose changes at no new fee
- Pharmacy25 of 25
- Shown: Pharmacy named
- Shown: Pharmacy state or type
- Shown: Brand or compounded is clear
- Shown: No "FDA-approved" claim for a compounded drug
- Clarity10 of 15
- Shown: Price before the intake questions
- Shown: Cancel and refund terms
- Not shown: States served
Other lineups: Compounded tirzepatide 80 · Longevity prescription 87
Also on these lineups: Semaglutide programs that also treat low testosterone: 3 of 36 · Tirzepatide programs that also treat low testosterone: 3 of 34 · Compounded tirzepatide under $250 a month: 10 of 36 · Compounded semaglutide under $200 a month: 11 of 41 · Metformin programs: 1 of 12
Three more providers to weigh
bmiMD
PartnerFrom $159/mo
HealthRX
PartnerFrom $165/mo
Neuvé MD
From $219/mo
Questions about Bionomy Health
- How much does Bionomy Health cost a month?
- Compounded semaglutide is $189 a month and tirzepatide $249, paid per refill. Labs are extra unless your protocol includes them.
- When does Bionomy charge my card?
- Only after a licensed practitioner approves your protocol, usually within 24 hours. Until then it's a hold, and anything not approved is refunded automatically.
- Is Bionomy Health a subscription?
- No. There's no membership or auto-renewal. Each refill is requested in chat and needs a practitioner's sign-off before it ships.
- Which pharmacies does Bionomy use?
- Strive Pharmacy in Arizona and Absolute Pharmacy in Ohio, both 503A compounding pharmacies. Which one fills your order depends on the drug and your state.
- Which states does Bionomy Health serve?
- 48 states. It doesn't serve Alaska or Hawaii, and it publishes the full list on its states page.
Read next
Picked for the same drugs and questions as this page.
- ResearchGetting semaglutide online in 2026: compounded, brand or insurance
Three legal routes, the self-pay prices Novo Nordisk posts for the Wegovy pill and pen, and how to check a compounded program before you sign up.
- Drug guideSemaglutide: how it works and the products that contain it
Semaglutide copies GLP-1, a hormone your gut releases after eating. It raises insulin only when blood sugar is high, lowers glucagon, slows stomach emptying and reduces appetite through the brain. That is why it lowers blood sugar and body weight. It is sold as Ozempic and Rybelsus for diabetes and as Wegovy for weight.
- Side by sideWegovy or Mounjaro: start with which label fits you
Two different molecules from two different companies, approved for different people. Find your situation in the table and you'll know which label applies, and which drug is the fair comparison.
- ResearchBruising, itching and rash on Ozempic: what the label reports
A mark where you inject and a rash across your body are different things. Here's what Ozempic's label reports for each, and how to tell when a skin reaction is an emergency.
Still weighing Bionomy Health?
Where this review comes from
- Bionomy Health compounded semaglutide product page
- Bionomy Health compounded tirzepatide product page
- Bionomy Health metformin product page
- Bionomy Health pharmacy partners page
- Bionomy Health FAQ
Every fact here comes from Bionomy Health's own public pages. Partner fees aren't one of the four checks.