Compounded semaglutide is $189 a month at Bionomy Health and tirzepatide $249, with the practitioner review bundled into that price and no membership on top. You're charged per fill rather than on a subscription, and the service ships to 48 states, leaving out Alaska and Hawaii.
$189 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Names its pharmacies, including Absolute Pharmacy and Strive Pharmacy
Against it
No support hours published
What it is
Bionomy Health is a men's health brand that sells compounded semaglutide and tirzepatide next to testosterone, enclomiphene, sermorelin, NAD+, metformin and low-dose naltrexone. It's pitched squarely at men in their thirties to fifties. The founding physician is Dr. Pranav K. Sharma of Somerset, Kentucky, who lists active licenses in Kentucky and New York.
Bionomy Health, Inc. is a Delaware corporation with its registered office in Los Angeles. Prescribing is done by practitioners from Telegra, a telehealth network, whom the terms say are licensed in your state. The intake is free and needs no card; a practitioner reviews it within 24 hours, and you approve the protocol and pay only for what's prescribed.
GLP-1s ship cold-chain from Absolute Pharmacy in Streetsboro, Ohio or Strive Pharmacy in Gilbert, Arizona, both described as 503A compounding pharmacies, in about five business days. The states page lists 48 states and excludes Alaska and Hawaii, though a pop-up on the home page still lists all 50.
Semaglutide costs $189 a month and tirzepatide $249. The payment page says each price bundles “the medication and the practitioner review,” and the about page says no membership sits on top. Shipping is free.
There's no subscription in the usual sense. You pay when you approve a protocol, then again each time a refill ships, as a 30-, 60- or 90-day supply. Stopping before the next fill ships costs nothing, and there's no cancellation fee.
Extras are optional and priced separately: a GLP-1 Comprehensive Lab panel at $99, a GLP-1 Bundle at $429 a month, and supplement packs from $109 to $139 a month. The GLP-1 pages say every protocol is “paired” with the Muscle Preserve Pack, yet the shop charges $109 a month for that pack on its own.
Refunds are narrow. A pharmacy or shipping error is refunded or reshipped, and lost or damaged parcels are replaced. If you and your practitioner decide to stop within 30 days of approval, Bionomy refunds half of the most recent fill. Changing your mind after a fill ships gets nothing back.
Who it's wrong for
Live in Alaska or Hawaii? Bionomy's states page and shipping policy both exclude you.
Skip it if a clean refund matters. A practitioner-backed stop within 30 days returns only 50% of the latest fill.
Assuming the muscle pack is part of the $189? The shop lists the Muscle Preserve Pack at $109 a month, and no page confirms it's bundled.
Not built for women. Every page, from the hero to the testimonials, is written for men, and nothing on the GLP-1 page addresses anyone else.
Want injectables sent to a PO box? Bionomy ships them only to a street address, and every delivery needs an adult signature.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
Absolute Pharmacy, Streetsboro, Ohio, which Bionomy says fills “a portion of Bionomy GLP-1 and metabolic prescriptions”; Strive Pharmacy, Gilbert, Arizona, is the other named partner.
What you get
Compounded by “state-licensed 503A” pharmacies, which Bionomy names as Absolute Pharmacy and Strive Pharmacy and describes as LegitScript-certified. No brand-name GLP-1 is sold.
Overseas fulfillment
None disclosed
Support hours
No support hours are published. Phone +1 (929) 791-2237 and a support email address; refund emails get a reply “within 24 hours during the business week”.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Bionomy Health
How much does Bionomy Health cost a month?Month to month, compounded semaglutide is $189 a month and compounded tirzepatide $249.
Does Bionomy Health charge a membership fee?No. Bionomy Health bills compounded semaglutide at $189 a month with nothing added for a membership.
Does Bionomy Health sell compounded or brand-name GLP-1s?Compounded by “state-licensed 503A” pharmacies, which Bionomy names as Absolute Pharmacy and Strive Pharmacy and describes as LegitScript-certified. No brand-name GLP-1 is sold.
Which pharmacy fills Bionomy Health prescriptions?Absolute Pharmacy, Streetsboro, Ohio, which Bionomy says fills “a portion of Bionomy GLP-1 and metabolic prescriptions”; Strive Pharmacy, Gilbert, Arizona, is the other named partner.
Has Bionomy Health received an FDA warning letter?No. FDA's published warning-letter index holds no letter to Bionomy Health on a search of “Bionomy Health”, “bionomyhealth”, “Bionomy Health, Inc.”, “Bionomy”, “Bionomy Fulfillment, Inc.”, “Absolute Pharmacy”, “Strive Pharmacy”, “Telegra”, and the search is linked under Sources.
Does GLP America earn money from Bionomy Health?No. Bionomy Health pays us nothing, and its $189 month sits where that price puts it. The Collective card on this page comes from a partner, which pays us a commission, and it's labeled Partner.
On the record9 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Bionomy Health's public site: Bionomy Health's home page, Bionomy Health's GLP-1 page, Bionomy Health's shop page, Bionomy Health's payment page, Bionomy Health's FAQ page, Bionomy Health's shipping delivery page, Bionomy Health's returns page, Bionomy Health's pharmacy page, Bionomy Health's states page, Bionomy Health's terms page, Bionomy Health's privacy page, Bionomy Health's about page, Bionomy Health's physician page, Bionomy Health's founder page, Bionomy Health's hormone therapy page, Bionomy Health's peptides page and Bionomy Health's longevity page. The intake (“Begin intake”) was not opened and nothing was ordered from Bionomy Health's home page.
The prices, from the payment page (“LAST UPDATED: MAY 12, 2026”) table headed “PROTOCOL DOSE MONTHLY PRICE”: “Tirzepatide GLP-1 / GIP, weekly injection $249” and “Semaglutide GLP-1, weekly injection $189”. The GLP-1 page: “GLP-1 · BODY RECOMP Tirzepatide $249/mo”, “GLP-1 · STARTER Semaglutide $189/mo”, “GLP-1 · FULL PROTOCOL GLP-1 Bundle $429/mo”, “GLP-1 Comprehensive Lab $99”, “Muscle Preserve Pack $109/mo”. The home page: “FROM $189/MONTH · SEMAGLUTIDE · TIRZEPATIDE · MUSCLE PRESERVATION INCLUDED” and a ticker “TIRZEPATIDE $249/mo”. The FAQ: “Tirzepatide ($249) is a dual GLP-1 / GIP agonist … Semaglutide ($189) is a GLP-1 only agonist”.
What the price covers, from the payment page: “You are charged for the medication and the practitioner review. Both are bundled into the single price quoted on the protocol page.” and “Shipping is free on every order.” The about page: “You pay only for the line items in a protocol you've approved. No membership fee sits on top of any of it.” The GLP-1 FAQ: “We pair every GLP-1 protocol with a Muscle Preserve supplement pack and a written training note from your practitioner”.
Billing, from the payment page: “Bionomy is a pay-per-prescription brand. There is no subscription, no membership, and no card on file when you start the intake.” “Each prescription ships as a 30-day, 60-day, or 90-day supply depending on what the practitioner orders. You are charged for that fill on the date you approve the protocol, then again on the day each subsequent fill is shipped.” “If you stop before the next fill ships, you are not charged.” The FAQ: “we only place a hold. The card isn't actually charged until a licensed Bionomy practitioner signs off, usually within 24 hours.” The terms: “We may change prices on new fills with at least 14 days' notice”.
Refunds, from the returns page (“LAST UPDATED: MAY 12, 2026”): refunds cover a “Pharmacy or shipping error”, “Lost or damaged in transit”, and “Practitioner-recommended discontinuation inside the first 30 days”, for which “Bionomy refunds 50% of the most recent fill.” Not refundable: “A protocol you approved and then changed your mind on after the fill shipped.”
Pharmacies, from the pharmacy page: “Absolute Pharmacy is a LegitScript-certified compounding pharmacy in Streetsboro, Ohio, with national shipping capability. Absolute holds 503A compounding pharmacy licensure … Absolute fulfills a portion of Bionomy GLP-1 and metabolic prescriptions.” and “Strive Pharmacy is a LegitScript-certified compounding pharmacy headquartered in Gilbert, Arizona … Strive fulfills a portion of Bionomy testosterone, peptide and longevity prescriptions.” The footer: “Compounded medications are fulfilled by Strive Pharmacy and Absolute Pharmacy”. The shipping page: “Every Bionomy medication is compounded by a state-licensed 503A pharmacy and shipped directly to you.”
Who does what, from the terms (“LAST UPDATED: MAY 12, 2026”): “Bionomy is a Delaware corporation. Its registered office is in Los Angeles, California.” “Bionomy's affiliated professional entities contract with Telegra to provide the licensed practitioners who conduct telehealth consultations and issue prescriptions on the Bionomy platform.” “The practitioners who review your intake and prescribe medication are licensed in your state.” Delaware law; AAA arbitration in Los Angeles. The shipping page: “The return label reads Bionomy Fulfillment, Inc. with a generic warehouse address.” The physician page: “ACTIVE LICENSURE KY · NY”.
States and shipping, from /states.html: “We do not currently ship to Alaska or Hawaii.” The home page state pop-up headed “We serve patients in these states” lists all 50 including Alaska and Hawaii. The shipping page: “Total time from protocol approval to your door is 5 business days for most addresses in the contiguous United States.” “Every Bionomy shipment requires an adult signature on delivery.” “most Bionomy medications require a physical street address”. Support, from the footer: “CUSTOMER SUPPORT +1 (929) 791-2237”.
No FDA enforcement action on record: FDA's warning-letter search on “Bionomy Health”, “bionomyhealth”, “Bionomy Health, Inc.”, “Bionomy”, “Bionomy Fulfillment, Inc.”, “Absolute Pharmacy”, “Strive Pharmacy”, “Telegra”, returns no letter addressed to Bionomy Health, its operator, the named pharmacies or Bionomy Health. Search FDA's warning letters.
The companies whose month of compounded semaglutide is closest in price to Bionomy Health's, membership included. Picked by price alone; whether a company pays us plays no part.