Bionomy Health vs Brightmeds
Bionomy Health and Brightmeds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Bionomy Health
Best for: knowing which pharmacy fills the vial: it names Strive Pharmacy
Visit Bionomy Health →
Brightmeds
Best for: knowing which pharmacy fills the vial: it names Beaker Pharmacy
Visit Brightmeds →If you are choosing between Bionomy Health and Brightmeds, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Brightmeds leads our six-part score, 8.4 to 8.1.
Bionomy Health vs Brightmeds price
Bionomy Health and Brightmeds start at the same figure, $189 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $189 a month; tirzepatide is cheaper at Bionomy Health ($249 a month vs $289 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Bionomy Health lists 48 states, and Brightmeds lists 47 states.
They overlap in 45 states. Bionomy Health alone covers Alabama, Arkansas and Mississippi. Brightmeds alone covers Alaska and Hawaii.
Pricing
Bionomy Health
Pay per prescription, no subscription; billed monthly
Pay per prescription, no subscription; billed monthly
Brightmeds
'Starting at $189' for a 1-month plan is the only semaglutide price Brightmeds publishes. The renewal price is not published; an earlier $333/mo ongoing price has been removed. A $50-off first-order offer is running.
'Starting at $289' for a 1-month plan. Earlier prices of $249/mo and $397/mo thereafter have been removed. The ongoing price is not published; it appears only after the intake questionnaire.
Brightmeds advertises TRT at '$75 Per Week, Free Labs.' Its side-effect disclosures now also cover enclomiphene and anastrozole, newly added companion medications.
The $100 is Brightmeds' doctor consult fee. The prescription goes to LillyDirect or your local pharmacy, and you pay the pharmacy directly; price may vary by pharmacy. Vials are billed separately by LillyDirect. Brightmeds does not publish the drug price.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Brightmeds' price also covers lab work, which Bionomy Health does not claim.
Bionomy Health is silent on lab work and coaching.
Brightmeds is silent on coaching.
Bionomy Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Brightmeds
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
In the price
Coaching
Not stated
Where each one scores higher
Overall, Brightmeds scores 8.4 and Bionomy Health 8.1 out of 10.
Bionomy Health is stronger on user experience (8.0 vs 3.0) and trust & safety (10.0 vs 7.5).
Brightmeds is stronger on value (10.0 vs 5.0) and support (8.5 vs 7.0).
Effectiveness and accessibility are within half a point.
Bionomy Health
8.1/10
Brightmeds
8.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Bionomy Health nor Brightmeds has an FDA warning letter on record with us.
Features & Coverage
| Feature | Bionomy Health | Brightmeds |
|---|---|---|
| Starting Price | $189/mo | $189/mo |
| Features | 7 features | ✓8 features |
| States Available | ✓48 | 47 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Bionomy Health
Compounded semaglutide runs 189 dollars a month, compounded tirzepatide 249 dollars a month, charged per prescription rather than by subscription. Before any payment is taken the intake is free and reviewed by a physician. Bionomy Health is a physician-led men's telehealth brand pairing GLP-1s with longevity protocols, peptides and testosterone, and it reaches 48 states, all but Alaska and Hawaii. Strive and Absolute, both LegitScript-certified pharmacies, do the fulfillment. Compounded drugs are not FDA-approved.
Read our full Bionomy Health review →About Brightmeds
Compounded semaglutide opens at $189/mo, with tirzepatide at $289/mo, priced flat whatever the dose, but what renewal costs later is not published until the intake quiz is done. A single membership spans longevity peptides (sermorelin, NAD+, glutathione), TRT aimed at men, and GLP-1 weight loss. Both modalities are stocked, compounded drugs with microdosing protocols included and branded Zepbound in pens and vials, a mix rarely seen. 47 states are served.
Read our full Brightmeds review →Pros & Cons
Bionomy Health
What we like
- Semaglutide costs $189 a month, close to the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $249 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves 48 states
- Names 2 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Bionomy Health
Watch-outs
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Brightmeds
What we like
- Semaglutide costs $189 a month, close to the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $100 a month, 60% below the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits, shipping and lab work
- Serves 47 states
- Names 2 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Brightmeds
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Brightmeds wins this one, 8.4 to 8.1, above all for knowing which pharmacy fills the vial: it names Beaker Pharmacy. Bionomy Health fits better if knowing which pharmacy fills the vial: it names Strive Pharmacy is your priority.
Choose Bionomy Health if…
You want knowing which pharmacy fills the vial: it names Strive Pharmacy and an opening price near $189 a month.
Choose Brightmeds if…
You want knowing which pharmacy fills the vial: it names Beaker Pharmacy and an opening price near $189 a month.
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