Bionomy Health vs Pillar Health
Bionomy Health and Pillar Health 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 →Pillar Health
Best for: a flat monthly compounded semaglutide or tirzepatide price with a half-price first month
Visit Pillar Health →If you are choosing between Bionomy Health and Pillar Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Pillar Health leads our six-part score, 8.2 to 8.1.
Bionomy Health vs Pillar Health price
Bionomy Health and Pillar Health 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 Pillar Health ($199 a month vs $249 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 Pillar Health lists 49 states.
They overlap in 47 states. Bionomy Health alone covers Mississippi. Pillar Health alone covers District of Columbia and Hawaii.
Pricing
Bionomy Health
Pay per prescription, no subscription; billed monthly
Pay per prescription, no subscription; billed monthly
Pillar Health
$189 a month, described as locked in for life, with the clinician consult and medication included and no membership fee. Code PILLAR50 takes 50% off the first month, shown on the product page as $94.50.
$249 a month across the full titration ladder, no membership fee. Code PILLAR50 makes the first month $124.50.
The microdosing product page lists $199 a month ($99.50 for the first month with PILLAR50); one category card shows $249 for the same program.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Bionomy Health is silent on lab work and coaching.
Pillar Health is silent on lab work and 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
Pillar 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
Where each one scores higher
Overall, Pillar Health scores 8.2 and Bionomy Health 8.1 out of 10.
Bionomy Health is stronger on trust & safety (10.0 vs 7.5).
Pillar Health is stronger on value (6.6 vs 5.0).
Effectiveness, user experience, accessibility and support are within half a point.
Bionomy Health
8.1/10
Pillar Health
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Bionomy Health nor Pillar Health has an FDA warning letter on record with us.
Features & Coverage
| Feature | Bionomy Health | Pillar Health |
|---|---|---|
| Starting Price | $189/mo | $189/mo |
| Features | 7 features | ✓8 features |
| States Available | 48 | ✓49 |
| 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 Pillar Health
Pillar Health is a Michigan company that markets compounded semaglutide and tirzepatide programs, with prescribing through the Architek Health provider network. Its site lists semaglutide at $189 a month and tirzepatide at $249, one price across the titration ladder with no membership fee, and a code takes 50% off the first month. Checkout runs on a separate platform whose own terms govern billing and refunds.
Read our full Pillar Health review →Pros & Cons
Bionomy Health
What we like
- Semaglutide costs $189 a month, close to the $188 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
Pillar Health
What we like
- Semaglutide costs $189 a month, close to the $188 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $199 a month, 20% below 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 49 states
- We found no FDA warning letters issued to Pillar Health
Watch-outs
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- 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
Pillar Health wins this one, 8.2 to 8.1, above all for a flat monthly compounded semaglutide or tirzepatide price with a half-price first month. 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 Pillar Health if…
You want a flat monthly compounded semaglutide or tirzepatide price with a half-price first month and an opening price near $189 a month.
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ShedRx
Oral orforglipron alongside the injectables
From $149/mo
Get started →bmiMD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →RxSpan MD
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $249/mo
Get started →Bionomy Health vs Pillar Health: FAQ
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