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Bionomy Health vs Totara Health

Bionomy Health costs $1 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed

Bionomy Health

8.1
★★★★☆4.1/5

Best for: knowing which pharmacy fills the vial: it names Strive Pharmacy

Visit Bionomy Health →
VS

Totara Health

7.8
★★★★☆3.9/5

Best for: buyers who want posted multi-month totals for compounded GLP-1s and a named pharmacy

Visit Totara Health →

If you are choosing between Bionomy Health and Totara Health, the first difference is cost: Bionomy Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Bionomy Health leads our six-part score, 8.1 to 7.8.

Bionomy Health vs Totara Health price

Bionomy Health is the cheaper way in: $189 a month against $190 a month at Totara Health. That is $1 less each month (1% lower), or about $12 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Bionomy Health ($189 a month vs $190 a month); tirzepatide is cheaper at Totara Health ($239 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 Totara Health lists 48 states.

They overlap in 47 states. Bionomy Health alone covers Mississippi. Totara Health alone covers Hawaii.

Pricing

Bionomy Health

All doses (flat)Compounded
$189/mo
semaglutide

Pay per prescription, no subscription; billed monthly

All doses (flat)Compounded
$249/mo
tirzepatide

Pay per prescription, no subscription; billed monthly

Totara Health

Weekly injection, 1-month plan, same price at every doseCompounded
$190/mo
semaglutide

Longer plans are priced as one total: $399 for 3 months, $714 for 6 and $1,188 for 12, which is where the $99-a-month figure comes from. Oral drops and a dissolving tablet are also offered.

Weekly injection, 1-month plan, same price at every doseCompounded
$239/mo
tirzepatide

Multi-month totals: $589 for 3 months, $1,074 for 6 and $1,799.64 for 12, the source of the $150-a-month rate. A dissolving tablet version is also listed.

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Bionomy Health is silent on lab work and coaching.

Totara 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

Totara 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, Bionomy Health scores 8.1 and Totara Health 7.8 out of 10.

Bionomy Health is stronger on trust & safety (10.0 vs 7.5).

Value, effectiveness, user experience, accessibility and support are within half a point.

How we score

Bionomy Health

8.1/10

Overall

Totara Health

7.8/10

Value25%

5.0A
vs
B
5.3

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

10.0A
vs
B
7.5

Accessibility10%

9.7A
vs
B
9.7

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Bionomy Health nor Totara Health has an FDA warning letter on record with us.

Features & Coverage

FeatureBionomy HealthTotara Health
Starting Price✓$189/mo$190/mo
Features7 features✓8 features
States Available4848
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

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 Totara Health

Totara Health is a Jacksonville, Florida telehealth marketplace that sells compounded semaglutide and tirzepatide by injection or as oral options, with prescribers from the MD Integrations network and a named South Carolina pharmacy. A single month costs $190 for semaglutide or $239 for tirzepatide at any dose, with supplies and shipping included. Its lower advertised monthly rates come from 3, 6 and 12-month plans paid as one total.

Read our full Totara 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

Totara Health

What we like

  • Semaglutide costs $190 a month, close to the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $239 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
  • We found no FDA warning letters issued to Totara 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

Winner: Bionomy Health

Bionomy Health wins this one, 8.1 to 7.8, above all for knowing which pharmacy fills the vial: it names Strive Pharmacy. It also costs $1 less each month than Totara Health. Totara Health fits better if buyers who want posted multi-month totals for compounded GLP-1s and a named 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 Totara Health if…

You want buyers who want posted multi-month totals for compounded GLP-1s and a named pharmacy and an opening price near $190 a month.

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8.5

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Semaglutide at $99/month, 48% below the typical price

8.4

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Knowing which pharmacy fills the vial: it names Tru Meds Rx

6.1

DudeMeds

Compounded semaglutide at $175/month

Bionomy Health vs Totara Health: FAQ

Bionomy Health. It starts at $189 a month; Totara Health starts at $190 a month, $1 more per month.
Yes, both sell semaglutide and tirzepatide.
Both list 48 states and share 47.
Both include the clinician visit, the medication itself and shipping.
Bionomy Health has none. Totara Health has none.
No. Neither Bionomy Health nor Totara Health pays us anything.

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