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Head-to-head · WeighScore

24hrDOC vs Bionomy Health

24hrDOC
Graded #84

Higher grade

vs+5.5
Bionomy Health
Graded #182

Lower grade

The verdict

24hrDOC takes it — 72.1/100 to 66.6/100.

24hrDOC grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. 24hrDOC is a fast cash-pay telehealth service that prescribes compounded GLP-1 medications for weight loss, including once-weekly semaglutide injections, oral semaglutide tablets, and tirzepatide.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost value24hrDOC +33
80
47
Dose & formulationEven
75
75
Clinical oversight24hrDOC +1
79
78
Labs & monitoring24hrDOC +1
63
62
FulfillmentBionomy Health +27
62
89
Contract terms24hrDOC +2
55
53
24hrDOC · left barBionomy Health · right bar

The numbers

Metric24hrDOCBionomy Health
WeighScore72.1/10066.6/100
GradeCC
Scorecard rank#84#182
Semaglutide$149/mo (2 mg dose, compounded)$189/mo (starting dose, compounded)
Tirzepatide$239/mo (starting dose, compounded)$249/mo (compounded)
CoverageCoverage not published48 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesYes
24hrDOC

Graded #84 · C

Strengths

  • Low compounded semaglutide price, around 149 per month
  • Fast model: 10-minute assessment, Rx within 45 minutes
  • Injectable and oral semaglutide plus tirzepatide options
  • 24/7 availability with unlimited provider messaging

Where it loses points

  • Compounded only, not FDA-approved branded GLP-1s
  • Self-pay only, no insurance accepted
  • States served not disclosed on the site
  • Fast-prescribing model offers less in-depth clinical workup
Bionomy Health

Graded #182 · C

Strengths

  • Cancellation is genuinely unconditional: no subscription, no card on file, no auto-renewal, no cancellation fee — you pay per refill
  • Prices are published before intake on a dedicated GLP-1 page, and the same figures appear in the site's own llms.txt
  • Available in 48 states

Where it loses points

  • The $189 is a starting rate, not a flat one: the page says 'From', the product card says 'Starter', and doses are titrated every four weeks with no published price for the dose you end up on
  • The homepage says muscle preservation is 'included' while the GLP-1 page sells a Muscle Preserve Pack at $109/mo as a separate line item
  • No FDA-approved pathway and no oral route — the site does not mention Wegovy, Ozempic, Zepbound or Mounjaro at all
  • Not available in Alaska or Hawaii
  • Compounded semaglutide and tirzepatide are not FDA-approved finished products

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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