Sesame
Ranked #9 · Grade B−
A real telehealth marketplace with a video visit and a clinician you pick — now brand-first, so you get on-label Wegovy or Zepbound with the manufacturer's own pregnancy labeling, if you can absorb a membership fee stacked on the drug price.
- $40/mo cheaper than Bionomy Health
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- offers FDA-approved brand pens, not just compounded
Gala Health
Ranked #5 · Grade B
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.
- $10/mo cheaper than Bionomy Health
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- offers FDA-approved brand pens, not just compounded
ShedRx
Ranked #14 · Grade C
The widest menu on our roster — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, a flat price at any dose, and cancellation terms among the most restrictive we have read.
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
Trimi Health
Ranked #11 · Grade B−
The price-first pick: some of the lowest flat, all-inclusive compounded pricing we track, nationwide — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
- $14/mo cheaper than Bionomy Health
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- scores 80/100 against Bionomy Health's 54
One of the few mass-market brands designed around a woman's front door — app-first, nationwide, and frictionless to start, though the hormonal depth behind the branding is thinner than the marketing implies.
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- has an oral option if you would rather not inject
- scores 83/100 against Bionomy Health's 54
Breeze Meds
Ranked #12 · Grade C
A clean, all-50-states compounded option with named pharmacies, no membership and the consult included — reasonable and transparent on price, though it's a newer platform with thin public detail beyond the $199 headline.
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- has an oral option if you would rather not inject
- scores 78/100 against Bionomy Health's 54
The most oversight-forward compounded program on this list — visible clinician involvement and lab framing, which is exactly what you want when thyroid and hormones are already in flux.
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- scores 89/100 against Bionomy Health's 54
CareBareRX
Ranked #19 · Grade C
A 2025 multi-category storefront that sells compounded semaglutide from $199 alongside hair and sexual-health products — we list it only with full disclosure, because auto-renewal, final-sale terms and an inconsistent consult fee make cancellation the real risk.
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- offers FDA-approved brand pens, not just compounded
- scores 72/100 against Bionomy Health's 54
EverSlim
Ranked #25 · Grade C
Names three compounding pharmacies in three separate documents, which is more than most of this market manages — on a site 103 days old that also advertises 2,400 patient reviews we can find no trace of, four different monthly prices, and prepay discounts worth exactly nothing.
- $59/mo cheaper than Bionomy Health
- serves all 50 states, where Bionomy Health lists 48 states (not AK or HI)
- has an oral option if you would rather not inject