Best-value alternatives
Alternatives to Nova
Nova scores 72/100 on our Cost-Efficiency Index (ranked #72 of 529). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02C72/ 100Index
Recovery Delivered
Ranked #71Recovery Delivered is primarily an online addiction/recovery telehealth brand (buprenorphine treatment is its lead offering) that also runs a real, separately priced GLP-1 weight-loss vertical.
- Sema
- $199/mo (starting dose, compounded)
- Tirz
- $219/mo (1 mg dose, compounded)
- Coverage
- 32 states
- Brand
- Yes
- 03C72/ 100Index
Heally
Ranked #70Heally is a per-order (not subscription) telehealth platform for GLP-1 prescriptions, care delivered by HLY Medical Group PA, with semaglutide starting at $149/mo and tirzepatide at $299/mo.
- Sema
- $149/mo (starting dose, plus a separate fee, compounded)
- Tirz
- $299/mo (starting dose, plus a separate fee, compounded)
- Coverage
- All 50 states
- Brand
- Yes
- 04C72/ 100Index
Get Thin MD
Ranked #69Get Thin MD (GetThinUSA) is a nationwide-advertised telehealth platform selling compounded semaglutide and tirzepatide (plus brand Ozempic/Zepbound) alongside a broader wellness menu.
- Sema
- $119/mo (starting dose, compounded)
- Tirz
- $179/mo (starting dose, compounded)
- Coverage
- All 50 states
- Brand
- Yes
- 05C72/ 100Index
Candor Rx
Ranked #68Candor Rx sells compounded semaglutide from $99/month and tirzepatide from $149/month, both flat regardless of dose, with no membership fee disclosed and a cancel-anytime, full-refund-if-not-prescribed policy.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- Multi-state
- Brand
- Compounded
- 06C72/ 100Index
BiltRx
Ranked #67BiltRx is a US health-optimization telehealth platform spanning men's health, women's health, aesthetics and weight loss that offers compounded and brand-name GLP-1 medications.
- Sema
- $125/mo (all doses, compounded)
- Tirz
- $129/mo (all doses, compounded)
- Coverage
- Multi-state
- Brand
- Yes
- 07C73/ 100Index
Clume Health
Ranked #66Clume Health charges one $259 monthly price for its Signature program whichever GLP-1 a provider picks and whichever route you take, names its four dispensing pharmacies with addresses, and advertises a $199 figure that matches nothing it sells.
- Sema
- $259/month month-to-month (one Signature price covers semaglutide or tirzepatide, oral or injectable; $186/mo needs a 52-week plan)
- Tirz
- $259/month month-to-month (the same Signature price; $186/mo needs a 52-week plan)
- Coverage
- All 50 states
- Brand
- Compounded
- 08C73/ 100Index
Trillium Meds
Ranked #65Trillium Meds is a small, Portland-OR-based telehealth platform connecting patients to independent licensed providers and compounding pharmacies for GLP-1 therapy, serving all 50 states plus Puerto Rico.
- Sema
- $159/mo (all doses, compounded)
- Tirz
- $249/mo (all doses, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.