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Alternatives

Alternatives to Nova

Nova scores 75/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Nova review →CoreAge Rx vs Nova →

Nova at a glance

Semaglutide
$152/moAll-in, a starting price that rises with dose (medication, shipping and the $50/mo membership; daily sublingual from $127)
Tirzepatide
$167/moAll-in, a starting price that rises with dose (same bundle; daily sublingual from $127)
Coverage
49 states
Brand-name GLP-1s
No, compounded only
Oral option
Yes
Pricing verified
October 2026

2 of the 8 programs below list semaglutide for less than Nova's $152 a month. 2 of the 8 list tirzepatide for less than its $167 a month.

Nova bundles the medication, refrigerated shipping and a $50 monthly membership into one starting figure — $152 for semaglutide and $167 for tirzepatide injections, $127 for either as a daily sublingual — and serves every state except California.

Best for: Readers who want the membership inside the quoted price rather than added to it, and who want a daily sublingual option beside the injection.

What Nova does well

  • Quotes one all-in figure that already contains the $50 monthly membership, the medication and refrigerated shipping, so the membership is not a surprise at checkout
  • Names a medical director and a nurse practitioner with credentials, training and residency detail
  • Prices a daily sublingual route for both molecules alongside the weekly injections
  • No consultation fee, no long-term contract and no cancellation penalty

Why readers look for an alternative

  • Every figure is a "From" price that depends on the dose your provider prescribes, and no maintenance-dose price is published
  • No compounding pharmacy and no medical group is named
  • "You're only charged if prescribed" sits against a refund policy making membership and consultation fees non-refundable once the clinical review is done, even when a provider declines
  • "Cancel anytime" means at least two days before the renewal date, and refunds are not prorated
  • Not available in California
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Nova: $53/mo less for semaglutide · $18/mo less for tirzepatide · no oral option

    Visit CoreAge Rx CoreAge Rx vs Nova →
  2. 02C

    WeightlessRx

    WeightlessRx is a direct-to-consumer telehealth provider selling compounded semaglutide and tirzepatide with no separate membership or consultation fees layered on top of the drug price.

    Sema
    $167/moAll doses, $500 total for 3 months prepaid, compounded
    Tirz
    $233/moAll doses, $700 total for 3 months prepaid, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Nova: $15/mo more for semaglutide · $66/mo more for tirzepatide · no oral option

    Visit WeightlessRx WeightlessRx vs Nova →
  3. 03C

    Bayan Health

    Bayan Health offers compounded semaglutide at $129 and tirzepatide at $149 monthly, flat across doses. Its weight-management protocol requires ninety days, billed monthly, with medication shipped in advance.

    Sema
    $129.00/monthBilled monthly (standard injectable with vitamin B6; three months of medication ship at once)
    Tirz
    $149.00/monthBilled monthly (standard injectable with vitamin B6; same three-month protocol)
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Nova: $23/mo less for semaglutide · $18/mo less for tirzepatide

    Visit Bayan Health Bayan Health vs Nova →
  4. 04C

    Curex

    Curex, best known as an online allergy clinic, sells compounded semaglutide at $299 a month and tirzepatide at $399 paid monthly, with a cut-price first month and lower rates if you prepay a full year; California gets oral tablets only.

    Sema
    $299/moMonth-to-month (first month $49; $199/mo prepaid for a year)
    Tirz
    $399/moMonth-to-month (first month $149; $299/mo prepaid for a year)
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Nova: $147/mo more for semaglutide · $232/mo more for tirzepatide

    Visit Curex Curex vs Nova →

    Regulatory note: the FDA issued a warning letter to Curex in September 2025. We still list and link to Curex; you should know the letter is on the public record before you decide.

  5. 05C

    GOAL.MD

    GOAL.MD is a physician-run telehealth weight-loss practice, led by Chief Physician Dr. Michael Mimlitz, MD.

    Sema
    $179/moMonth-to-month (same at every dose, no auto-billing; $99/mo on a 12-month plan paid up front, compounded)
    Tirz
    $249/moMonth-to-month (same at every dose, no auto-billing; $159/mo on a 12-month plan paid up front, compounded)
    Coverage
    All 50 states
    Brand
    Yes

    Compared with Nova: $27/mo more for semaglutide · $82/mo more for tirzepatide · also lists brand-name GLP-1s · no oral option

    Visit GOAL.MD GOAL.MD vs Nova →
  6. 06C

    TOM Weight Loss

    TOM Weight Loss is a Texas/Utah-only GLP-1 telehealth practice, prescribing compounded and brand-name medication, led by triple board-certified Dr. Tran Le, MD, DABOM.

    Sema
    $199/moAll doses up to 2.4 mg, doctor care and medication included, billed monthly, compounded
    Tirz
    $249/moAll doses up to 15 mg, doctor care and medication included, billed monthly, compounded
    Coverage
    2 states
    Brand
    Yes

    Compared with Nova: $47/mo more for semaglutide · $82/mo more for tirzepatide · also lists brand-name GLP-1s

    Visit TOM Weight Loss TOM Weight Loss vs Nova →
  7. 07C

    Peak Wellness

    Peak Wellness publishes compounded semaglutide at $249 monthly after a $179 first month. Tirzepatide starts at $279 for the first month, with its ongoing rate to confirm.

    Sema
    $249/moOngoing (all doses, compounded; first month $179)
    Tirz
    Ongoing price not disclosed (compounded; first month $279)
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Nova: $97/mo more for semaglutide · no oral option

    Visit Peak Wellness Peak Wellness vs Nova →
  8. 08C

    WePeptideRx

    WePeptideRx is a provider-guided telehealth platform selling premixed, ready-to-inject compounded semaglutide ($189-$299/mo across 5 dose tiers) and tirzepatide ($199-$389/mo across 6 dose tiers), both bundled with B12 and glycine.

    Sema
    $189/mo0.25 mg weekly starting dose, 30-day compounded supply
    Tirz
    $199/mo2.5 mg weekly starting dose, 30-day compounded supply
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Nova: $37/mo more for semaglutide · $32/mo more for tirzepatide · also lists brand-name GLP-1s

    Visit WePeptideRx WePeptideRx vs Nova →

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.

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