Alternatives
Alternatives to Novi
Novi scores 74/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Novi at a glance
- Semaglutide
- $129/moAll doses, month-to-month, compounded; $99/mo on a 3-month plan billed $297
- Tirzepatide
- $169/moAll doses, month-to-month, compounded; $139/mo on a 3-month plan billed $417
- Coverage
- Coverage not published
- Brand-name GLP-1s
- Yes
- Oral option
- No
- Pricing verified
- October 2026
1 of the 8 programs below lists semaglutide for less than Novi's $129 a month. 1 of the 8 lists tirzepatide for less than its $169 a month.
Novi is a cash-pay GLP-1 telehealth brand selling compounded semaglutide at $129 a month and tirzepatide at $169 a month month-to-month, with lower rates on a 3-month plan and brand-name pens listed from $1,500.
Best for: Shoppers who want one price at every dose and can choose between month-to-month billing and a cheaper 3-month plan.
What Novi does well
- Same price at every dose, with the consult, prescription and shipping included
- Month-to-month billing is available, so the 3-month plan is a choice rather than a requirement
- No monthly membership fee and cancel-anytime billing
- LegitScript certified, with a link to its record in LegitScript's own lookup
Why readers look for an alternative
- The headline $99 and $139 figures are 3-month-plan rates billed $297 and $417 up front; month-to-month is $129 and $169
- A countdown timer and "was $299" pricing frame the offer as a promotion, and Novi says promotional pricing may change
- No state list, medical director or pharmacy is named on its site; the pharmacy appears only in your order emails
- Its refund policy says it can't accept returns once medication is sent
- Partner01A94/ 100Index
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 Novi: $30/mo less for semaglutide · $20/mo less for tirzepatide · compounded only, no brand-name GLP-1s
- 02C72/ 100Index
Peter MD
PartnerOne account across six verticals — TRT, ED, weight loss, GLP-1, men's hair loss and NAD+ — from a physician-prescribed telehealth brand running since 2021, at a renewal price ($249/mo tirzepatide) well above its own $149 first-month headline.
- Sema
- $149/moFirst-time (Level 1), $139/mo returning (Level 2)
- Tirz
- $149First month, then $249/mo billed quarterly
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Novi: $20/mo more for semaglutide · $80/mo more for tirzepatide · compounded only, no brand-name GLP-1s
- 03C75/ 100Index
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 Novi: $70/mo more for semaglutide · $80/mo more for tirzepatide · offers an oral option
- 04C75/ 100Index
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 Novi: $120/mo more for semaglutide · compounded only, no brand-name GLP-1s
- 05C75/ 100Index
MediRX
MediRX offers compounded GLP-1 injections and oral tablets with care through OpenLoop, but several price listings conflict.
- Sema
- From $179/moCompounded injection headline; conflicting $149 promotional listing
- Tirz
- From $399/moCompounded injection headline; conflicting $199 promotional listing
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Novi: $50/mo more for semaglutide · $230/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option
- 06C75/ 100Index
ReflexMD
ReflexMD charges a flat $297 a month for compounded semaglutide and $367 for tirzepatide, with the doctor review and free express shipping included, but outside California you have to phone to cancel.
- Sema
- $297/moCompounded, same price at every dose, month to month
- Tirz
- $367/moCompounded, same price at every dose, month to month
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Novi: $168/mo more for semaglutide · $198/mo more for tirzepatide · compounded only, no brand-name GLP-1s
- 07C75/ 100Index
Pillar Health
Pillar Health lists compounded semaglutide at $189 a month and tirzepatide at $249, the same at every dose with no membership fee, and a welcome code halves the first month.
- Sema
- $189/moCompounded, same price at every dose; first month $94.50 with the welcome code
- Tirz
- $249/moCompounded, same price at every dose; first month $124.50 with the welcome code
- Coverage
- 48 states + DC
- Brand
- Compounded
Compared with Novi: $60/mo more for semaglutide · $80/mo more for tirzepatide · compounded only, no brand-name GLP-1s
- 08C75/ 100Index
The Edit
The Edit charges $259 a month for compounded semaglutide and $349 for tirzepatide at every dose, with clearly labeled three- and six-month plans that bring semaglutide down to about $178 a month.
- Sema
- $259/moCompounded, month to month; same price at every dose
- Tirz
- $349/moCompounded, month to month; same price at every dose
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Novi: $130/mo more for semaglutide · $180/mo more for tirzepatide · compounded only, no brand-name GLP-1s
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.