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Head-to-head · Cost-Efficiency Index

Heva Health vs Nova MD

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #249

Heva Health

Shoppers who want a concierge lab-panel-plus-GLP-1 bundle and can confirm their state isn't one of tirzepatide's five exclusions.

Visit Heva Health
VS
Grade C · #254

Nova MD

Shoppers who want an explicit tirzepatide dose-titration schedule alongside tiered pricing.

Visit Nova MD

The verdict

Too close to callGrade C vs C

Heva Health and Nova MD tie on the Cost-Efficiency Index at 60/100, so neither wins outright on the numbers. For most shoppers we'd start with Heva Health (ranked #249, a hair above #254) — Shoppers who want a concierge lab-panel-plus-GLP-1 bundle and can confirm their state isn't one of tirzepatide's five exclusions. But Nova MD is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Heva Health.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

65
53

Price Transparency

78
78

Nationwide Access

24
24

Formulation Options

66
79

Clinical Oversight

74
88

Contract Flexibility

55
47

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecHeva HealthNova MD
Cost-Efficiency Index60/10060/100
Semaglutide / mo$150/mo (starting dose, compounded)$175/mo (compounded)
Tirzepatide / mo$339/mo (compounded)$199/mo (compounded)
Semaglutide / yr (modeled)$1,800$2,100
Tirzepatide / yr (modeled)$4,068$2,388
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#249#254

Heva Health

60/100

Where the value is

  • Tirzepatide pricing is broken out into a clear, labeled ladder ($339/mo month-to-month down to $299/mo on a 6-month plan) rather than a single vague 'starting at' figure
  • Explicitly discloses a real state-level restriction for tirzepatide (unavailable in Alaska, Arkansas, Indiana, Minnesota, South Carolina) instead of a vague coverage claim
  • Named, credentialed care team (Dr. Caroline Tade NMD, Kasey Horrell PA-C, Dr. Daniel Hall DNP/NP-C, Kelly Moore FNP)

The tradeoffs

  • The $149.99/month 'Weight Loss Program' figure is never explicitly confirmed as the semaglutide-specific price on the pages checked — it may be a generic teaser rather than a labeled per-drug rate
  • Tirzepatide's '3-Month Program' is listed at the identical $339/month as the month-to-month rate despite being advertised as '15% savings vs month-to-month' — a page inconsistency worth flagging before treating either figure as final
Visit Heva Health

Full Heva Health review →

Nova MD

60/100

Where the value is

  • Full 1/3/6/12-month tirzepatide pricing ladder disclosed, down to $149/mo on the annual plan
  • Explicit monthly dose-titration schedule published for tirzepatide (2.5mg to 15mg over 6 months) — more clinical detail than most competitors in this set show
  • LegitScript verification badge present with a working link to legitscript.com

The tradeoffs

  • No compounding pharmacy is named — only 'Licensed U.S. Pharmacy'
  • No state-coverage list is published anywhere on the public site (checked homepage, medical-disclaimers, and refund-policy pages)
Visit Nova MD

Full Nova MD review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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