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Head-to-head · Cost-Efficiency Index

LevelsRx 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 · #251

LevelsRx

Shoppers who want a LegitScript-verified option with low headline starting prices.

Visit LevelsRx
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

LevelsRx 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 LevelsRx (ranked #251, a hair above #254) — Shoppers who want a LegitScript-verified option with low headline starting prices. 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 LevelsRx.

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

53
53

Price Transparency

78
78

Nationwide Access

24
24

Formulation Options

90
79

Clinical Oversight

76
88

Contract Flexibility

41
47

Pricing, coverage & formulary

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

SpecLevelsRxNova MD
Cost-Efficiency Index60/10060/100
Semaglutide / mo$150/mo (all doses, compounded oral)$175/mo (compounded)
Tirzepatide / mo$240/mo (starting dose, compounded)$199/mo (compounded)
Semaglutide / yr (modeled)$1,800$2,100
Tirzepatide / yr (modeled)$2,880$2,388
CoverageCoverage not publishedCoverage not published
Oral / sublingualYesNo
Brand-name accessYesYes
Rank here#251#254

LevelsRx

60/100

Where the value is

  • Genuine, verifiable LegitScript certification badge
  • Offers injectable semaglutide, oral/liquid semaglutide, and tirzepatide
  • Low headline starting prices

The tradeoffs

  • No dose-tier pricing table published
  • No named compounding pharmacy partner
Visit LevelsRx

Full LevelsRx 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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