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Head-to-head · Cost-Efficiency Index

Nova MD vs StackMD

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 · #254

Nova MD

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

Visit Nova MD
VS
Grade C · #257

StackMD

Shoppers price-scanning for the lowest advertised entry point, who should confirm true dose-adjusted cost before signing up.

Visit StackMD

The verdict

Too close to callGrade C vs C

Nova MD and StackMD tie on the Cost-Efficiency Index at 60/100, so neither wins outright on the numbers. For most shoppers we'd start with Nova MD (ranked #254, a hair above #257) — Shoppers who want an explicit tirzepatide dose-titration schedule alongside tiered pricing. But StackMD 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 Nova MD.

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
45

Price Transparency

78
54

Nationwide Access

24
86

Formulation Options

79
40

Clinical Oversight

88
78

Contract Flexibility

47
69

Pricing, coverage & formulary

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

SpecNova MDStackMD
Cost-Efficiency Index60/10060/100
Semaglutide / mo$175/mo (compounded)Not disclosed
Tirzepatide / mo$199/mo (compounded)Not disclosed
Semaglutide / yr (modeled)$2,100
Tirzepatide / yr (modeled)$2,388
CoverageCoverage not publishedAll 50 states
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank here#254#257

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 →

StackMD

60/100

Where the value is

  • Low advertised entry price ($99/mo) for both semaglutide and tirzepatide
  • Clear FDA-compounding disclaimer shown up front
  • Distinct national telehealth brand (separate from the similarly-named Long Island clinic)

The tradeoffs

  • Identical $99 headline for both drugs strongly suggests a lowest-dose teaser, not full treatment pricing
  • No dose tiers, medical director, pharmacy name, states list, or LegitScript status could be confirmed
Visit StackMD

Full StackMD 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.

Keep comparing

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