Head-to-head · Cost-Efficiency Index
Nova vs Rivo Health
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.
Nova
Readers who want the membership inside the quoted price rather than added to it, and who want a daily sublingual option beside the injection.
Visit NovaRivo Health
Patients willing to commit to a 12-month prepay plan to reach the advertised $149-199/mo rate, who also want dietitian and coaching support bundled in.
Visit Rivo HealthThe verdict
Nova takes it, leading the Cost-Efficiency Index 72 to 71. Nova (trynova.co) bundles the medication, refrigerated shipping and a $99 monthly membership into one figure — $198 for semaglutide and $210 for tirzepatide — and serves 49 states, everywhere except California. Rivo Health still earns a C — Patients willing to commit to a 12-month prepay plan to reach the advertised $149-199/mo rate, who also want dietitian and coaching support bundled in.
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.
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
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Nova | Rivo Health |
|---|---|---|
| Cost-Efficiency Index | 72/100 | 71/100 |
| Semaglutide / mo | $198/mo month-to-month all-in (medication plus the $99/mo membership; a "Starting at" floor that rises with dose) | $149/mo (starting dose, annual plan, compounded oral) |
| Tirzepatide / mo | $210/mo month-to-month all-in (same bundle; also a "Starting at" floor) | $199/mo (starting dose, annual plan, compounded oral) |
| Semaglutide / yr (modeled) | $2,376 | $1,788 |
| Tirzepatide / yr (modeled) | $2,520 | $2,388 |
| Coverage | 49 states | All 50 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #78 | #83 |
Nova
72/100Where the value is
- Quotes one all-in figure that already contains the $99 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 oral route for both molecules alongside the weekly injections
The tradeoffs
- Three sets of prices are live at once: $198 and $210 in the hero, $229 and $279 in the same pages' own FAQ headings, and a third set in the site's JavaScript
- The FAQ's own arithmetic does not reach the headline — $99 membership plus $130 medication is $229, not the $198 quoted above it
Rivo Health
71/100Where the value is
- Bundles a membership (unlimited provider visits, dietitian, coaching) into the plan at no separately-billed cost
- Large, established program with a stated 115,000+ member base and 4.7 Trustpilot rating
- Both injectable and oral compounded options for semaglutide and tirzepatide
The tradeoffs
- The headline $149/$199 prices require a 12-month annual-plan commitment — the genuine month-to-month rate, shown crossed out on the same page, is $279/mo and $389/mo, 87-95% higher
- Compounding pharmacy partner is not named anywhere reachable
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.