Nova review
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.
- Semaglutide
- $198/mo month-to-month all-in (medication plus the $99/mo membership; a "Starting at" floor that rises with dose)
- Tirzepatide
- $210/mo month-to-month all-in (same bundle; also a "Starting at" floor)
- Coverage
- 49 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$2,376
Tirzepatide · modeled / year
$2,520
Pricing verified September 2026
The Index scorecard
Nova scored on our six Cost-Efficiency Index factors. See the methodology.
Where 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
- States the 503A compounding class in three places and says 503B is not used
- Cancellation is from the account with no long-term contract and no cancellation penalty
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
- Both figures are "Starting at" floors that rise with dose, and no maintenance-dose price is published anywhere
- The pricing page puts "starting at $165" under "plus your medication — medication is billed separately" while the product page for the same program says the figure includes medication
- No compounding pharmacy and no medical group is named — only the class and "an independent third-party medical group"
- "You're only charged if a licensed provider prescribes treatment" sits against a refund policy making membership and consultation fees non-refundable even when a provider declines
- The how-it-works page still says care comes from providers licensed in Texas and Florida on a site whose footer claims 49 states
- Two product URLs are live entries in the sitemap and render "Product Not Found"
- "Cancel anytime" carries a two-day fuse before the renewal date, and refunds are not prorated
The bottom line
Best for: Readers who want the membership inside the quoted price rather than added to it, and who want a daily sublingual option beside the injection. 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.
Ranked #72 of 529 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 528 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Nova.
- #54Jyra Health— Jyra Health is a compounded GLP-1 telehealth clinic charging $175/mo (semaglutide) or $199/mo (tirzepatide) month-to-month, discounted to $139/mo and $179/mo respectively on a 3-month prepaid plan.74/100
- #55Nalena— Nalena is a women-focused, GLP-1-only telehealth platform offering compounded semaglutide and tirzepatide with medication included — no separate membership or visit fees.74/100
- #56NextMeds— NextMeds is a compounded-GLP-1 telehealth platform naming a real clinical group (Lion MD, led by two NPI-verifiable physicians) and six named compounding pharmacies — unusually transparent on that front.74/100
- #57Gala Health— Every dose at one published price, with the whole price list visible before you hand over an email — but the only terms it sells on are a yearly subscription at $179 or a three-month plan at $199, so there is no monthly number here to compare with anyone else's.71/100
- #58Direct Meds— The widest set of routes in this ranking — sublingual and injection on both semaglutide and tirzepatide, every SKU priced in the open — sold well above the median, on a plan that only ever bills against a 90-day supply.71/100
- #59He & She MD— He & She MD is a nationwide telehealth weight-loss clinic offering compounded semaglutide and tirzepatide (injectable, oral, or microdose) plus brand-name access.71/100
The 24 programs nearest this one
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- #95 Kina69
- #96 LifeRx.md69
Pricing, states and verification reflect Nova's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Nova's site. Not medical advice; see our disclosure.