Nova review
Clear up the confusion first: this is not Nova MD. Different operator, different owners, and Nova MD is the one carrying an FDA warning letter naming its own domain — this company carries none. Nova sells a required $99 monthly membership plus medication, quoted all-in on the product pages at $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection and $210 for the weekly tirzepatide injection. Offering a daily oral route beside the weekly shot is genuinely useful for a household that dreads needles, and coverage has just widened to forty-nine states with California still to come. Then the pricing stops agreeing with itself. The semaglutide page leads with $198 above an FAQ headed "What does the $229/mo include?", and the tirzepatide page repeats the trick with $210 above one headed "$279/mo". Two further products, the needle-free weekly tablets, are advertised in the navigation while both of their pages load almost empty and carry no price at all. And the pricing page promises you are charged only if a provider prescribes, while the refund policy says the fees are not refundable even when the provider declines you.
- Independently scored
- Verified
Every medical claim in this piece is footnoted to the record it came from — the trial or the FDA label — so you can read the source rather than take the masthead's word for it. No one on this desk is your clinician.
Nova at a glance
- Semaglutide
- $198/mo all-in
- Tirzepatide
- $210/mo all-in
- Coverage
- 49 states — California excluded
- Brand-name
- Compounded only
How we scored Nova
Each score comes out of Nova's published pricing, disclosures and oversight, and the six combine into the 40/100 Editors' Rating on the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.
Cost is unpredictable, premium, or hides behind a plan commitment.
Oversight and lab support fall short of the top of this roster — the review below says exactly where.
The headline rate obscures a plan requirement or a hidden step-up.
Little here is shaped around a mother's week or her life stage.
Support is thin once the prescription ships.
Leaving costs you — notice windows, minimum terms or fees you don't get back.
How we verified this review
- Last verified
- September 2026
- Confidence
- medium
- Primary source
- www.trynova.co
First, the confusion to clear: this is not Nova MD. Different company, different owners, and Nova MD is the one carrying an FDA warning letter — this one is not. Nova sells a required $99 monthly membership plus medication, quoted all-in from $169 to $210 depending on whether you want a weekly injection or a daily oral dose. Its own pages then disagree about price three separate times, the semaglutide page leading with $198 above an FAQ headed "$229/mo" and the tirzepatide page leading with $210 above one headed "$279/mo". Two further products have pages that load empty with no price at all.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $198 | Weekly injection — all-inIncludes the medication, shipping and the required $99 monthly membership. The membership is mandatory, so the all-in figure is the comparable one; a medication-only number would omit a charge you cannot avoid. |
| Compounded tirzepatide | $210 | Weekly injection — all-inAlso includes the required membership. Its own page then asks "What does the $279/mo include?" directly beneath this figure, so one page states two prices for one product. |
| Oral semaglutide | $169 | Daily oral dose — all-inA daily route rather than a weekly injection, membership included. The page separately puts the medication alone at $25 a month for a 28-count of the lowest strength, which with the membership would be $124 rather than $169. |
| Oral tirzepatide | $174 | Daily oral dose — all-inThe daily dual-agonist route, membership included, and the cheapest tirzepatide option on the menu. |
Swipe the table to see plan details →
GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from Nova's public disclosures at last review and change often; confirm the current number on Nova's own site.
What we like
- A daily oral route for each molecule alongside the weekly injection, both priced
- Product pages quote all-in figures that already include the required membership
- Coverage now reaches 49 states, up from two
- Unlimited secure messaging, ongoing monitoring and managed refills inside the membership
- Free refrigerated shipping on every order, and no separate consultation fee
The caveats
- The semaglutide page leads with $198 while its own FAQ is headed "What does the $229/mo include?"
- The tirzepatide page repeats it, leading with $210 above an FAQ headed "$279/mo"
- Two advertised products, the needle-free weekly tablets, have pages that load empty with no price
- The pricing page says you are only charged if prescribed; the refund policy says fees are not refundable if declined
- The $99 membership is required, so no medication-only price is really available
- Easily confused with Nova MD, an unrelated company that does carry an FDA warning letter
Nova for mothers: our verdict
Clear up the confusion first: this is not Nova MD. Different operator, different owners, and Nova MD is the one carrying an FDA warning letter naming its own domain — this company carries none. Nova sells a required $99 monthly membership plus medication, quoted all-in on the product pages at $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection and $210 for the weekly tirzepatide injection. Offering a daily oral route beside the weekly shot is genuinely useful for a household that dreads needles, and coverage has just widened to forty-nine states with California still to come. Then the pricing stops agreeing with itself. The semaglutide page leads with $198 above an FAQ headed "What does the $229/mo include?", and the tirzepatide page repeats the trick with $210 above one headed "$279/mo". Two further products, the needle-free weekly tablets, are advertised in the navigation while both of their pages load almost empty and carry no price at all. And the pricing page promises you are charged only if a provider prescribes, while the refund policy says the fees are not refundable even when the provider declines you. It runs about $198/month.
We weigh Nova the way mothers actually have to: not just the real monthly cost, but the real monthly cost once the dose climbs and whether a real clinician stands behind it — the things a generic roundup never gets to.
What Nova actually costs
- Compounded semaglutide — Weekly injection — all-in: $198/mo
- Compounded tirzepatide — Weekly injection — all-in: $210/mo
- Oral semaglutide — Daily oral dose — all-in: $169/mo
- Oral tirzepatide — Daily oral dose — all-in: $174/mo
That's roughly in line with the ~$179/month median across our roster.
The medications Nova prescribes
Nova prescribes semaglutide and tirzepatide — the pair with the strongest evidence behind them, and having both under one account matters when insulin resistance, familiar from PCOS and gestational diabetes, makes tirzepatide the better fit. These are compounded formulations from a licensed pharmacy — the reason the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are.
A needle-free oral or sublingual option is on the menu, which draws in mothers who've been avoiding injections — just set expectations: oral and buccal delivery of these peptides is far less studied than the injectable versions the trials used.
Where Nova fits — and where it doesn't — for mothers
Worth it if…
- you may need to move between semaglutide and tirzepatide as your body and hormones change.
Give it a miss if…
- you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
- you'd rather a prescriber talk through timing around the real monthly cost once the dose climbs — that's what our #1 pick, CoreAge Rx, is built for.
Trust, safety, and oversight
Our confidence is moderate — the core facts check out, but some details (per-state availability, program mechanics) aren't fully public. As with any compounded GLP-1, the most useful thing mothers can do is confirm which licensed pharmacy fills the prescription and what's in the formulation — we explain how we weigh oversight in our Editors' Rating methodology.
A standing caveat for mothers: GLP-1 medications aren't established as safe during pregnancy or breastfeeding, and every label advises against use. Nothing here changes that — plan the timing with your own clinician.
The bottom line
Nova is a reasonable option — weigh it on the real monthly cost once the dose climbs and whether a real clinician stands behind it against the alternatives below. For most mothers, CoreAge Rx remains the stronger all-round fit — see why it tops our ranking.
The bottom line for mothers
Best for: A household that wants a needle-free route and will get the monthly figure, and the refund position if declined, confirmed in writing first.
Alternatives to Nova
Providers we have a referral relationship with, ordered by their Editors' Rating — highest first. A fee never moves a rating, but it does decide who appears here, so this is not the whole roster: the full ranking lists every provider we cover.
- Visit CoreAge RxCoreAge RxOur #1 pick
The one program on this masthead whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
- Visit Gala Health
A flat $179 for either molecule and a genuinely gentle microdosing tier — a reasonable, all-doses-included option, if you can live with a yearly plan and a pharmacy the marketing never names.
- Visit Sesame
A high-trust telehealth marketplace that took a clear side: FDA-approved brand GLP-1 only, no compounded shortcut. You pay a brand cash price and book a real video visit — but you get on-label pens and one of the cleaner reputations on this masthead.
Keep comparing Nova
Head-to-head & alternatives
Nova, answered
- Is this Nova MD?
- No, and the difference matters. This site is operated by NovaCure LLC. Nova MD, at a different web address, is operated by JM Health Group LLC. They share a brand root and nothing else. Nova MD carries an FDA warning letter naming its own domain and email address; this company does not. If you are researching one, make sure you are reading about the one you mean.
- What does Nova cost?
- A required $99 monthly membership plus the medication. The product pages quote all-in figures that already include it: $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection and $210 for the weekly tirzepatide injection. Those all-in numbers are the ones to compare, because the membership is not optional.
- Why does its own FAQ quote a different price?
- Because two parts of the same page disagree, and it happens on both injection pages. The semaglutide page leads with "Starting at $198/mo" and its FAQ immediately below is headed "What does the $229/mo include?", explaining that the $99 membership covers care and the medication starts at $130 — which adds to $229. The tirzepatide page does the same, leading with $210 above an FAQ headed "$279/mo". Get the figure confirmed in writing.
- Am I charged if I am turned down?
- Its two documents give opposite answers. The pricing page says "You're only charged if a licensed provider prescribes treatment." The refund policy says consultation and membership fees are generally not refundable once the clinical review is complete, including where the provider declines to prescribe. That is the more expensive reading and it is the one written into the policy.
- Why is there no price for the needle-free tablets?
- Because those two pages do not load. Nova advertises a weekly needle-free tablet for each molecule, and both product pages return an almost empty document with no price on it. Two of the six products it markets therefore have no published cost at all. Until those pages work, treat the injection and the daily oral dose as the menu you can actually price.
Pricing, states and verification reflect Nova's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.