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 from $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $210 for the weekly semaglutide injection and $225 for the weekly tirzepatide injection, rising with the dose. Offering a daily oral route beside the weekly shot is genuinely useful for a household that dreads needles, and coverage reaches forty-nine states with California still to come. Then the pricing stops agreeing with itself. The semaglutide page leads with $210 above an FAQ headed "What does the $229/mo include?", and the tirzepatide page repeats the trick with $225 above one headed "$279/mo". 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.
- Six-factor Editors' Rating
- Source-based review
This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.
Nova at a glance
- Semaglutide
- $210/mo all-in
- Tirzepatide
- $225/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 our weighted six-factor framework. A commission never changes a provider's score.
Cost is unpredictable, premium, or hides behind a plan commitment.
Oversight and lab support fall short of the best we track — 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
- Primary source
- The company's own site
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 $225 depending on whether you want a weekly injection or a daily oral dose, and rising with the dose. Its own pages then disagree about price, the semaglutide page leading with $210 above an FAQ headed "$229/mo" and the tirzepatide page leading with $225 above one headed "$279/mo".
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $210 | Weekly injection — all-inStarting price, rising with the dose. Includes the medication, shipping and the required $99 monthly membership. The same page's FAQ asks "What does the $229/mo include?" and puts the medication alone at $130 a month, so one page states two starting prices. |
| Compounded tirzepatide | $225 | Weekly injection — all-inStarting price, rising with the dose, membership included. Its own FAQ is headed "What does the $279/mo include?" and puts the medication alone at $180 a month. |
| 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 semaglutide | $116 | Daily oral dose — 90-day supply$50 for a 90-day supply of the lowest strength plus the $99 monthly membership, which Nova gives as $116 a month all-in. |
| Oral tirzepatide | $174 | Daily oral dose — all-inThe daily dual-agonist route, membership included, and the cheapest tirzepatide option on the menu. The page puts the medication alone at $45 a month for a 28-count of the lowest strength. |
| Oral tirzepatide | $131 | Daily oral dose — 90-day supply$95 for a 90-day supply of the lowest strength plus the $99 monthly membership, which Nova gives as $131 a month all-in. |
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, with a cheaper 90-day option on the oral doses
- Product pages quote all-in figures that already include the required membership
- Coverage reaches 49 states
- 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 $210 while its own FAQ is headed "What does the $229/mo include?"
- The tirzepatide page repeats it, leading with $225 above an FAQ headed "$279/mo"
- Injection prices rose in fall 2026 — semaglutide from $198 to $210 a month and tirzepatide from $210 to $225 — and both climb further with the dose
- 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
Expect to pay around $210/month with Nova, close to the typical price. Where it earns its score is support as your dose changes. Where it loses ground is price transparency.
What you'll pay at Nova
- Compounded semaglutide — Weekly injection — all-in: $210/mo
- Compounded tirzepatide — Weekly injection — all-in: $225/mo
- Oral semaglutide — Daily oral dose — all-in: $169/mo
- Oral semaglutide — Daily oral dose — 90-day supply: $116/mo
- Oral tirzepatide — Daily oral dose — all-in: $174/mo
- Oral tirzepatide — Daily oral dose — 90-day supply: $131/mo
That's close to the roughly $196/month most providers we've reviewed charge. A full year at the regular rate comes to roughly $2,520. A prepaid plan lowers the monthly equivalent to about $116 — worth it only if you're sure you'll stay. Higher doses cost more here; plan around the price at your maintenance dose, not the starting one.
The price covers the clinician consult, the medication, and shipping.
The medications Nova prescribes
Nova prescribes semaglutide and tirzepatide. Semaglutide is the drug in Wegovy and Ozempic; tirzepatide, the drug in Zepbound and Mounjaro, also acts on GIP and is often preferred where insulin resistance drives weight. Expect compounded medication, not Wegovy or Zepbound pens. That's why the price is lower, and also why the FDA hasn't approved the finished product.
There's also an oral or under-the-tongue option for mothers who'd rather skip injections. Keep expectations modest: these forms have far less research behind them than the weekly shot.
Before you start the intake
It doesn't treat patients everywhere (49 states — California excluded), so check your state first.
How Nova compares
If you're weighing Nova, these are priced nearby:
- Optimized Health — $200/mo, semaglutide and tirzepatide
- Good Life Meds — $199/mo, semaglutide and tirzepatide, same price at every dose, brand-name pens available
- Direct Meds — $249/mo, semaglutide and tirzepatide
Who Nova suits, and who should look elsewhere
Worth it if…
- You'd like the option to move to tirzepatide (or back) without changing providers.
Give it a miss if…
- You'd only consider Wegovy or Zepbound themselves, not a compounded version.
- You live outside its service area (49 states — California excluded).
- You're breastfeeding or trying to conceive and want a prescriber to weigh in on timing — see CoreAge Rx, a featured partner.
Safety and oversight
It's fair to ask any compounded provider two things: which pharmacy makes the medication, and what's in it. Our methodology shows how oversight feeds the score.
Weight-loss treatment is not recommended during pregnancy. If you are breastfeeding or planning pregnancy, discuss the exact medicine, formulation and timing with your own clinician; limited milk-transfer data do not establish infant safety.
Questions to ask before you pay
- What will I pay at my maintenance dose, not just the starting one?
- What happens to my plan if I become pregnant?
The bottom line
Nova is a reasonable choice at a typical price. It's strongest on support as your dose changes, so that's the reason to pick it. If you're still choosing, compare it with CoreAge Rx, a featured partner.
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
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge RxCoreAge RxFeatured partner
The one program on our list 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 HumeCare+
Semaglutide is $199 a month as either the weekly shot or a daily pill, tirzepatide is $299 bundled with B12 and glycine, and the price does not climb as your dose goes up. Every plan includes a smart scale that separates fat from muscle, which is a better question than the one your bathroom scale answers. Two things deserve a slow read before you buy. Nothing on the public site carries a price until you have handed over your height, weight and date of birth. And the money-back promise in the homepage banner is not the promise written into the terms — the banner refunds you for missing 10% in six months, the contract refunds you only if you lose nothing at all in 90 days.
- Visit SkinnyRx
A flat $249/mo semaglutide, $299/mo tirzepatide after a $99 first month, with an option most of the providers we list skips: a sublingual tablet instead of a weekly shot — but the FDA issued its parent entity, Lean Rx, Inc., a warning letter on 02/20/2026 (ref. 717989) for mislabeling itself as the compounder on its own product images and for marketing language implying its compounded products share FDA-approved status with Mounjaro and Zepbound, which they don't. Confirmed directly on FDA.gov; SkinnyRx's own site never mentions it.
Providers like Nova
Keep comparing Nova
Head-to-head & alternatives
Ranked boards
- The 2026 guide to the best GLP-1 for moms
- Best GLP-1 for women — PCOS & menopause
- Best GLP-1 for first-timers & beginners
- Cheapest GLP-1 without insurance
- Best GLP-1 after baby — postpartum providers ranked
- Best GLP-1 with insurance & coverage help
- Best GLP-1 providers for PCOS
- Best GLP-1 for perimenopause & menopause
- Cheapest tirzepatide online, month to month
- Cheapest semaglutide online, month to month
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 starting figures that already include it: $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $210 for the weekly semaglutide injection and $225 for the weekly tirzepatide injection, with the total rising as your dose does. Buying the oral doses 90 days at a time brings them to about $116 and $131 a month. 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 $210/mo" and its FAQ 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 $225 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.
- Can I still get the needle-free weekly tablets?
- Not that we can see. Nova used to advertise a weekly needle-free tablet for each molecule, but those products are no longer on its menu and their pages now read "Product Not Found". The weekly injection and the daily oral dose are the options it prices today.
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.