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Ark Health vs Nova MD

Ark Health and Nova MD both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Ark Health logo

Ark Health

7.3
★★★★☆3.7/5

Best for: moving between compounded and brand without changing seller

Visit Ark Health →
VS
Nova MD logo

Nova MD

7.4
★★★★☆3.7/5

Best for: semaglutide at $125/month, 34% below the typical price

Visit Nova MD →

If you are choosing between Ark Health and Nova MD, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Nova MD leads our six-part score, 7.4 to 7.3. One of the two has an FDA warning letter on record, covered below.

Ark Health vs Nova MD price

Ark Health and Nova MD start at the same figure, $125 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $125 a month; tirzepatide is cheaper at Nova MD ($199 a month on a prepaid plan vs $249 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Ark Health prices compounded injections, an oral option and brand-name pens, while Nova MD prices compounded injections.

If you want the FDA-approved brand rather than a compounded version, Ark Health is the only one of the two with a brand-name price.

Where each one treats patients

Neither Ark Health nor Nova MD publishes the states it serves, so enter your state at the very start of each sign-up.

Pricing

Ark Health

All doses (discounted standard)Compounded
$169/mo
semaglutide
All doses (discounted standard)Compounded
$249/mo
tirzepatide
All doses (discounted standard, oral)Compounded · oral
$125/mo
semaglutide
Brand Ozempic cash (DTC markup)Brand-name
$1399/mo
semaglutide
Brand Mounjaro cash (DTC markup)Brand-name
$1499/mo
tirzepatide

Nova MD

Compounded GLP-1 / semaglutide (1-month plan)Compounded
$175/mo
semaglutide
Compounded GLP-1 / semaglutide (3-month plan)Compounded
$125/mo
semaglutide
Compounded GLP-1 + GIP / tirzepatide (1-month plan)Compounded
$225/mo
tirzepatide
Compounded GLP-1 + GIP / tirzepatide (3-month plan)Compounded
$199/mo
tirzepatide

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Ark Health is silent on lab work and coaching.

Nova MD is silent on lab work and coaching.

Ark Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Nova MD

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Nova MD scores 7.4 and Ark Health 7.3 out of 10.

Ark Health is stronger on trust & safety (6.5 vs 3.5).

Nova MD is stronger on value (7.8 vs 5.7).

Effectiveness, user experience, accessibility and support are within half a point.

How we score

Ark Health

7.3/10

Overall

Nova MD

7.4/10

Value25%

5.7A
vs
B
7.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
3.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

The FDA sent Nova MD a warning letter dated September 9, 2025 (letter 716695), and it is still open.

Ark Health has no FDA warning letter on record with us.

Features & Coverage

FeatureArk HealthNova MD
Starting Price$125/mo$125/mo prepaid
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name✓ Yes—
FSA/HSA Accepted—✓ Yes
FDA Warning Letters✓None1 letter

About Ark Health

Ark Health lists compounded semaglutide at $169/mo, tirzepatide at $249/mo and oral semaglutide at $125/mo, flat across all doses with free expedited shipping. Brand Ozempic and Mounjaro are also sold, plus wellness adjuncts such as Sermorelin and MIC/B12, giving the national platform one of the widest menus in the directory. Its brand cash prices run far above direct manufacturer channels, which leaves the compounded tier as the value play.

Read our full Ark Health review →

About Nova MD

Four GLP-1 prices are all posted where anyone can read them. On the 3-month plan compounded semaglutide falls to $125/month and tirzepatide to $199/month, and a first tirzepatide order takes $50 off. Plans come in one-month and three-month lengths. Both molecules have a stated microdose program, which is unusual. Sermorelin, NAD+, glutathione and enclomiphene are also listed.

Read our full Nova MD review →

Pros & Cons

Ark Health

What we like

  • Semaglutide costs $125 a month, 37% below the $199 median for oral semaglutide across the sellers we compare
  • Tirzepatide costs $249 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to Ark Health
  • Offers both oral and injectable options, so the format is your choice

Watch-outs

  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Nova MD

What we like

  • Semaglutide costs $125 a month, 32% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $199 a month, 20% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication, clinician visits and shipping

Watch-outs

  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued Nova MD a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Nova MD

Nova MD wins this one, 7.4 to 7.3, above all for semaglutide at $125/month, 34% below the typical price. Ark Health fits better if moving between compounded and brand without changing seller is your priority.

Choose Ark Health if…

You want moving between compounded and brand without changing seller and an opening price near $125 a month.

Choose Nova MD if…

You want semaglutide at $125/month, 34% below the typical price and an opening price near $125 a month.

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6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

6.7

RxSpan MD

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

Ark Health vs Nova MD: FAQ

Neither on the entry price: Ark Health and Nova MD both start at about $125 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Ark Health does not publish where it ships; Nova MD does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Ark Health has none. Nova MD has an open FDA warning letter from September 9, 2025.
No. Neither Ark Health nor Nova MD pays us anything.

Or see the full category ranking.

Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.