BiltRx vs Nova MD
BiltRx and Nova MD both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
BiltRx
Best for: moving between compounded and brand without changing seller
Visit BiltRx →
If you are choosing between BiltRx 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. BiltRx leads our six-part score, 8.3 to 7.4. One of the two has an FDA warning letter on record, covered below.
BiltRx vs Nova MD price
BiltRx 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 BiltRx ($129 a month vs $199 a month on a prepaid plan).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, BiltRx prices compounded injections and brand-name pens, while Nova MD prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, BiltRx is the only one of the two with a brand-name price.
Where each one treats patients
Neither BiltRx nor Nova MD publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
BiltRx
starting price per month
starting price per month
flat rate, brand Zepbound
flat rate, brand Wegovy
Nova MD
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
BiltRx is silent on lab work and coaching.
Nova MD is silent on lab work and coaching.
BiltRx
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, BiltRx scores 8.3 and Nova MD 7.4 out of 10.
BiltRx is stronger on value (9.8 vs 7.8) and trust & safety (6.5 vs 3.5).
Effectiveness, user experience, accessibility and support are within half a point.
BiltRx
8.3/10
Nova MD
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Nova MD a warning letter dated September 9, 2025 (letter 716695), and it is still open.
BiltRx has no FDA warning letter on record with us.
Features & Coverage
| Feature | BiltRx | Nova MD |
|---|---|---|
| Starting Price | $125/mo | $125/mo prepaid |
| Features | 7 features | ✓8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | ✓None | 1 letter |
About BiltRx
Among the lowest published prices: 125 dollars per month to start for compounded semaglutide, 129 dollars for compounded tirzepatide. Brands run far higher, at 1,449 dollars for Ozempic, 1,849 dollars for Wegovy, and from 1,499 dollars for Mounjaro or Zepbound. Southend Pharmacy and Boothwyn are the 503A compounders the site names, both US-licensed. This platform covers weight loss, aesthetics, and health for women and men, and holds LegitScript verification and HIPAA compliance.
Read our full BiltRx 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
BiltRx
What we like
- Semaglutide costs $125 a month, 32% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $129 a month, 48% 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 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 BiltRx
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
BiltRx wins this one, 8.3 to 7.4, above all for moving between compounded and brand without changing seller. Nova MD fits better if semaglutide at $125/month, 34% below the typical price is your priority.
Choose BiltRx 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.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
YourEra
Semaglutide at $99/month, 63% below the typical price
From $99/mo
Get started →Gala
Moving between compounded and brand without changing seller
From $149/mo
Get started →CoreAge Rx
Semaglutide at $99/month, 48% below the typical price
From $99/mo
Get started →BiltRx vs Nova MD: FAQ
Close alternatives to BiltRx and Nova MD
- BiltRx vs Ark Health
- BiltRx vs AgelessRx
- BiltRx vs NuvaHealth
- BiltRx vs Näky
- Nova MD vs Citizen Meds
- Nova MD vs Ark Health
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.