Citizen Meds vs Nova MD
Citizen Meds and Nova MD both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Citizen Meds
Best for: semaglutide at $125/month, 34% below the typical price
Visit Citizen Meds →
If you are choosing between Citizen Meds 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. Citizen Meds leads our six-part score, 7.7 to 7.4. One of the two has an FDA warning letter on record, covered below.
Citizen Meds vs Nova MD price
Citizen Meds 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 Citizen Meds ($185 for the first month vs $199 a month on a prepaid plan).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Neither Citizen Meds nor Nova MD publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
Citizen Meds
Per-dose ladder: 0.5mg $245, 1.0mg $295, 1.7/2.4mg $345, 2.5mg $395.
Per-dose ladder: 5mg $295, 7.5mg $345, 10mg $395, 12.5mg $445, 15mg $545. (Homepage promo tile lists tirz $145, but the product page month-1 price is $185.)
Nova MD
What each price covers
Both prices cover the clinician visit and the medication itself.
Nova MD's price also covers shipping, which Citizen Meds does not claim.
Citizen Meds is silent on shipping, lab work and coaching.
Nova MD is silent on lab work and coaching.
Citizen Meds
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
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, Citizen Meds scores 7.7 and Nova MD 7.4 out of 10.
Citizen Meds is stronger on trust & safety (6.5 vs 3.5).
Nova MD is stronger on support (7.0 vs 5.5).
Value, effectiveness, user experience and accessibility are within half a point.
Citizen Meds
7.7/10
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.
Citizen Meds has no FDA warning letter on record with us.
Features & Coverage
| Feature | Citizen Meds | Nova MD |
|---|---|---|
| Starting Price | $125/mo | $125/mo prepaid |
| Features | 1 features | ✓8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | ✓None | 1 letter |
About Citizen Meds
Citizen Meds is a GLP-1 and weight-loss injection seller offering semaglutide. The storefront is built on WooCommerce. Information is limited because the content is JavaScript-rendered.
Read our full Citizen Meds 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
Citizen Meds
What we like
- Semaglutide costs $125 a month, 32% below the $185 median for compounded semaglutide 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 and clinician visits
- We found no FDA warning letters issued to Citizen Meds
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
Citizen Meds wins this one, 7.7 to 7.4, above all for semaglutide at $125/month, 34% below the typical price. Nova MD fits better if semaglutide at $125/month, 34% below the typical price is your priority.
Choose Citizen Meds if…
You want semaglutide at $125/month, 34% below the typical price 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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Get started →Citizen Meds vs Nova MD: FAQ
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