Nova Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.3/10
Best for: Texas and Florida patients who want all-in pricing with the monthly membership included
Nova scores highest on price and lowest on availability, and it serves 2 states. Its compounded tirzepatide costs $127 a month, 53% below the $269 median among the sellers we compare.
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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
Prices checked October 2026
NovaCure LLC, trading as Nova, now serves only Texas and Florida. It charges a $50 monthly Nova Care membership and bills medication separately, and its weight-loss pages quote all-in starting prices of $127 a month for daily sublingual semaglutide or tirzepatide and $152 for weekly semaglutide injections. Its own pages give conflicting figures for the same products. It names its medical director and nurse practitioner.
Is Nova legit?
Yes. Nova is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 8.3/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a Nova promo or coupon code?
We know of no promo or coupon code for Nova. Its listed price is $127 a month. Coupon sites advertising "Nova discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Nova compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to Nova
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Ivim Health
Best for: coaching and unlimited provider visits bundled into a 12-month compounded program
Editorial score · methodology
Nova at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $127/mo
- Pricing model
- Rises with the dose: higher doses cost more
- What's included
- Medication · Consult · Shipping
- Availability
- 2 states
- FDA status
- No FDA warning letters found
How Nova scores
Six columns, each one computed from something Nova has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
10.0/10$127/month is 53% below the $269 median for compounded tirzepatide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
7.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
2.3/10Serves 2 of 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Nova
Last checked October 2026- Checked the listed price across 3 dose or plan tiers
- Checked state coverage: 2 states
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for Nova
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Nova involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Nova shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Ask Nova which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes the medication, clinician visits and shipping.
- Lowest ongoing monthly price: semaglutide $127, tirzepatide $127. That leaves out membership fees, first-month rates and insurance copays.
- Nova serves 2 of 50 states, so check that yours is one of them.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting Nova
- Nova offers email support
Cancelling Nova
Taken from the terms Nova publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None; membership renews monthly
- Refund policy
- Membership fees not refunded after clinical review; medication refunded in full if canceled before compounding begins
- Early-termination fee
- None
Medications Nova lists
Nova lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
Compounded Semaglutide page: "From $152/mo Includes medication, shipping & your $50/mo Nova Care membership. Final cost depends on the dose your provider prescribes." All-in, membership included. The same page's FAQ says "$229/mo" with medication from "$130/mo".
Semaglutide Oral Daily Dose page: "From $127/mo Includes medication, shipping & your $50/mo Nova Care membership." All-in, membership included. The page's FAQ gives medication at "$25 monthly (28-count of 36 mcg)".
Tirzepatide Oral Daily Dose page: "From $127/mo Includes medication, shipping & your $50/mo Nova Care membership." All-in, membership included. The page's FAQ gives medication at "$45 monthly (28-count of 0.4 mg)".
Check the price yourself before you pay
Every figure here comes from Nova's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- Semaglutide costs $127 a month, 36% below the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $127 a month, 53% below the $269 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
- We found no FDA warning letters issued to Nova
Against it
- Serves only 2 states, so check that yours is one of them
- 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
What Nova charges
The standing price at Nova is $127/month. That sits at the affordable end of what we see.
- Compounded semaglutide (injection): $152/month
- Compounded semaglutide (sublingual): $127/month
- Compounded tirzepatide: $127/month
For compounded tirzepatide, the median across the sellers we compare is $269/month, so Nova's $127 is genuinely below the middle, not just advertised that way. Before you pay, compare Nova's cancellation terms with other sellers' cancellation and refund policies. For scale, the dearest tenth of compounded sellers charges about three times the cheapest tenth.
bmiMD, at about $129/month, is the closest like-for-like alternative we review.
What Nova dispenses
Nova prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two best-evidenced weight-loss molecules currently on the market. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
A needle-free oral option is genuinely uncommon and is the reason some readers will look at Nova at all. Set expectations on the evidence, though: the published weight-loss trials for these molecules used injections. Oral and sublingual delivery of peptides is far less studied, so treat it as a route that solves the needle problem rather than as a proven equal to the shot. No human absorption study of sublingual semaglutide drops has been published.
Safety and disclosure
Nova tells you its price before you start the medical questionnaire and the 2 states it serves. We found no FDA warning letters issued to Nova. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If Nova will not tell you, treat that as a warning sign. Once you have the pharmacy's name, 503A vs 503B explains which regulator oversees it and how to check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Nova bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- injections are the thing keeping you from starting
Our read
Nova competes on price without an obvious sacrifice elsewhere: $127/month, no FDA warning letters.
The Bottom Line
Nova scores highest on price and lowest on availability, and it serves 2 states. Its compounded tirzepatide costs $127 a month, 53% below the $269 median among the sellers we compare.
Before you pay Nova
Starting at $127 a month. Check today's price, then start the intake.
Where Nova is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Ivim Health.
If none of these fits, our guide to alternatives to Nova sets more sellers in the same category beside Nova on price, states and what the price includes.
Frequently Asked Questions
How to check Nova yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- How to Read a Peptide Certificate of Analysis (and What It Cannot Prove)
- FDA Warning Letters to Peptide Sellers: What FDA Has Cited, 2023 to 2026
Every seller that ships to your state, side by side: Florida, Texas.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Nova review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See Nova's current pricing
Plans start at $127 a month. Whether you qualify is a clinician's decision, made after your intake.