Alternatives · compared for moms
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 has none. Nova sells a required $99 monthly membership plus medication, quoted all-in at $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection and $210 for the weekly tirzepatide injection. Having a daily oral route beside the weekly shot is genuinely useful if needles are the sticking point, and coverage has just widened to forty-nine states with California still to come. Then the pricing stops agreeing with itself. The semaglutide page leads with $198 above an FAQ headed "What does the $229/mo include?", and the tirzepatide page repeats it with $210 above one headed "$279/mo". Two more products, the needle-free weekly tablets, are advertised in the navigation while both their pages load almost empty with no price at all. And the pricing page promises you are charged only if a provider prescribes, while the refund policy says the fees are not refundable even if they turn you down.
Someone who wants a needle-free option and will get the monthly figure, and what happens if she is declined, in writing before starting.
Our featured partner
A featured partner advertising compounded semaglutide at $79 and tirzepatide at $129 a month, with the same price at every listed dose, supplies and shipping included.
Semaglutide from $79/mo · Tirzepatide from $129/mo
Matched on what Nova offers: medications, brand-name access, the video visit, an oral option, price and where it serves. Each one links to our full review.
Semaglutide from $179/mo · Tirzepatide from $239/mo
Three formats with a full table, semaglutide $179/mo — but the guarantee has no written conditions and no states are listed.
Why it's here: the same medications, compounded medication, no video visit and a similar price.
Semaglutide from $169/mo · Tirzepatide from $169/mo
Two things stand out. Tirzepatide costs exactly what semaglutide does — both from $169 a month.
Why it's here: the same medications, compounded medication, no video visit and a similar price.
Semaglutide from $199/mo · Tirzepatide from $249/mo
Monthly plans are $199 for semaglutide and $249 for tirzepatide. Lower advertised rates require paying for three months upfront: $299 or $447 total.
Why it's here: the same medications, compounded medication, no video visit and a similar price.
Semaglutide from $179/mo · Tirzepatide from $279/mo
Compounded semaglutide at $179 a month and tirzepatide at $279 month to month, the same at every dose and down to $135 and $199 on a 6-month plan paid up front — and it names its compounding pharmacies (Hallandale Pharmacy, VialsRx).
Why it's here: the same medications, compounded medication, no video visit and a similar price.
No recurring price we could quote
Semaglutide is $59/month and tirzepatide $69 at any dose, plus a required $199 annual membership after a 21-day trial.
Why it's here: the same medications, compounded medication and no video visit.
No recurring price we could quote
Semaglutide is $717 upfront every three months and tirzepatide $1,197, equivalent to $239/$399 per month. Six-month plans cost $1,194/$2,214 upfront, equivalent to $199/$369 per month; published injection doses share the same price.
Why it's here: the same medications, compounded medication and no video visit.
Among the providers we list, PepHaus, Trellis Vitality and Obu Health list semaglutide for less than Nova's $198 a month. Prices change, so confirm the full charge and supply length before you pay.
Some providers we list are partners, and we may be paid when you sign up through our links. That can affect which providers we feature. Prices are the providers' own published figures and change often. Scores are our editorial judgment per the methodology. Not medical advice; see our disclosure.