Nova review

What I actually think of Nova

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. It runs about $198/month.

I look at Nova the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and canceling without a fight. That's the stuff a generic weight-loss review skips right over.

What Nova really costs

• Compounded semaglutide — Weekly injection — all-in: $198/mo
• Compounded tirzepatide — Weekly injection — all-in: $210/mo
• Oral semaglutide — Daily oral dose — all-in: $169/mo
• Oral tirzepatide — Daily oral dose — all-in: $174/mo

That's about in line with the ~$179/month middle of my shortlist.

Which meds Nova prescribes

Nova prescribes semaglutide and tirzepatide. They work differently; a clinician should assess the indication, medical history, contraindications and practical access before choosing between them. Compounded GLP-1s are not FDA-approved finished products like Wegovy and Zepbound. Ask who dispenses the prescription and why a compounded formulation is appropriate for your situation.

There's a needle-free sublingual option too, which is a relief if injections are the thing stopping you — just set expectations honestly: the under-the-tongue versions are far less studied than the shots the trials actually used.

Who Nova is — and isn't — for

A good fit if…

• you might need to move between semaglutide and tirzepatide as your body and hormones shift.

Look elsewhere if…

• you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
• you want to compare another option before deciding — review the published terms and support offered by CoreAge Rx, our featured partner, alongside this provider.

Can you trust it?

My confidence is middling — the core facts hold up, but some details (per-state availability, how the program really runs) aren't fully public. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.

Pregnancy plans and breastfeeding need a product-specific discussion with your prescriber. Lactation guidance differs by medicine and formulation; limited milk-transfer studies do not establish long-term safety for every infant. See the breastfeeding evidence guide and plan the timing with your own clinician.

So, would I use it?

Nova is a reasonable option — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. If you want a second option, CoreAge Rx is our featured partner — you can see them side by side in this head-to-head.