- tracked the real cost
- read the fine print
Nova review
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.
- HSA / FSA-eligible
- Read every disclosure
- No insurance needed
Nova at a glance
- Semaglutide
- $198/mo all-in
- Tirzepatide
- $210/mo all-in
- Coverage
- 49 states — not California
- Brand-name
- Compounded only
How I scored Nova
Every factor here comes from Nova's own pricing, its disclosures and the signup I walked, and the six add up to the 57/100 Mom-Tested Score on the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.
Scores low here: getting started asks more of your week than most.
Scores low: pinning down the real ongoing number takes work.
Scores high on medication choice — the options that matter are covered.
Wide coverage, but worth confirming your own state before you commit.
Support is the weakest part of this provider's score.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
How I verified this review
- Last verified
- September 2026
- Confidence
- medium
- Primary source
- www.trynova.co
First thing to clear up: this is not Nova MD. Different company, different owners, and Nova MD is the one with an FDA warning letter — this one has none. Nova sells a required $99 monthly membership plus medication, quoted all-in from $169 to $210 depending on whether you want a weekly shot or a daily oral dose. Then its own pages disagree about price three separate times, and two more products are advertised with pages that load empty and carry no price at all. The pricing page says you are only charged if you are prescribed; the refund policy says otherwise.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $198 | Weekly injection — all-inIncludes the medication, shipping and the required $99 monthly membership. The membership is not optional, so this all-in figure is the comparable one. |
| Compounded tirzepatide | $210 | Weekly injection — all-inAlso includes the required membership. Its own page then asks "What does the $279/mo include?" directly under this figure, so one page gives two prices for one product. |
| Oral semaglutide | $169 | Daily oral dose — all-inA daily route instead of a weekly injection, membership included. The same page separately puts the medication alone at $25 a month for the lowest strength, which with the membership would be $124 rather than $169. |
| Oral tirzepatide | $174 | Daily oral dose — all-inThe daily dual-agonist route, membership included, and the cheapest tirzepatide option here. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what Nova's public disclosures showed at last review, and they change often; confirm the current number on Nova's own site.
What I like
- A daily oral route for each molecule alongside the weekly injection, both priced
- Product pages quote all-in figures that already include the required membership
- Coverage now reaches 49 states, up from two
- Unlimited secure messaging, ongoing monitoring and managed refills inside the membership
- Free refrigerated shipping on every order, and no separate consultation fee
The caveats
- The semaglutide page leads with $198 while its own FAQ is headed "What does the $229/mo include?"
- The tirzepatide page repeats it, $210 above an FAQ headed "$279/mo"
- Two advertised products have pages that load empty with no price at all
- The pricing page says you are only charged if prescribed; the refund policy says otherwise
- The $99 membership is required, so no medication-only price really exists
- Easily confused with Nova MD, an unrelated company that does carry an FDA warning letter
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 — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. These are compounded from a licensed pharmacy — that's why the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are, and it's worth knowing that going in.
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'd rather a prescriber actually talk through nursing and pregnancy timing with you — that's what my #1 pick, CoreAge Rx, is built to do.
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.
A standing caveat, because I'm a mom writing this and not your doctor: GLP-1 meds aren't established as safe during pregnancy or breastfeeding, and every label advises against it. Nothing here changes that — 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. For most moms, CoreAge Rx is still the stronger all-round fit — and you can see them side by side in this head-to-head.
The bottom line for moms
Best for: Someone who wants a needle-free option and will get the monthly figure, and what happens if she is declined, in writing before starting.
If Nova isn't the one
Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxMy #1 pick
The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.
- Visit Pallas HealthMom-Tested Score86/100B+
Pallas is one of the few places that will sell you either the cheap compounded route or the real brand-name pen without making you pick a provider first — compounded semaglutide works out to about $199 a month and tirzepatide about $299, while actual Zepbound, Ozempic, Wegovy and Mounjaro sit alongside them at cash-pay prices from $1,069. The price genuinely doesn't climb as you titrate, Pallas says so plainly on its own site, and the clinician, dose adjustments, check-ins and messaging are all inside that one number with no membership fee stacked on top. Two clinicians are named and both check out in the federal NPI registry, the LegitScript badge it displays is a real one, and it publishes an actual refund policy — full refund if a clinician turns you down, and a $5 processing fee if you cancel a qualifying payment — which is more paperwork than most of this market bothers with. The two things to know before you commit: it bills every 12 weeks in $597 and $897 chunks rather than monthly, and it never names its compounding pharmacy.
- Visit Trimi HealthMom-Tested Score85/100B
The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.
Keep comparing Nova
Head-to-head & alternatives
Nova, answered
- Is this the same as Nova MD?
- No, and it matters. This site is run by NovaCure LLC. Nova MD, at a different web address, is run by JM Health Group LLC. They share a brand root and nothing else. Nova MD carries an FDA warning letter naming its own domain and email; this company does not. If you are researching one, make sure you are reading about the one you mean.
- What does it cost?
- A required $99 monthly membership plus the medication. The product pages quote all-in figures that already include it: $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. Those all-in numbers are the ones to compare, because the membership is not optional.
- Why does its own FAQ give a different price?
- Because two parts of the same page disagree, and it happens on both injection pages. The semaglutide page leads with "Starting at $198/mo" and its FAQ right below is headed "What does the $229/mo include?", explaining that the $99 membership covers care and the medication starts at $130 — which adds to $229. The tirzepatide page does the same, $210 above an FAQ headed "$279/mo". Get the number in writing.
- Am I charged if they turn me down?
- Its two documents say opposite things. The pricing page says "You're only charged if a licensed provider prescribes treatment." The refund policy says consultation and membership fees are generally not refundable once the clinical review is done, including where the provider declines to prescribe. That is the more expensive reading, and it is the one written into the policy.
- Why is there no price for the needle-free tablets?
- Because those two pages do not load. Nova advertises a weekly needle-free tablet for each molecule, and both product pages return an almost empty document with no price. Two of the six products it markets have no published cost at all. Until those pages work, treat the injection and the daily oral dose as the menu you can actually price.
Pricing, states and verification reflect Nova's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.