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This GLP
Updated September 2026Two states, prices moved

Nova review

The injection figures include a required care fee, and three of four rates changed between checks.

The verdict

Nova covers two states. Its injection rates include a required care fee. Three of its four figures moved between checks, the injections upward.

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Category
GLP-1 telehealth
Molecule
Semaglutide · Tirzepatide
Form
Injection · Oral
Dose pricing
Rises with dose
States
2
Injection
From $229/mo
Oral
From $139/mo
Prescription
Required
Compounded
Yes — not FDA-approved

Nova sells compounded semaglutide and compounded tirzepatide in two forms. Injectable semaglutide is $229 a month. The oral is $139. Injectable tirzepatide is $279 and its oral is $159. Two states are served.

  1. Who writes the prescription, and what do they see?

    Treatment is arranged remotely. A prescription precedes the first shipment. The oral ships on provider approval. The pages do not describe who gives it.

    The service is remote and every product is compounded. The injection rates are described as all-in: medication, shipping and a required Nova Care fee. A required fee named inside the price is better than one added at checkout.

  2. What happens when the dose goes up?

    The price scales with the dose. Nova says so. Most patients escalate inside sixteen weeks, so the opening figure is a starting point rather than a monthly cost.

  3. What the price includes

    Two things matter more than the headline. The first is the care fee. It is required, and Nova folds it into the injection figures rather than adding it at checkout. So $229 is closer to a real monthly cost than a bare medication rate. The second is movement. Injectable semaglutide went from $198 to $229 and tirzepatide from $210 to $279 between checks, while the orals fell. A price that moves that much in one interval is a price to confirm on the day.

  4. What it claims, and what it cites

    Both molecules are compounded. A pharmacy prepares them. The FDA does not review them before dispensing. The oral tirzepatide is described as a sublingual microdose, and sublingual milligrams are not interchangeable with injectable milligrams. Nova states that itself.

Where it holds up, and where it does not

  • Strength: Required care fee folded into the price
  • Strength: Oral rates well below the injections
  • Strength: Sublingual dosing difference stated plainly
  • Limitation: Two states only
  • Limitation: Injection rates rose between checks
  • Limitation: Price scales with the dose

What the evidence says about this kind of treatment

The assessment above is about Nova. These are about the drugs it sells, and they are traced to the primary literature.

Right for
A reader in one of the two states Nova covers who wants the service fee already inside the figure.
Wrong for
A reader outside those two states, and a reader who needs a rate that stays put.

How Nova compares

SellerWho it suitsGo
Wholesome ClinicA reader who wants to see what a higher dose costs before starting, rather than discovering it in month three.See Wholesome Clinic
Zera HealthA reader who reads the dose qualifier before the figure, since the $129 line is described as low-dose rather than as the standing rate.See Zera Health
Revel HealthA reader who wants an oral and expects to pay less for it, which on this seller is what happens.See Revel Health
Compare all providers side by side →

More GLP-1 telehealth sellers reviews: Lean MedsLibertyMaximusNextMedsPallas HealthPlushCare

Sponsored alternative

Synergy Rx

A reader who wants the oral and injectable rates for both molecules stated up front rather than after an intake form.

Check Synergy Rx availability →

Frequently asked

What is the Nova Care fee?
A required charge Nova folds into its injection rates rather than adding at checkout. It is why $229 is closer to a real monthly cost than a bare medication figure elsewhere.
Did the prices change?
Three of four moved between checks. Injectable semaglutide went from $198 to $229 and tirzepatide from $210 to $279. Both orals fell. Confirm the figure on the day.
Is the sublingual dose the same as the injection?
No, and Nova says so. Sublingual milligrams are not interchangeable with injectable milligrams.
Is Nova expensive compared with other GLP-1 telehealth sellers?
Nova publishes a starting figure of $139/mo. Across the 32 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $76 to $299 with a median of $139, which puts Nova right at the median. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.
Glenn TorresStandards editor · Reviewed and last verified September 2026

How this was assessed. The four questions above are answered from Nova’s own publicly-stated model, against the published editorial methodology. No ratings are fabricated and no first-hand outcomes are claimed. A partnership never changes the assessment — see how we make money.