Nova review
Every figure includes a required care fee, and each oral is priced below its injection.
The verdict
Nova covers two states. Its injection rates include a required care fee. Each oral is priced below its injection.
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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.
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.
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.
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 the form. Each oral costs less than its injection, by $90 on semaglutide and $120 on tirzepatide. Every figure includes the same $99 membership.
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: The injections cost more than the orals
- 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 wants the medication priced without a membership.
The evidence behind what Nova prescribes
These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation.
- Cochrane Review of Semaglutide for Obesity: 18 Trials Graded
A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower.
- Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?
In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points.
How Nova compares
| Seller | Who it suits | Go |
|---|---|---|
 Wholesome Clinic | A reader who wants to see what a higher dose costs before starting, rather than discovering it in month three. | See Wholesome Clinic → |
 Zera Health | A reader who budgets from the monthly rate printed beside the first-month offer. | See Zera Health → |
 Revel Health | A reader who wants an oral and expects to pay less for it, which on this seller is what happens. | See Revel Health → |
More GLP-1 telehealth sellers reviews: OrderlyMedsOria MedsOurView HealthOxford's Medical Weight Loss (The Calibrate Clinic)Ozari HealthPallas Health
Sponsored alternative
SkinnyRx
Readers choosing tirzepatide, the one line with a published standing rate
Check SkinnyRx 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.
- What is inside each figure?
- A medication price plus the $99 Nova membership. Semaglutide medication starts at $130 by injection and $40 as an oral.
- 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 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts Nova below the median, toward the cheaper end. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.