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Nova review
First, the confusion: 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 carries 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. A daily oral route beside the weekly shot is genuinely useful, 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 further products, the needle-free weekly tablets, are advertised in the navigation while both 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 when you are declined.
- HSA / FSA-eligible
- Editor-vetted
- No insurance needed
Nova at a glance
- Semaglutide
- $198/mo all-in
- Tirzepatide
- $210/mo all-in
- Coverage
- 49 states — California excluded
- Start
- Not published
How we scored Nova
Each factor is read off Nova's published pricing, disclosures and intake flow, and the six roll up into the 59/100 Rx-Readiness Score on the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.
The weakest showing on speed — a slow published timeline, or none at all.
Tiered or opaque — the true monthly is hard to pin down up front.
The hardest start to fit around a workday — a scheduled visit, or no published answer either way.
Broad coverage, but not a confirmed all-50 footprint.
Semaglutide and tirzepatide on one account — switch without re-signing.
Exit terms are the weak point: lock-in, notice periods, or a cancellation path that isn't published.
How we verified this review
- Last verified
- September 2026
- Confidence
- medium
- Primary source
- www.trynova.co
First: this is not Nova MD. Different company, different owners, and Nova MD is the one carrying an FDA warning letter. Nova sells a required $99 monthly membership plus medication, quoted all-in from $169 to $210 depending on weekly injection or daily oral dose. Its own pages then disagree about price three separate times — $198 above a "$229" FAQ, $210 above a "$279" FAQ — and two advertised products have pages that load empty with no price. The pricing page says you are only charged if prescribed; the refund policy says otherwise.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutideWeekly injection — all-inIncludes medication, shipping and the required $99 monthly membership. The membership is mandatory, so the all-in figure is the comparable one. | $198 | Weekly injection — all-inIncludes medication, shipping and the required $99 monthly membership. The membership is mandatory, so the all-in figure is the comparable one. |
| Compounded tirzepatideWeekly injection — all-inAlso includes the required membership. Its own page then asks "What does the $279/mo include?" directly beneath this figure — one page, two prices for one product. | $210 | Weekly injection — all-inAlso includes the required membership. Its own page then asks "What does the $279/mo include?" directly beneath this figure — one page, two prices for one product. |
| Oral semaglutideDaily oral dose — all-inA daily route rather than a weekly injection, membership included. The page separately puts the medication alone at $25 a month for the lowest strength, which with the membership would be $124 rather than $169. | $169 | Daily oral dose — all-inA daily route rather than a weekly injection, membership included. The 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 tirzepatideDaily oral dose — all-inThe daily dual-agonist route, membership included, and the cheapest tirzepatide option on the menu. | $174 | Daily oral dose — all-inThe daily dual-agonist route, membership included, and the cheapest tirzepatide option on the menu. |
HSA/FSA generally applies to GLP-1 telehealth; confirm with your plan. These figures are Nova's public disclosures at last review and change often; confirm the current number on Nova's own site.
What we 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 is available
- Easily confused with Nova MD, an unrelated company that does carry an FDA warning letter
Nova for working moms: our verdict
First, the confusion: 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 carries 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. A daily oral route beside the weekly shot is genuinely useful, 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 further products, the needle-free weekly tablets, are advertised in the navigation while both 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 when you are declined. It runs about $198/month.
We weigh Nova the way working moms actually have to: not just the monthly line on your budget, but how fast you can start without a scheduled video visit and a flat monthly price that doesn't climb as your dose does — the parts a generic review does not measure.
What Nova will cost you
- 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 roughly in line with the ~$179/month median across our roster.
The medications Nova prescribes
Nova prescribes semaglutide and tirzepatide — the two best-evidenced molecules in the class, and having both on one account matters because you can switch between them without re-enrolling or hunting down a new provider mid-plan. These are compounded formulations from a licensed pharmacy — the reason the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are.
A needle-free oral or sublingual option is on the menu, which draws in working moms who've been avoiding injections — just set expectations: oral and buccal delivery of these peptides is far less studied than the injectable versions the trials used.
Where Nova fits — and where it doesn't — for working moms
Right for you if…
- you want a straightforward semaglutide and tirzepatide program and will confirm the details before you commit.
Not your best option if…
- you specifically want an FDA-approved brand pen and insurance navigation.
- you'd rather the most predictable place to start and pause — which is exactly what our #1 pick, CoreAge Rx, is designed around.
Trust, safety, and the fine print
Our confidence is moderate — the core facts check out, but some details (per-state availability, program mechanics) aren't fully public. As with any compounded GLP-1, the most useful thing working moms can do is confirm which licensed pharmacy fills the prescription and what's in the formulation — we explain how we weigh oversight in our scoring methodology.
A standing caveat for working moms: GLP-1 medications aren't established as safe during pregnancy or breastfeeding, and every label advises against use. Nothing here changes that — plan the timing with your own clinician.
The bottom line
Nova is a reasonable option — weigh it on how fast you can start without a scheduled video visit and a flat monthly price that doesn't climb as your dose does against the alternatives below. For most working moms, CoreAge Rx remains the stronger all-round fit — see why it tops our ranking.
The bottom line for working moms
Best for: Someone who wants a needle-free route and will confirm the monthly figure, and the refund position if declined, in writing before starting.
Alternatives to Nova
Providers we have a referral relationship with, ordered by Rx-Readiness Score — highest first. A fee never moves a score, but it does decide who appears here, so this is not the full list: see the complete ranking.
- Visit CoreAge RxRx-Readiness95100CoreAge RxOur #1 pick
The shortlist pick: one flat price that doesn't climb as your dose does, both molecules on a single plan, and a nationwide async intake you can finish on a break.
- Visit Pallas HealthRx-Readiness89100
Pallas Health removes the two things that usually cost a working parent the most time: it publishes every price before intake, and it runs care asynchronously in 43 of 50 states, so there's no video appointment to wedge into a workday. Compounded semaglutide averages about $199 a month and tirzepatide $299, and unusually the genuine FDA-approved pens sit alongside them — Zepbound $1,069, Ozempic $1,299, Wegovy and Mounjaro $1,349 — all cash-pay from the same clinician. The price is flat at every dose, so a titration never produces a surprise bill, and the plan figure already contains the clinician, dose adjustments, check-ins and messaging with no membership fee. Its cancellation terms are unusually concrete: cancel free through the portal, keep access to the end of the paid period, full refund if a clinician declines you, and a $5 processing fee on a qualifying refund. The trade-offs are that billing lands every 12 weeks in $597 and $897 blocks rather than monthly, the compounding pharmacy is never named, and insurance is never billed.
- Visit Trimi HealthRx-Readiness88100
The price-first partner: some of the lowest flat, all-inclusive compounded pricing we track, nationwide and async — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
Keep comparing Nova
Head-to-head & alternatives
Nova, answered
- Is this Nova MD?
- No. This site is operated by NovaCure LLC; Nova MD, at a different address, is operated 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.
- What does it cost?
- A required $99 monthly membership plus medication. Product pages quote all-in figures including it: $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection, $210 for the weekly tirzepatide injection. Compare the all-in numbers, because the membership is not optional.
- Why does the FAQ quote a different price?
- Two parts of the same page disagree, on both injection pages. The semaglutide page leads with $198 above an FAQ headed "What does the $229/mo include?", explaining the $99 membership plus medication from $130 — which is $229. The tirzepatide page does the same with $210 above "$279/mo". Get the figure in writing.
- Am I charged if declined?
- The documents disagree. 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 complete, including where the provider declines. That is the more expensive reading and it is the one in the policy.
- Why is there no price for the needle-free tablets?
- Those 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. Until they work, treat the injection and daily oral dose as the priceable menu.
Pricing, states and verification reflect Nova's public disclosures at last review; the Rx-Readiness Score is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.