Nova review

The daily oral dose is the reason to read this one. It is the only product in the catalog where an actual amount of drug is printed against a price — micrograms of semaglutide a day, a fraction of a milligram of tirzepatide — and it costs less than the weekly injection, so here the needle-free route is also the cheaper one. Everything is quoted all-in, with the medication, refrigerated shipping and the monthly care membership inside a single figure, which makes comparison with stacked-fee sellers straightforward. What is not straightforward is which figure applies to the injection. Three price sets are live at the same time: the number on the product page, an older pair inside that page's own questions, and a third set in the checkout code, and the arithmetic printed under the older pair does not add up to the newer one. Every injection figure is a starting-at floor the seller says rises with the dose, and no table anywhere maps a dose to a price, so a maintenance dose cannot be costed in advance. Coverage is stated precisely, at forty-nine states with the one exclusion named.

Vs median

$3/mo below the $172 median across the 254 of 393 programs we track that publish a plain monthly rate

Market

$59–$1300/mo is the full published spread in our ranking

Structure

Charges less for less

Consult

Included in the price

Dietitian

Not included

Labs

Not required

Pricing

Varies by dose, plan or tier

Price last updated

September 2026

Nova dispenses through a 503A stated as the class — no pharmacy named facility. No bloodwork is required before you start. A clinician review is included in the price.

Nova sells compounded semaglutide and compounded tirzepatide as weekly injections and as daily oral doses, and the oral line is the reason to read the row: it is the only place in this catalog where an actual amount of drug is printed against a price, at 36 or 145 micrograms of semaglutide a day and 0.4 mg of tirzepatide, and it is cheaper than the injection. Everything is quoted all-in, with the $99 monthly care membership, the medication and refrigerated shipping inside one figure, which makes the comparison with stacked-fee sellers straightforward. What is not straightforward is which figure applies. Three price sets are live at the same time — the figure on the product page, an older pair inside that page's own questions, and a third set in the checkout code — and the arithmetic printed under the older pair does not add up to the newer one. Every injection figure is a starting-at floor that the company says rises with the dose, and no table anywhere maps a dose to a price, so a maintenance dose cannot be costed in advance. No pharmacy is named; 503A is stated as the class, and a medical director and a nurse practitioner are named with their specialties.

THREE PRICE SETS ARE LIVE AT ONCE — the product page's figure, an older pair inside that page's own questions, and a third set in the checkout code — and the arithmetic under the older pair does not reach the newer one

• Every injection figure is a starting-at floor that the company says rises with the dose, and no dose-to-price table exists anywhere, so a maintenance dose cannot be costed
• One page says the medication is billed separately from the $165 program while the product page for the same thing says the medication is included
• "You are only charged if a provider prescribes" sits against a refund policy making membership and consultation fees non-refundable even when the provider declines
• Two products listed in the site's own index render as not found, and one page still says care is available in two states on a site claiming forty-nine
• The support address is printed with the wrong domain ending on one page and correctly everywhere else, and no phone number is published
• No compounding pharmacy and no medical group is named
• A previous peptide line was withdrawn and the pages remain listed rather than removed
• Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven

Nova is one of 393 low-dose GLP-1 programs we track, and 254 of them publish a monthly rate you can read before signing up. The ranking lists every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to.

Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.

• Oral semaglutide (Rybelsus)
• What microdosing GLP-1 costs
• Sublingual troches and drops
• Microdose & reconstitution calculator
• The true annual cost of a plan