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10rx vs Nova MD

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
10rx logo

10rx

7.1
★★★3.6/5

Best for: budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons

Visit 10rx
VS
Nova MD logo

Nova MD

7.3
★★★3.7/5

Best for: lowest 3-month compounded pricing with an explicit microdose program

Visit Nova MD

10rx and Nova MD are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, 10rx starts lower at $99.67/mo versus $125/mo, and Nova MD edges ahead overall (7.3 vs 7.1 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

10rx

Injectablecompounded injection
$99.67/mo
semaglutide

Compounded; GLP-1 options as low as under $100/mo

Injectablecompounded injection
$149.67/mo
tirzepatide

Compounded GLP-1 + GIP

Nova MD

Compounded GLP-1 / semaglutide (1-month plan)Compounded
$175/mo
semaglutide
Compounded GLP-1 / semaglutide (3-month plan)Compounded
$125/mo
semaglutide
Compounded GLP-1 + GIP / tirzepatide (1-month plan)Compounded
$225/mo
tirzepatide
Compounded GLP-1 + GIP / tirzepatide (3-month plan)Compounded
$199/mo
tirzepatide

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What’s included

10rx

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Nova MD

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

10rx

7.1/10

Overall

Nova MD

7.3/10

Value25%

8.5A
vs
B
7.5

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

7.0A
vs
B
7.5

Trust & Safety15%

5.3A
vs
B
6.8

Accessibility10%

7.5A
vs
B
7.0

Support10%

6.4A
vs
B
7.9

Features & Coverage

Feature10rxNova MD
Starting Price$99.67/mo$125/mo
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
FDA WarningsNoneNone

About 10rx

10rx is a nationwide GLP-1 telehealth program offering compounded weight-loss medication at low flat monthly rates: semaglutide at $99.67/month and tirzepatide at $149.67/month, with NAD+ and sermorelin also offered for energy and recovery. You take a free online health quiz, a board-certified telehealth doctor reviews your history and prescribes if appropriate, and licensed pharmacy partners ship discreetly. 10rx says it ships to all 50 states, but it doesn't publish its operating company, name its pharmacies, or post a terms page.

Read our full 10rx review →

About Nova MD

Nova MD is a telehealth platform offering compounded semaglutide and tirzepatide on 1-month and 3-month plans, with an uncommon explicit microdose program for both molecules. All four GLP-1 prices are posted publicly, alongside sermorelin, NAD+, glutathione, and enclomiphene. Compounded semaglutide runs as low as $125/month on the 3-month plan and tirzepatide $199/month, with $50 off the first tirzepatide order.

Read our full Nova MD review →

Pros & Cons

10rx

What we like

  • Very low pricing — compounded semaglutide $99.67/month and tirzepatide $149.67/month
  • Free online health quiz with board-certified telehealth doctors reviewing eligibility
  • Offers NAD+ and sermorelin alongside GLP-1, for energy and muscle recovery
  • Says it ships to all 50 states with discreet delivery from licensed pharmacy partners

Watch-outs

  • Doesn't publish its legal operating entity, so accountability is hard to verify
  • Pharmacy partners are described as licensed but none are named
  • No terms-of-service page is posted, and FAQ answers load only via script
  • Compounded semaglutide and tirzepatide only — no brand-name or oral options
  • No LegitScript or third-party accreditation is shown on the site

Nova MD

What we like

  • On-page pricing published for all four SKUs (semaglutide and tirzepatide, 1- and 3-month)
  • $125/mo semaglutide and $199/mo tirzepatide 3-month plans rank among the cheapest in the market
  • $50 off first tirzepatide order shown publicly
  • Explicit microdose / low-dose program for both semaglutide and tirzepatide
  • Broader menu (sermorelin, NAD+, glutathione, enclomiphene) for longevity alongside GLP-1
  • FSA/HSA eligible and cancel-anytime billing with same-day doctor review

Watch-outs

  • Legal entity name and state of incorporation not disclosed
  • Compounding pharmacy not named — only 'accredited facilities'
  • LegitScript certification not confirmed (only 'Licensed US Providers' claims)
  • Per-state availability not listed
  • Compounded only — no brand-name Wegovy, Zepbound, Mounjaro, or Ozempic
  • Lab work and ongoing monitoring aren't clearly addressed
  • Patient count (1,241+) is an unverified marketing claim

Our Verdict

Winner: Nova MD

Nova MD edges out 10rx with a higher overall score of 7.3/10 and is particularly strong for lowest 3-month compounded pricing with an explicit microdose program. 10rx remains a solid alternative, especially if you're looking for budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons.

Choose 10rx if…

You want budget-focused patients who want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons and a starting price around $99.67/mo.

Choose Nova MD if…

You want lowest 3-month compounded pricing with an explicit microdose program and a starting price around $125/mo.

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7.4

Breeze Meds

Compounded GLP-1 access with named prescribers and 4-pharmacy network

8.1

GobyMeds

Budget-conscious shoppers

7.6

RNK Health

Compounded GLP-1 alongside NAD+, peptide and longevity add-ons

10rx vs Nova MD: FAQ

Key terms, explained

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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.