Cost Plus Drugs vs Novi
An in-depth comparison of two leading GLP-1 Providers
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Cost Plus Drugs
Best for the cheapest transparent-pricing brand-name Ozempic channelStarting at $279/mo
Novi
Best for transparent all-in compounded GLP-1 pricingStarting at $174/mo
Side-by-Side Comparison
| Feature | Cost Plus Drugs | Novi |
|---|---|---|
| Overall Score | 8.5/10 | ✓8.6/10 |
| Starting Price | $279/mo | ✓$174/mo |
| Editorial Rating | 4.3 ★ /5 | 4.3 ★ /5 |
| Features | 5 features | 5 features |
| States Available | ✓50 | 0 |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
Cost Plus Drugs
What we like
- Transparent pricing: wholesale cost + 15% markup + $5 pharmacy fee, the same for everyone
- Around $279/mo for branded Ozempic — well below typical retail list prices
- Mark Cuban's PBM-disrupting pharmacy, praised by Forbes Health, Wired, and KFF Health News
- Ships to all 50 states; genuine FDA-approved Novo Nordisk Ozempic, not compounded
- Partnered with 9amHealth so you can get prescribed and fill at Cost Plus pricing
Watch-outs
- Fulfillment only — no telehealth intake; you need a prescription from an outside clinician
- Ozempic is FDA-indicated for type 2 diabetes, not weight management — weight-loss use is off-label
- Wegovy availability has been spotty — check current stock before assuming it ships
- No compounded semaglutide or tirzepatide — brand only
- No clinical follow-up — side-effect monitoring falls to your prescribing clinician
Novi
What we like
- Transparent all-in monthly pricing — medication, clinician support, and shipping bundled with no hidden fees or membership add-ons
- Both compounded semaglutide and tirzepatide available
- Unlimited clinician messaging included at no extra cost
- Free 2-day shipping on every refill
Watch-outs
- Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
- 3-month minimum commitment is non-refundable per Terms of Service unless a clinician deems treatment medically inappropriate
- State availability and pharmacy partners not publicly listed — patients learn during intake which states and pharmacies serve them
Our Verdict
Novi edges out Cost Plus Drugs with a higher overall score of 8.6/10 and is particularly strong for transparent all-in compounded GLP-1 pricing. Cost Plus Drugs remains a solid alternative, especially if you're looking for the cheapest transparent-pricing brand-name Ozempic channel.
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
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.