Nova Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7/10
Best for: Texas and Florida readers who want needle-free GLP-1 options at an all-in price
Nova scores highest on the strength of its clinical program — drug options and dosing support.
Semaglutide
Tirzepatide
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
No insurance needed · Vetted by our editors
Nova (NovaCure LLC) is a Texas- and Florida-only telehealth platform selling compounded semaglutide and tirzepatide in three formats each — weekly injection, weekly needle-free sublingual tablet, and a daily sublingual microdose — alongside hair, sexual-health and peptide programs. Every price is all-in, covering medication, shipping and the required Nova Care fee, and the weight-loss line runs from $156 to $210 a month.
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Vetted alternatives to Nova
Telos Rx
Best for: Needle-free, microdosed compounded GLP-1 with lab-monitored care
Editorial score · methodology
Editorial score · methodology
RNK Health
Best for: compounded GLP-1 alongside NAD+, peptide and longevity add-ons
Editorial score · methodology
Nova at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $156/mo (First 3 months of medication ship and bill together at $269 on provider approval.)
- Pricing model
- Scales with dose — higher doses cost more
- What's included
- Medication · Consult · Shipping
- Availability
- 2 states
- FDA status
- No FDA warning letter on record
How we scored Nova
Each dimension is scored algorithmically from Nova’s real pricing, drugs offered, verification status, and disclosed inclusions — using the same six-dimension framework we apply to every provider.
Value25%
7.1/10At $156/mo, Nova runs about 8% below the $169 median for GLP-1 providers. Note the price scales with dose, so budget for higher tiers as you titrate.
Effectiveness25%
7.8/10Nova offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes. An oral/needle-free option is offered for patients who avoid injections.
User Experience15%
7.4/10Online intake and platform experience — app/portal-based, consult included in the price; 6 platform features disclosed.
Trust & Safety15%
7.6/10Core details confirmed by our editors; no FDA warning letters on file; dispenses through an accredited compounding pharmacy (last checked 2026-08-21).
Accessibility10%
5.2/10Nova operates in a limited 2-state footprint — check availability first.
Support10%
5.5/10Nova provides standard clinician follow-up; no extended coaching or community program is disclosed.
Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →
How we verified this Nova review
Last checked August 2026- Confirmed current pricing across 6 dose/plan tiers
- Confirmed availability in 2 states
- Confirmed what the monthly price does and doesn't include
- Checked the FDA warning-letter database for enforcement actions
- Walked the public intake/checkout flow on the provider's site
Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records — see the sources below. Editorial confidence in this data: medium.
What to expect when you sign up with Nova
We walked Nova’s public signup flow in August 2026 to document the process — the steps, pricing transparency, and what’s required — before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)
- 1Open the weight-loss questionnaire from any 'Get started' button on the site.
- 2Give date of birth and sex, then email and ZIP code, then height and weight.
- 3Work through roughly twenty medical-history screens: conditions, drug allergies, current medications as free text, prior GLP-1 use, and pregnancy and thyroid screens.
- 4Answer preference questions — injection versus needle-free, weekly versus daily, and how much weight you want to lose.
- 5The questionnaire then recommends a treatment and shows the full priced menu of nine products before any payment method is entered.
- 6Choose a treatment, add a payment method, then sign consent forms to submit — the funnel states this order explicitly.
- Nine products are priced on one screen after the questionnaire, each labeled 'medication, shipping & Nova Care included' — no separate membership line.
- Compounded semaglutide is pre-selected and marked '(Recommended)'.
- The public /pricing page presents a $99/mo membership plus medication 'STARTING AT $156/mo'; at checkout $156 is simply the all-in price of semaglutide RDT.
- Three non-GLP-1 adjuncts are offered alongside — Lipo-Mino-Mix-C $171, methylcobalamin B12 $165 and MICC $168 a month.
- The RDT tablets bundle early months into a single upfront charge, disclosed on the card before selection.
- Service is limited to Texas and Florida, stated in the site footer but not on the pricing page.
- A site-wide 10% first-time promotion (code SAVE10) runs above the fold.
Nova customer support
- support@trynova.co
GLP-1 medications Nova offers
Tap any medication to read our plain-English guide — how it works, dosing, side effects, and what the trials found.
Pricing
Prices re-verified
All-in: medication, shipping and the required Nova Care fee.
First 3 months of medication ship and bill together at $269 on provider approval.
Provider picks the strength; sublingual mg are not interchangeable with injectable mg.
All-in: medication, shipping and the required Nova Care fee.
First 2 months of medication ship and bill together at $319 on provider approval.
Daily dual GLP-1 + GIP microdose; sublingual mg are not interchangeable with injectable mg.
Ready to get started?
Plans and promotions change often — check Nova's current pricing and active discounts before you decide.
What we like
- Every price is all-in — medication, shipping and the required Nova Care fee are in the number you see, with no separate membership line at checkout
- Three formats per molecule: weekly injection, weekly needle-free sublingual tablet, and a daily sublingual microdose
- Six compounded GLP-1 options priced $156 to $210 a month, all shown before you pay
- States its service area plainly in the footer — Texas and Florida
- iOS and Android apps for messaging your care team and tracking orders
- Free refrigerated shipping on every order and no separate consultation fee
- Discloses clearly that the FDA does not approve compounded medications
- Tells you plainly that sublingual mg are not interchangeable with injectable mg — a real safety point most sellers skip
Watch-outs
- Only available in Texas and Florida — most readers cannot buy here at all
- The two RDT tablets bundle their first months into one upfront charge: $269 for 3 months of semaglutide, $319 for 2 months of tirzepatide
- Its pricing page splits a $99 membership from medication, but checkout charges a single all-in figure, so the two do not reconcile
- The pricing page promises you are only charged if a provider prescribes, but the refund policy says membership fees are not refunded if they decline
- The refund policy still refers to patients 'located outside Texas', so it has not been updated since Florida was added
- The compounding pharmacy is described only as a state-licensed 503A facility and is never named
- Oral daily strengths are provider-selected (36 or 145 mcg) and the site does not say which you will get
Is Nova worth it? Our verdict
Nova positions itself around one thing: Texas and Florida readers who want needle-free GLP-1 options at an all-in price. It runs $156/month. Its standout is a needle-free oral option, which very few providers offer.
What gives Nova its own flavor: Needle-free option, Mobile app, and TX & FL only.
How much Nova actually costs
- Compounded semaglutide — $198/month
- Oral semaglutide — $156/month
- Oral semaglutide — $169/month
- Compounded tirzepatide — $210/month
- Oral tirzepatide — $209/month
- Oral tirzepatide — $174/month
That's roughly in line with the ~$169/month median across the GLP-1 providers we track.
For a direct comparison, SkinnyRx runs semaglutide and tirzepatide from $149.25/month — worth pricing against Nova before you commit.
Medications: what Nova prescribes
Nova prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the two most-studied weight-loss molecules on the market today. The medication is compounded at a licensed pharmacy rather than sold as a brand pen, which is what keeps the price down. The trade-off is the one every compounded provider shares: compounded drugs aren't FDA-approved as finished products.
Nova's needle-free oral option is a real draw if you've been avoiding a GLP-1 because of injections. Just set expectations on the science: oral and buccal delivery of these peptides is far less studied than the injectable versions the trials used, so treat it as a convenience option rather than a proven equal to the shot.
Who Nova is best for — and who should skip it
A good fit if you…
- are needle-averse and want a non-injectable option.
Look elsewhere if you…
- specifically want an FDA-approved brand-name pen.
- need to bill insurance — like most of this market, it's cash-pay.
Trust, safety, and medical oversight
Nova is available in 2 states, and dispenses through an accredited compounding pharmacy. We found no FDA warning letters on file for the provider. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation — we explain how in our scoring methodology.
Bottom line
Nova is a reasonable telehealth GLP-1 option; weigh its pricing and coverage against the alternatives below before deciding.
The Bottom Line
Nova scores highest on the strength of its clinical program — drug options and dosing support.
Ready to start with Nova?
Starting at $156/month. See current pricing and start your free consultation.
Nova might not be your best fit if…
We rank editorially, so here’s where a different provider we track may serve you better.
- If you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound, consider GobyMeds.
- If the lowest possible monthly price is your top priority, consider Sunlight (from $88/mo).
- If you want built-in coaching and behavior-change support, consider RNK Health.
Frequently Asked Questions
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
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this Nova review:
Sources & methodology — as of August 2026
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See Nova's current pricing
Plans start at $156/month. Start your free consultation to check eligibility and today's price.