Nova MD Review

Nova MD: a cut-rate compounding shop with a real microdose lane

Nova MD is a small, price-led telehealth platform built around one promise: some of the cheapest compounded semaglutide and tirzepatide you'll find anywhere, with every price posted right on the page. If your only goal is to start a GLP-1 for as little money as possible and you're comfortable buying a compounded formulation, Nova MD earns a look. At $125 a month for compounded semaglutide on the longer plan — well under the category median of $169 — it undercuts most of the better-known names. But the savings come with real trade-offs in transparency, and you should go in with eyes open.

How the pricing actually works

Nova MD runs two plan lengths for each drug: a monthly plan billed and shipped one month at a time, and a quarterly plan billed and shipped every three months. The quarterly plan is where the headline numbers come from. Compounded semaglutide drops to $125 a month on the three-month plan versus a higher rate billed monthly, and tirzepatide lands at a low-two-hundreds monthly equivalent on the quarter, with the first order discounted by fifty dollars. So the advertised price assumes you pre-pay for a full quarter up front — a meaningful chunk of money in one charge, even if the per-month math looks great.

One detail worth flagging: tirzepatide pricing scales with your dose. The lowest tiers carry the cheap quarterly rate, but the company's own product page states that the higher doses (roughly dose four and up) jump to a substantially higher monthly price. That's normal for compounded tirzepatide, but it means the number that pulled you in may not be the number you pay six months from now as you titrate up. Budget for the climb.

What's bundled in

• The plan price covers the medication, your provider consultation, and shipping — Nova MD advertises free overnight or expedited delivery
• Same-day doctor review and prescriptions, with cancel-anytime billing
• FSA/HSA eligible on at least some plans
• A non-refundable provider/consultation fee (a low two-figure amount) applies if you cancel after the doctor reviews you but before your order ships

The medications and how they're dispensed

Nova MD is compounded-only. There is no brand-name Wegovy, Zepbound, Mounjaro, or Ozempic here — if you specifically want an FDA-approved branded pen, this isn't your provider. What you get instead is compounded semaglutide and compounded tirzepatide, shipped, in the company's words, 'directly from our partner pharmacy' at 'accredited facilities.' Nova MD also displays the standard, legally required disclaimer that the FDA does not review or approve compounded medications for safety or effectiveness. Take that seriously — it's the core trade-off of the whole category, not boilerplate.

The genuine differentiator: an explicit microdose program

Most compounding telehealth brands quietly bury low-dose options or don't mention them at all. Nova MD does the opposite — it markets an explicit microdose / low-dose program for both semaglutide and tirzepatide as a named product line. For people who tolerate GLP-1s poorly, who want to ease in slowly, or who are using these drugs for gentler metabolic or appetite goals rather than aggressive weight loss, a provider that openly supports microdosing is genuinely useful and surprisingly hard to find. That, more than the rock-bottom price, is the most distinctive thing about Nova MD.

The menu also runs broader than GLP-1s alone. Nova MD lists sermorelin, NAD+, glutathione, and enclomiphene, positioning itself as a small longevity-and-wellness shop rather than a pure weight-loss clinic. If you want one login for a GLP-1 plus a peptide or two, that one-stop convenience has appeal.

Where Nova MD falls short

This is where honesty matters. Nova MD is a young, thin operation, and its transparency gaps are the reason it doesn't rank higher. The company does not publicly disclose its legal entity name or state of incorporation. It never names the actual compounding pharmacy your medication ships from — only 'accredited facilities.' We could not confirm LegitScript certification; the site makes only generic 'U.S. licensed physicians' and 'U.S. pharmacies' claims. Per-state availability isn't listed, so you can't confirm Nova MD even serves your state without contacting them. Lab work and ongoing monitoring aren't clearly spelled out. And the '1,241+ patients served' figure is an unverified marketing claim. There are also soft signals of a very recent, small build — including a brand presentation that appears to be mid-rebrand between 'Nova MD' and 'Nova Health.'

Who should choose it — and who should skip it

• Choose Nova MD if: price is your top priority, you're comfortable with compounded medication, you can pre-pay a quarter up front, or you specifically want a structured microdose program
• Skip it if: you want a brand-name pen, you need a clearly named pharmacy and disclosed corporate entity, you want documented lab work and ongoing monitoring, or you need to confirm coverage in your state before committing

Trust and safety: medium confidence

On the plus side, there are no FDA warning letters on file for Nova MD, and the company doesn't hide the compounding disclaimer. But our confidence sits at medium, and the reason is the stack of unanswered questions above: an undisclosed legal entity, an unnamed pharmacy, no confirmed LegitScript status, and no published state list. None of that is proof of a problem — plenty of legitimate small telehealth shops are simply early and light on disclosures — but it does mean you're trusting more on faith than you would with a larger, fully transparent competitor. See our scoring methodology for how we weigh these signals.

Bottom line

Nova MD is one of the cheapest legitimate-looking ways to start compounded semaglutide or tirzepatide, and its open microdose program is a real, uncommon strength. It's a reasonable pick for a budget-focused, compound-comfortable patient who values low price and a gentle-start option over institutional polish. But the missing entity details, unnamed pharmacy, and unconfirmed certification keep it out of the top tier. Confirm it serves your state, read the cancellation fee terms, and remember the quarterly price assumes you pay for three months at once — then decide whether the savings are worth trading away some transparency.

If you're weighing alternatives, Oak ($119/month) and bmiMD ($99/month) are among the closest options we track to Nova MD.