Alternatives
Alternatives to Nova
Nova scores 74/100 (C) on the Desk Score. If it isn't the right fit, here are the providers we rate most highly on the same six dimensions, led by our #1-rated provider. Compare any two head-to-head.
Top alternative
Desk Score
One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
Marked down on: The advertised $99/$149 per month is a 12-month plan paid in full ($1,188 / $1,788 up front); no month-to-month price is published
$99/mo (12-month prepay) sema · $149/mo (12-month prepay) tirz · All 50 states · Verified August 2026
More alternatives, ranked
- 89/100#14Curex
B+Identical $199 pricing on both molecules, plus oral routes and nationwide reach — simple math for switchers.
Marked down on: No brand-name access
$199/mo sema · $199/mo tirz
FDAWarning letter issued to Curex in September 2025. See the FDA warning-letter database.
- 84/100#29HealthSource
BHealthSource sells compounded semaglutide, compounded tirzepatide and a nightly sublingual tirzepatide tablet in all 50 states, charged every four weeks rather than by the calendar month.
Marked down on: You pay before the medical intake — the questionnaire link appears only after checkout, and withdrawing once you have filled it in costs you $25–$45 for the provider review
$199 per 4 weeks sema · $299 per 4 weeks tirz
- 79/100
C+Verified and oral-capable, but availability is limited to five states — a narrow-reach specialist.
Marked down on: Only five states served
$200/mo sema · $250/mo tirz
- 86/100#22Fitish
BOral-capable, LegitScript-verified, and nationwide — trust signals are strong, but pricing sits mid-to-high.
Marked down on: Higher pricing than the value leaders
$219/mo sema · $339/mo tirz
FDAWarning letter issued to FITISH in June 2026. See the FDA warning-letter database.
- 86/100#23REMEVi
BA flat $219 a month for semaglutide and $319 for tirzepatide at every dose, lower on 12- and 24-week plans, with four named pharmacies and the whole program in English or Spanish.
Marked down on: The flat rate is a higher entry price than teaser-led competitors
$219/mo sema · $319/mo tirz
See the full comparison hub or the complete ranking of 533 providers.
Pricing and verification reflect public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Not medical advice; see our disclosure.