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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

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
    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
    B

    HealthSource 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
    B

    Oral-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
    B

    A 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.