Head-to-head comparison
Nova MD vs Rx.com
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Nova MD is a telehealth platform offering compounded semaglutide and tirzepatide on 1-month and 3-month plans, with an uncommon explicit microdose program for both molecules.
$175/mo sema · $225/mo tirz · Verified July 2026
Marked down on: Legal entity name and state of incorporation not disclosed
FDAWarning letter issued to Try Nova in September 2025. See the FDA warning-letter database.
Desk Score
Names the pharmacy that fills the vial, with a street address, and prints "No automatic renewals" on the plan card — then advertises another drug's prepay rate.
$175/mo sema · $285/mo tirz · Verified September 2026
Marked down on: The advertised "$146/mo FOR LIFE" is a six-month prepay on semaglutide; month-to-month tirzepatide is $285.
Rx.com takes this head-to-head with the higher Desk Score, 78/100 (C+) against 65/100 (C) for Nova MD. Nova MD still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Nova MD
65/100
C
Rx.com
78/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Nova MD | Rx.com |
|---|---|---|
| Semaglutide | $175/mo$175/mo (compounded) | $175/mo$175/mo month-to-month (compounded; $146 only on a 6-month prepay) |
| Tirzepatide | $225/mo$225/mo (compounded) | $285/mo$285/mo month-to-month (compounded; $259 only on a 6-month prepay) |
| Coverage | Not listed on Nova MD's site (checked July 2026) | 49 states (its own banner says all 50) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Lowest 3-month compounded pricing with an explicit microdose program. | Someone who will judge it by the plan card rather than the banner, and who wants no auto-renewal and a named pharmacy. |
| Desk Score | 65/100C | 78/100C+ |
The verdict
Desk pick — Rx.comRx.com takes this head-to-head with the higher Desk Score, 78/100 (C+) against 65/100 (C) for Nova MD. Nova MD still holds its ground where its strengths line up with yours.
Choose Nova MD if…
Lowest 3-month compounded pricing with an explicit microdose program.
$175/mo sema · $225/mo tirz
FDAWarning letter issued to Try Nova in September 2025. See the FDA warning-letter database.
Choose Rx.com if…
Someone who will judge it by the plan card rather than the banner, and who wants no auto-renewal and a named pharmacy.
$175/mo sema · $285/mo tirz · 49 states (its own banner says all 50)
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. Read full breakdowns: Nova MD · Rx.com.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. 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.
More head-to-heads
- CoreAge Rx vs Nova MD
- CoreAge Rx vs Rx.com
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- Rx.com vs Trimi
- Elara Health and Wellness vs Nova MD
- Elara Health and Wellness vs Rx.com
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.