Head-to-head comparison
Nova vs Optimized Health
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 folds the $99 membership into one all-in figure and prices an oral daily option beside the injection, but three different price sets are live on the site at once.
From $198/mo sema · From $210/mo tirz · Verified September 2026
Marked down on: Three price sets are live at once: $198 and $210 on the product pages, against $229 and $279 in those same pages' FAQ answers.
Desk Score
Verified and oral-capable, but availability is limited to five states — a narrow-reach specialist.
$200/mo sema · $250/mo tirz
Marked down on: Only five states served
Optimized Health takes this head-to-head with the higher Desk Score, 79/100 (C+) against 74/100 (C) for Nova. Nova 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
74/100
C
Optimized Health
79/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Nova | Optimized Health |
|---|---|---|
| Semaglutide | From $198/moFrom $198/mo (starting dose, compounded) | $200/mo$200/mo |
| Tirzepatide | From $210/moFrom $210/mo (starting dose, compounded) | $250/mo$250/mo |
| Coverage | 49 states (not California) | MO, IA, KS, UT, WA |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Anyone who wants the membership inside the price rather than beside it, and an oral option priced openly. | Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program. |
| Desk Score | 74/100C | 79/100C+ |
The verdict
Desk pick — Optimized HealthOptimized Health takes this head-to-head with the higher Desk Score, 79/100 (C+) against 74/100 (C) for Nova. Nova still holds its ground where its strengths line up with yours.
Choose Nova if…
Anyone who wants the membership inside the price rather than beside it, and an oral option priced openly.
From $198/mo sema · From $210/mo tirz · 49 states (not California)
Choose Optimized Health if…
Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program.
$200/mo sema · $250/mo tirz · MO, IA, KS, UT, WA
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 · Optimized Health.
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
- CoreAge Rx vs Optimized Health
- Curex vs Nova
- Ondra Health vs Optimized Health
- Fitish vs Nova
- Curex vs Optimized Health
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.