Certification: On third-party certification, the site doesn't say. Where it ships: 49 states (not California), as published on the site. Last checked: September 2026, against Nova's own pages. Published price: Nova publishes a figure for semaglutide and tirzepatide — the qualifiers are in "What does Nova cost?" below. What it sells: Compounded medication only, injectable and oral routes. Licensing & trust: 75/100 on the scored dimension of that name — one of the six in our published methodology. Checks out as far as the figures go, with one caveat: every price Nova publishes carries a condition, so the number on the site is not the monthly bill.

C74/100

Desk Score

Ranked #134

Nova

Q: What does Nova cost?

Semaglutide: From $198/mo (starting dose, compounded). That is a starting figure, not the price at every dose: $198 a month is the lowest rung, and the cost rises from there. Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for semaglutide — only flat month-to-month rates compete there. Tirzepatide: From $210/mo (starting dose, compounded). That is a starting figure, not the price at every dose: $210 a month is the lowest rung, and the cost rises from there. Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for tirzepatide — only flat month-to-month rates compete there. All figures as published on Nova's own site and read in September 2026. Prices change — confirm before you order.

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.

Desk Score 74/100 (C) · Verified September 2026

Visit Nova ↗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.

Is Nova legit?

Only what Nova publishes and what we could check ourselves — nothing inferred. See the methodology.

Certification: On third-party certification, the site doesn't say.
Where it ships: 49 states (not California), as published on the site.
Last checked: September 2026, against Nova's own pages.
Published price: Nova publishes a figure for semaglutide and tirzepatide — the qualifiers are in "What does Nova cost?" below.
What it sells: Compounded medication only, injectable and oral routes.
Licensing & trust: 75/100 on the scored dimension of that name — one of the six in our published methodology.

Checks out as far as the figures go, with one caveat: every price Nova publishes carries a condition, so the number on the site is not the monthly bill.

What does Nova cost?

Each figure exactly as Nova publishes it, with the condition attached to it spelled out.

Semaglutide

From $198/mo (starting dose, compounded)

That is a starting figure, not the price at every dose: $198 a month is the lowest rung, and the cost rises from there.

Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for semaglutide — only flat month-to-month rates compete there.

Tirzepatide

From $210/mo (starting dose, compounded)

That is a starting figure, not the price at every dose: $210 a month is the lowest rung, and the cost rises from there.

Because that figure carries a condition, it is held out of our "cheapest" rankings and out of the median we compute for tirzepatide — only flat month-to-month rates compete there.

All figures as published on Nova's own site and read in September 2026. Prices change — confirm before you order.

Semaglutide: From $198/mo
Tirzepatide: From $210/mo
Coverage: 49 states (not California)
Brand-name: Compounded only
Verification: Prices as published on Nova's site — verified september 2026. Each figure's full condition is in “What does Nova cost?” below.

Weigh Nova against the full ranked field on the best semaglutide providers ranking, or line it up against its closest alternatives. Or go one-on-one: Nova vs CoreAge Rx. Because Nova dispenses compounded medication, it’s worth understanding whether compounded GLP-1 is legit and safe.

Desk Score breakdown

Each of the six scored dimensions. See the methodology.

Price transparency78/100

State access78/100

Molecule range77/100

Onboarding speed59/100

Support responsiveness73/100

Licensing & trust75/100

What we like

The monthly figure is all-in: medication, shipping and the membership sit inside it rather than beside it.
An oral daily-dose option is priced as well, at $169 for semaglutide and $174 for tirzepatide.
The medical director and a nurse practitioner are named with their credentials and training.
The site states its pharmacies operate under section 503A.
Coverage now reaches 49 states rather than the two its older pages describe.

Where points come off

Three price sets are live at once: $198 and $210 on the product pages, against $229 and $279 in those same pages' FAQ answers.
The figures are a starting point that rises with dose, so the entry price is not the ongoing one.
The how-it-works page still says providers are licensed in Texas and Florida while the rest of the site says 49 states.
No compounding pharmacy is named, only the section of the law it operates under.
California is excluded, and no list of the other 49 states is published.

The bottom line — C

Best for: Anyone who wants the membership inside the price rather than beside it, and an oral option priced openly.

Nova ranks #134 of 533 providers scored — see #1, CoreAge Rx here.

Visit Nova ↗

Pricing and verification reflect Nova's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on Nova's site. Not medical advice; see our disclosure.

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