Is this the same company as Nova MD?

No, and the difference matters. This site is operated by NovaCure LLC. Nova MD, at a different address on the web, is operated by JM Health Group LLC. They share a brand root and nothing else. Nova MD carries an FDA warning letter naming its own domain and email address; this company does not. If you are researching one, make sure you are reading about the one you mean.

Why does its own FAQ say $229?

Because two parts of the same page disagree, and it happens on both injection pages. The semaglutide page leads with "Starting at $198/mo" and its FAQ immediately below is headed "What does the $229/mo include?", explaining that the $99 membership covers care and the medication starts at $130 — which adds to $229, not $198. The tirzepatide page does the same thing, leading with $210 above an FAQ headed "$279/mo". Get the figure confirmed in writing before you enroll.

Am I charged if I am turned down?

Its two documents give opposite answers. The pricing page says "You're only charged if a licensed provider prescribes treatment." The refund policy says consultation and membership fees are generally not refundable once the clinical review is complete, including where the provider declines to prescribe. That is the more expensive reading and it is the one written into the policy, so treat the reassurance on the pricing page with caution.

Are the oral doses the same as the injection?

Not in dose terms. Nova advertises each molecule three ways — a weekly injection, a weekly needle-free tablet and a daily oral dose — though only the injection and the daily oral dose have working pages with prices on them. Milligrams taken by mouth are not interchangeable with milligrams injected, so a number that looks familiar from an injectable dose does not mean the same thing here.

Why can I not find a price for the needle-free tablets?

Because those two pages do not load. Nova advertises a weekly needle-free tablet for each molecule, and both product pages return an almost empty document with no price on it. Two of the six products it markets therefore have no published cost at all. Until those pages work, treat the injection and the daily oral dose as the menu you can actually price.

Metabolic-Fit / 100

Grade C

Nova review

Written by Elena Voss, Metabolic Health EditorOctober 2026

Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Prices and terms come from the company's own published pages. This is background reading, not medical advice.

Start with what will otherwise confuse you: this is not Nova MD. Different operator, different owners, and Nova MD is the one carrying an FDA warning letter naming its own domain — this company carries none. What Nova sells is a required $99 monthly membership plus medication, quoted all-in on the product pages at $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection and $210 for the weekly tirzepatide injection. Offering a daily oral route alongside the weekly shot is genuinely useful, and coverage has just widened to forty-nine states with California still to come. Then the pricing stops agreeing with itself. The semaglutide page leads with $198 above an FAQ headed "What does the $229/mo include?", and the tirzepatide page repeats the trick, leading with $210 above an FAQ headed "$279/mo". Two further products, the needle-free weekly tablets, are advertised in the navigation while both of their pages load almost empty and carry no price at all. And the pricing page promises you are charged only if a provider prescribes, while the refund policy says the consultation and membership fees are not refundable even when the provider declines you.

$198/mo

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Nova at a glance

Semaglutide: $198/mo all-in
Tirzepatide: $210/mo all-in
Coverage: 49 states — California excluded
Brand-name: Compounded only

How we scored Nova

Every factor comes from Nova's own published pricing, disclosures and oversight, and the six combine into the 37/100 Metabolic-Fit Score on our weighted six-factor framework. Commissions don't change a provider's score.

Postpartum & breastfeeding guidance18/100 · Weak

No postpartum or breastfeeding framing — a generic weight program.

PCOS & hormonal fit25/100 · Weak

Thin on the hormonal picture that drives many mothers' weight.

Clinical oversight & labs48/100 · Weak

Oversight and lab support fall short of the best on our list — the review below says exactly where.

True monthly cost40/100 · Weak

Cost is unpredictable or sits at the premium end.

Ongoing support62/100 · Weak

Support is thin once the prescription ships.

Cancellation fairness35/100 · Weak

Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.

How we checked this review

First, the thing that will confuse you: this is not Nova MD. Different company, different owners, and Nova MD is the one carrying an FDA warning letter — this one is not. What Nova sells is a $99 monthly membership plus medication, quoted all-in from $169 to $210 a month depending on whether you want a weekly injection or a daily oral dose. Its own pages disagree with themselves about price three separate times. The semaglutide page leads with $198 and its FAQ directly beneath is headed "What does the $229/mo include?"; the tirzepatide page leads with $210 under an FAQ headed "$279/mo". And its pricing page promises you are only charged if a provider prescribes, while its refund policy says the fees are not refundable even when the provider declines you. Two more products, the needle-free weekly tablets, are advertised with no working page and no price at all.

Pricing

Medication	Price	Plan
Compounded semaglutide	$198	Weekly injection — all-inIncludes the medication, shipping and the required $99 monthly membership. The membership is mandatory, so the all-in figure is the comparable one; a medication-only number would omit a charge you cannot avoid.
Compounded tirzepatide	$210	Weekly injection — all-inAlso includes the required membership. Its own page then asks "What does the $279/mo include?" directly beneath this figure, so the page states two prices for one product.
Oral semaglutide	$169	Daily oral dose — all-inA daily route rather than a weekly injection, membership included. The page separately puts the medication alone at $25 a month for a 28-count of the lowest strength, which with the membership would be $124 rather than $169.
Oral tirzepatide	$174	Daily oral dose — all-inThe daily dual-agonist route, membership included, and the cheapest tirzepatide option on the menu.

Swipe the table to see plan details →

Many HSA and FSA plans cover GLP-1 telehealth — check yours. These figures are what Nova's own site disclosed at last review; this market re-prices often, so confirm the current number at the source.

What we like

A daily oral route for each molecule alongside the weekly injection, both priced
Product pages quote all-in figures that already include the required membership
Coverage now reaches 49 states, up from two
Unlimited secure messaging, ongoing monitoring and managed refills inside the membership
Free refrigerated shipping on every order, and no separate consultation fee

The caveats

The semaglutide page leads with $198 while its own FAQ is headed "What does the $229/mo include?"
The tirzepatide page repeats it, leading with $210 above an FAQ headed "$279/mo"
Two advertised products, the needle-free weekly tablets, have pages that load empty with no price at all
The pricing page says you are only charged if prescribed; the refund policy says fees are not refundable if you are declined
The $99 membership is required, so no medication-only price is really available
Oral milligrams are not interchangeable with injectable milligrams, which the dose figures do not make obvious
The compounding pharmacy is never named, only described as state licensed
Easily confused with Nova MD, an unrelated company that does carry an FDA warning letter

First identify which Nova you mean

This Nova operates at Nova's website under NovaCure LLC. It is distinct from Nova MD at Nova's website, whose operator is JM Health Group LLC. The distinction matters because the FDA warning letter naming Nova MD's domain should not be attributed to this company based on a shared brand root. Check the domain and legal entity when reading reviews or agreements. Similar names do not establish common ownership, the same clinician, or the same regulatory history.

Nova requires a $99 monthly care membership, with medication billed separately. Its product pages quote combined starting totals that already include that fee: $198 for a weekly compounded semaglutide injection and $210 for weekly compounded tirzepatide. Adding another $99 to those combined figures would count the membership twice. Conversely, comparing only a medication component would omit a required cost. Ask for a final quote that identifies both components and the prescription supplied.

The same pages give conflicting totals

The semaglutide injection page's FAQ describes $229 per month beneath a $198 starting headline, explaining $99 for membership plus medication from $130. The tirzepatide page similarly refers to $279 beneath its $210 headline. Those internal conflicts need a direct answer before payment. Do not assume the lower amount is guaranteed or that the higher figure is a hidden maintenance charge. Request which amount applies to the actual dose and supply being prescribed.

Daily compounded oral options are advertised at combined starting totals of $169 for semaglutide and $174 for tirzepatide. Another semaglutide oral description puts medication at $25 for a 28-count supply, which with membership would total $124 instead of $169. That is another discrepancy, not a confirmed cheaper program. A written quotation should identify form, ingredients, quantity, and recurring charge. Oral and injected dose numbers should not be used as interchangeable instructions or as a patient-calculated substitution.

Not every advertised form has a readable offer

Nova also advertises weekly needle-free rdt tablets, but the corresponding product pages have not provided readable prices. The daily oral offers should not be borrowed as prices for those weekly products. Nor does the existence of an oral or rapidly dissolving format establish the same evidence, instructions, or regulatory status as an approved branded medication. All of the compounded routes need a clinician's explanation of the particular preparation and why it is being proposed.

The company describes dispensing through a state-licensed 503A pharmacy without naming it. Obtain the actual pharmacy, concentration, storage, and written instructions before starting. Compounded drugs are not FDA approved. Nova advertises 49-state availability with California excluded, rather than nationwide access without exceptions. Confirm the proposed product and clinician arrangement where you live. Membership includes messaging, monitoring, and managed refills, but those features do not establish an unlimited response guarantee or specific specialty credentials.

Approval and refund wording also conflict

The pricing page says a patient is charged only if a clinician prescribes treatment. The refund policy instead says consultation and membership fees are generally nonrefundable once clinical review is complete, including when prescribing is declined. Those statements leave a financial risk that should be resolved before enrollment. Ask exactly what is charged if you are not approved and obtain the applicable agreement rather than relying on the more reassuring marketing sentence.

Nova may appeal to someone wanting several medication formats with membership included in the displayed total. Its price and refund contradictions make a written agreement particularly important. Discuss pregnancy planning, breastfeeding, postpartum circumstances, or PCOS directly without assuming specialist expertise. Choose only after the product, total, dispensing pharmacy, clinical contact, and stopping terms are clear. Keep the other Nova company's regulatory history separate while taking this service's own unresolved terms seriously.

The bottom line for mothers

Best for: Someone who wants a needle-free route and will get the monthly figure, and the refund position if she is declined, confirmed in writing first.

See plans at Nova

Alternatives to Nova

These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.

86
Metabolic-Fit / 100
CoreAge RxFeatured partner
CoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.
Visit CoreAge Rx
57
Metabolic-Fit / 100
HealthRX
$165/mo semaglutide and $214/mo tirzepatide month to month, dropping to $97 and $177 on a 12-month plan — with a genuinely itemized exclusion list that explicitly screens out pregnancy, planned pregnancy, and breastfeeding rather than staying silent on it.
Visit HealthRX
45
Metabolic-Fit / 100
bmiMD
A complete plan table and real nationwide coverage, undercut by a homepage that strikes the same product through from two different “regular” prices.
Visit bmiMD

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Nova, answered

Is this the same company as Nova MD?: No, and the difference matters. This site is operated by NovaCure LLC. Nova MD, at a different address on the web, is operated by JM Health Group LLC. They share a brand root and nothing else. Nova MD carries an FDA warning letter naming its own domain and email address; this company does not. If you are researching one, make sure you are reading about the one you mean.
What does Nova actually cost?: A required $99 monthly membership plus the medication. The product pages quote all-in figures that already include it: $169 a month for a daily semaglutide oral dose, $174 for the daily tirzepatide oral dose, $198 for the weekly semaglutide injection and $210 for the weekly tirzepatide injection. Those all-in numbers are the ones to compare, because the membership is not optional.
Why does its own FAQ say $229?: Because two parts of the same page disagree, and it happens on both injection pages. The semaglutide page leads with "Starting at $198/mo" and its FAQ immediately below is headed "What does the $229/mo include?", explaining that the $99 membership covers care and the medication starts at $130 — which adds to $229, not $198. The tirzepatide page does the same thing, leading with $210 above an FAQ headed "$279/mo". Get the figure confirmed in writing before you enroll.
Am I charged if I am turned down?: Its two documents give opposite answers. The pricing page says "You're only charged if a licensed provider prescribes treatment." The refund policy says consultation and membership fees are generally not refundable once the clinical review is complete, including where the provider declines to prescribe. That is the more expensive reading and it is the one written into the policy, so treat the reassurance on the pricing page with caution.
Are the oral doses the same as the injection?: Not in dose terms. Nova advertises each molecule three ways — a weekly injection, a weekly needle-free tablet and a daily oral dose — though only the injection and the daily oral dose have working pages with prices on them. Milligrams taken by mouth are not interchangeable with milligrams injected, so a number that looks familiar from an injectable dose does not mean the same thing here.
Why can I not find a price for the needle-free tablets?: Because those two pages do not load. Nova advertises a weekly needle-free tablet for each molecule, and both product pages return an almost empty document with no price on it. Two of the six products it markets therefore have no published cost at all. Until those pages work, treat the injection and the daily oral dose as the menu you can actually price.

Pricing, states and verification reflect Nova's public disclosures at last review; the Metabolic-Fit Score is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.

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