Metabolic-Fit / 100
Novi review
Novi's month-to-month prices are the ones on its product pages — $149 semaglutide, $179 tirzepatide — and every cheaper figure it advertises is a prepay term price divided by its term, including the "from $88/mo" in its own page title. Its homepage headlines "$133/mo" beside a "Was $299" anchor and a countdown claiming the price rises within 24 hours, and its intake serves a higher variant again, so what leaves your account may not be the number you shopped from. Its intake screens for pregnancy, breastfeeding and birth within the last six months — genuinely more than most. But its Terms require a three-month non-refundable commitment while its help center and every marketing page promise you can cancel anytime, and that contradiction is unresolved.
- HSA / FSA-eligible
- Editor-vetted
- No insurance needed
Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Every clinical figure in this piece is cited inline to its primary source — the trial or the FDA label — so you can open it and check us. This is background reading, not medical advice.
Novi at a glance
- Semaglutide
- $149/mo
- Tirzepatide
- $179/mo
- Coverage
- All 50 states + DC
- Brand-name
- Compounded only
How we scored Novi
Every factor comes from Novi's own published pricing, disclosures and oversight, and the six combine into the 42/100 Metabolic-Fit Score by the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.
No postpartum or breastfeeding framing — a generic weight program.
Thin on the hormonal picture that drives many mothers' weight.
Oversight and lab support fall short of the top of this roster — the review below says exactly where.
Cost is unpredictable or sits at the premium end.
Support is thin once the prescription ships.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
How we verified this review
- Last verified
- August 2026
- Confidence
- low
- Primary source
- www.joinnovi.com
$149 for semaglutide and $179 for tirzepatide on a single month, across all fifty states and DC. Read the longer plans carefully: every multi-month 'per month' figure is a term total divided by its length rather than a rate that recurs, so $88 a month for semaglutide means a year paid at once.
What to expect when you sign up
We walked Novi's public signup funnel (August 2026) — a first-hand look at the flow. We don't create accounts, enter medical data, or complete checkout, so this is what any visitor sees, not a patient outcome.
- 1The homepage sells on a countdown — "Was $299 / Now starting at $133/mo" beside a clock claiming the price rises within 24 hours, on a page whose own title tag reads 'Summer Promo'
- 2The product pages publish their own grids, and they are the honest ones: /semaglutide lists 1 month $149, then $130/mo over 3, $129/mo over 6 and $88/mo over 12; /tirzepatide lists 1 month $179, then $149/mo over 3, $133/mo over 6 and $129/mo over 12
- 3Every figure below the one-month line is a term price divided by its term, and both page titles headline the cheapest one — "from $88/mo" and "from $129/mo"
- 4The intake at /intake-v2 is a client-rendered SPA that serves a different, higher price variant than the product pages, so the amount charged may not match the page you shopped from
- 5A screening page keyed 'pregnancy_related_conditions' and titled 'Safety, first.' sits inside that flow
What we noticed
- Different price sets exist across the homepage, the product pages and the intake flow, and no two agree — the intake's are the higher ones
- Every attractive 'per month' figure is a prepay term price divided by its length, not a rate that recurs; the cheapest genuinely month-to-month prices Novi publishes are $149 semaglutide and $179 tirzepatide
- The intake does screen for maternal status: 'Currently or possibly pregnant, or actively trying to become pregnant', 'Breastfeeding or bottle-feeding with breastmilk', and 'Have given birth to a child within the last 6 months'. We did not complete the form, so what a flagged answer produces was not observed
- The billing schedule in the help center is not monthly: first payment before signup, second payment 21 days later, then every 28 days
- No checkout was completed and no medical data was submitted — every price recorded here was read off Novi's own public pages
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $149 | Month-to-monthMonth-to-month rate published on joinnovi.com/semaglutide. Prepay ladder on the same page: $130/mo over 3 months, $129/mo over 6, $88/mo over 12 — those are term prices divided by the term, not monthly rates, and the page title headlines the $88 figure. The homepage separately advertises "Was $299, now starting at $133/mo" beside a countdown claiming the price rises within 24 hours. Novi's intake flow serves a different price variant again, so the amount charged may not match the public page. |
| Compounded tirzepatide | $179 | Month-to-monthMonth-to-month rate published on joinnovi.com/tirzepatide. Prepay ladder: $149/mo over 3 months, $133/mo over 6, $129/mo over 12 — term prices divided by the term. The page title headlines "from $129/mo", the 12-month prepay equivalent. As with semaglutide, the intake flow serves a different price variant than the public page. |
Swipe the table to see plan details →
Many HSA and FSA plans cover GLP-1 telehealth — check yours. These figures are what Novi's own site disclosed at last review; this market re-prices often, so confirm the current number at the source.
What we like
- Unlimited clinician messaging and visits, available seven days a week, at no extra cost
- Flat across doses — 'your payment stays the same regardless of dosage' — with free shipping and no separate program fee
- The intake screens specifically for pregnancy, breastfeeding, and having given birth within the last six months
- The compounding disclaimer on /compounded-semaglutide is accurate and unhedged: the FDA has not evaluated these medications for safety, quality or efficacy
- Published coverage in all 50 states and DC, corroborated by the intake's own state list
The caveats
- Every multi-month 'per month' price is a term price divided by its term, not a rate that recurs — the "from $88/mo" in Novi's own semaglutide page title is a twelve-month commitment, and its month-to-month price is $149
- The homepage, the product pages and the intake flow quote different prices, and the intake's are the higher ones — so the amount charged may not match the page you shopped from
- The Terms require a three-month non-refundable commitment; the help center says there are no commitments and you can cancel anytime
- The homepage prices sit under manufactured urgency — a "Was $299" anchor and a countdown claiming the price rises within 24 hours, on a page whose own title tag reads 'Summer Promo'
- The Terms warn that customers who dispute charges to get out of the commitment will be sent to collections
- Four different refund policies across four Novi documents, none reconciled
- The 'Novi Progress Promise' is footnoted to the Terms, where the phrase does not appear at all
- Billing is not monthly: the help center's own schedule puts the second charge 21 days after the first, then every 28 days
- Nothing on any public marketing or legal page mentions pregnancy, breastfeeding, postpartum or PCOS — the screening exists only inside the intake
- No compounding pharmacy named, no clinician named, and /about returns a 404
- Three different legal entity names appear across Novi's own Terms, Privacy Policy and Medical Consent
- In Kansas, Louisiana, Mississippi, New Mexico and West Virginia a video or audio visit is required before treatment can start
"From $88/mo" is a twelve-month commitment
Novi's semaglutide page is titled "from $88/mo." The grid underneath it explains what that means, if you read the row labels: 1 month, $149. 3 months, $130/mo. 6 months, $129/mo. 12 months, $88/mo. Only the first of those is a monthly price. The rest are term prices divided by their terms — the number you'd get if you paid for a year and then did the division yourself.
The tirzepatide page runs the same shape: 1 month, $179. 3 months, $149/mo. 6 months, $133/mo. 12 months, $129/mo — titled "from $129/mo." So on both pages, the figure in the title is the one that requires the longest commitment, and the figure a month-to-month buyer actually pays is the one at the top of the grid. $149 and $179 are the numbers we headline, because they are the only two a monthly budget can use.
- Semaglutide, month to month: $149
- Semaglutide, prepay ladder: $130/mo over 3 months, $129/mo over 6, $88/mo over 12
- Tirzepatide, month to month: $179
- Tirzepatide, prepay ladder: $149/mo over 3 months, $133/mo over 6, $129/mo over 12
- Page titles: "from $88/mo" and "from $129/mo" — both twelve-month figures
None of that is hidden, exactly. It is simply arranged so the cheapest arithmetic sits in the title tag and the price you would actually be charged monthly sits in a row you have to look for. A mother comparing tabs sees $88 against another provider's monthly rate and draws a conclusion the page never quite said.
The homepage and the intake quote different numbers again
The homepage does not use either product page's grid. It runs "Was $299 / Now starting at $133/mo" beside a countdown claiming the price rises within 24 hours, on a page whose title tag literally reads "Summer Promo." That $133 is not a monthly rate anywhere on the site — on the tirzepatide page it is the six-month prepay figure. Alongside it the homepage promises "Same price, every dose," which is one of the claims here that does hold up.
The third surface is the one that matters at the register: Novi's intake flow serves a different, higher price variant than the public pages. So the number you compared, the number in the page title, and the number your card is charged can all be different — and only the last one is binding. Ask for it in writing before you enter a card, and check the amount against the page you shopped from.
Can you cancel? Novi answers both ways
This is the contradiction to settle before you pay, and it is not a matter of tone. Novi's Terms of Service, section VII.a: the first month's fee "as well as the monthly fee for the following two months (for a total of three (3) consecutive months) is charged at the time of purchase and is non-refundable," and "Subscription based Products and/or Services require a minimum 3-month commitment." The same clause warns that customers who dispute charges to escape that commitment "will be sent to collections" and may face further legal action. Cancellation requires 15 days' notice *and* that the three months have already concluded.
Novi's own help center, article title "Are there any long term contracts with Novi?", answers: "No. Your Novi membership operates on a monthly basis, and you can cancel at any time… there are no long-term contracts or commitments." Every marketing page badges "No hidden fees · No monthly membership · Cancel anytime." Meanwhile the attestation you tick at checkout says cancellation fees may apply and that multi-month packages are not refunded for unused medication or remaining months.
The Terms are the document you legally agree to. The help center is not. That asymmetry is the whole reason to read exit terms before paying rather than after — see our guide to stopping and restarting a GLP-1. Four separate refund policies exist across four Novi documents, and none is reconciled with the others. Two money-back guarantees are advertised: the "Novi Progress Promise," footnoted "see our terms of service for full details" — where the phrase appears zero times — and a differently-conditioned "Weight Loss Guarantee" described only in the help center.
The maternal screening is real, and better than most
Here Novi earns genuine credit, and it is the split worth knowing. On every public marketing and legal page, the words pregnancy, breastfeeding, nursing, postpartum, lactation and PCOS appear zero times. But inside the intake sits a screen titled "Safety, first." that asks whether any of the following apply: currently or possibly pregnant, or actively trying to conceive; breastfeeding or bottle-feeding with breastmilk; and — the one almost nobody asks — having given birth to a child within the last six months.
Only "None of the below" advances the form, and the three flagged options carry no forward action, which is consistent with a hard stop. We did not complete the intake, so we did not see what a flagged answer produces and will not tell you. What we can say is that the question is asked, specifically, and that most GLP-1 intakes we walk do not ask it. If you are still nursing, our breastfeeding evidence review is the place to start on timing.
What holds up, and one billing detail worth your calendar
Several claims survived checking. There is no separate program fee — the Terms fold a $20 physician consultation fee into the monthly price rather than adding it on top. Shipping is free, with cold packs. Pricing is flat across doses: "your payment stays the same regardless of dosage." Clinician messaging and visits are unlimited, seven days a week. And the compounding disclaimer on /compounded-semaglutide is accurate and unhedged — the FDA has not evaluated these medications for safety, quality or efficacy, and Novi says so.
One thing to put in your calendar rather than your budget: three billing intervals are on record. The Terms say every 30 days, the help center says every 28, and the help center's own payment schedule puts the second charge 21 days after the first, then every 28 days after that. At 28-day intervals that is roughly 13 charges a year, not 12.
Where the evidence sits
Confidence: low, and the reason is specific rather than general. Novi publishes a great deal — this is not a thin site. It is that the homepage, the product pages and the intake flow give three different answers about price, and that the single question a buyer most needs answered has two official answers from the same company. The compounding pharmacy is not named (no 503A, 503B or "outsourcing facility" anywhere), no clinician is named, /about returns a 404, and three different legal entity names appear across Novi's own Terms, Privacy Policy and Medical Consent. Its Notice of Privacy Practices even directs readers to a different company's domain — template reuse in a shared intake platform, recorded here as a documentation defect and nothing more. Novi carries no FDA warning letter; the database returns zero for it, and it is named in none of the 2025–2026 compounding waves. What would change this rating is one email: a written confirmation of your monthly amount, your commitment length and your charge dates. Get it before you pay. For a program whose price, billing date and exit terms all say the same thing, CoreAge Rx is the contrast. Our weighting is published at scoring methodology.
The bottom line for mothers
Best for: Mothers who want unlimited clinician access at a mid-market flat price and who will insist, in writing, on both of the things Novi's own documents leave open: what the card is actually charged, and which of its two answers about the three-month commitment applies to them.
Alternatives to Novi
Providers we have a referral relationship with, ordered by their Metabolic-Fit Score — highest first. This module leaves out the provider whose page you are reading, so on CoreAge Rx's own review our #1 pick is the one name you will not find here. These are not the whole roster: see the full ranking for every provider we cover, paid or not.
- Visit CoreAge Rx92
Metabolic-Fit / 100
CoreAge RxOur #1 pickOne flat price, both molecules on a single chart, and a prescriber who reads your history before writing — the most predictable place for a mother to start and, just as important, to pause.
- Visit Gala Health84
Metabolic-Fit / 100
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.
- Visit Enhance MD81
Metabolic-Fit / 100
One of the more oversight-forward compounded programs here — lab work and a live provider visit bundled into every plan, with a gentle microdosing tier — the catch is that the low '$212' headline you'll see quoted is the 12-month prepay rate, not the $249 you'd pay month to month.
Keep comparing Novi
Head-to-head & alternatives
Novi, answered
- Is the '$133/mo' on Novi's homepage really $133 a month?
- No. It is not a monthly rate on either product page. Novi's cheapest genuinely month-to-month prices are $149 for semaglutide and $179 for tirzepatide. The only place $133/mo appears on a product page is as the six-month tirzepatide prepay figure — a term price divided by six. The same arithmetic produces every cheaper figure on the site — $130, $129, $88 semaglutide and $149, $133, $129 tirzepatide are all term prices divided by their terms, and both product page titles headline the lowest one. If a per-month number here looks unusually low, it is a prepay, not a subscription.
- Can you cancel Novi at any time?
- Novi's marketing pages and help center say yes. Novi's Terms of Service say a subscription requires a minimum three-month commitment, that all three months are charged at purchase and are non-refundable, and that cancellation needs 15 days' notice after the commitment ends. The Terms are the document you legally agree to at checkout, and the checkout attestation itself says cancellation fees may apply. Get the answer in writing before you pay.
- Does Novi ask about pregnancy or breastfeeding?
- Yes — and unusually specifically. A screening page inside the intake asks whether you are currently or possibly pregnant or trying to conceive, whether you are breastfeeding or bottle-feeding with breastmilk, and whether you have given birth in the last six months. That last question is one almost no GLP-1 intake asks. We did not complete the form, so we cannot tell you what a flagged answer produces. Nothing on Novi's public pages mentions pregnancy, breastfeeding, postpartum or lactation at all.
- When will Novi actually charge my card?
- Novi's own help center gives this schedule: first payment before you sign up, second payment 21 days after the first, then every 28 days. Its Terms say every 30 days. At 28-day intervals that is roughly 13 charges a year, not 12 — worth adding to your budget before comparing its monthly number to anyone else's.
Pricing, states and verification reflect Novi'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.