Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our tirzepatide provider ranking, above Nova at #76.
Read the Care Bare Rx review →NO
Provider review
Nova cost: From $210/mo tirzepatide
Three different prices for the same drug, live on the same page.
Nova's semaglutide page leads with "Starting at $198/mo". The FAQ further down that same page asks what "the $229/mo" includes, and its own product data carries $229 as well. Tirzepatide runs the same way at $210 against $279.
Verified September 2026
Reviewed by Marcus Webb
Transparency scorecard
2 of 4 disclosed openly
What Nova discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit NovaPharmacy
Not categorized
Labs
No lab requirement, panel or fee is published anywhere,…
States
Published state list
On this page
What it actually costs
- TirzepatideFrom $210/mo
- SemaglutideFrom $198/mo
What this price covers
Medication
Included
Provider visits
Included
Shipping
Not confirmed
Lab work
Not disclosed
Coaching
Not confirmed
The catch — Nova publishes more than one price for the same product and never reconciles them. The semaglutide page leads with $198 while its own FAQ underneath asks what "the $229/mo" includes and walks through $99 of membership plus $130 of medication to get there; tirzepatide does the same at $210 against $279. The oral daily doses are worse — the hero says $169, the FAQ works out to $124, and the product data gives $139. There is no way to tell from the outside which figure a card will actually be charged.
See plans at NovaPrices read from Nova's own site · September 2026
What they advertise
"Starting at $198/mo" for compounded semaglutide and "Starting at $210/mo" for tirzepatide, each stated to include the medication, shipping and the $99-a-month Nova Care membership. Daily sublingual microdoses run $169 and $174, and a program that lets the provider pick the molecule starts at $165.
What you actually pay
$198/mo and $210/mo all-in are the published floors, and floors is what they are: the same pages say the final cost depends on the dose prescribed, and no dose-to-price table exists on any page. A 10% first-time discount code is advertised site-wide.
Money you will meet later
- The $99 monthly Nova Care membership is described on the product pages as inside the advertised figure and on the pricing page as billed on top of it.
- Membership and consultation fees are non-refundable once a clinician has reviewed your file, including when that clinician declines to prescribe.
The bottom line
Nova — NovaCure LLC, of Northlake, Texas — sells compounded semaglutide and tirzepatide as weekly injections and as daily sublingual microdoses, with a $99 monthly membership folded into the advertised price. At $198 and $210 all-in, that is competitive, and unusually for a company here it names its medical director and a nurse practitioner on the homepage and points you at the state medical board to check them. The trouble is that Nova cannot agree with itself about what anything costs. Three prices for semaglutide are live at once, its pricing page and its product pages disagree about whether the membership is inside the figure or on top of it, and the oral doses carry three different medication prices across three surfaces.
Nova appears on our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want the price without a questionnaire: every figure is on the product page with no account and no state to select first.
- You want to know who prescribes. Two clinicians are named on the homepage, and Nova tells you how to verify them through your state medical board.
- You want a daily oral option rather than a weekly injection — it sells sublingual microdoses of both molecules.
Look elsewhere if
- You want one answer about what it costs. The same page advertises $198 in the hero and asks what $229 covers in its FAQ.
- You want to know whether the membership is inside the price: its pricing page says medication is billed separately, its product pages say the figure includes it.
- You live in California — Nova serves 49 states and California is the one it does not.
What Nova offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Nova does not name the pharmacy that fills your prescription.
What its own site says
No pharmacy is named. Nova states the class and narrows it further than most — 503A compounding pharmacies, with 503B appearing nowhere across its site — but no facility is identified, and the medical group behind the prescriptions is described only as an independent third-party group. Two clinicians are named on the homepage: a board-certified internal medicine physician who is the medical director, and a nurse practitioner. Neither carries an NPI, though Nova does point patients at the state medical board and the national physician lookup to check them.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
Published state list
Nova says 49 states, naming California as the one exclusion, in its footer, its FAQ and its telehealth consent. Its own how-it-works page still describes care from providers licensed in Texas and Florida, which was the earlier service area. No list of the 49 is published.
The honest cons
The part they would rather you skipped
Nova's own pages cannot agree on what its medication costs. Compounded semaglutide is advertised at $198 a month in the hero; the FAQ directly beneath it asks "What does the $229/mo include?" and explains the membership at $99 plus medication from $130. Tirzepatide is $210 in the hero and $279 in its FAQ. The two oral daily doses are priced three different ways each — a hero figure, a lower one in the FAQ, and a third in its own product data. On top of that, the pricing page puts the starting figure under a heading reading "Plus Your Medication" and says medication is billed separately, while every product page says the identical figure already includes it; both cannot be true. And the promise a reader is most likely to rely on does not survive the paperwork: "You're only charged if a licensed provider prescribes treatment" appears on the pricing page and on how-it-works, while the refund policy says membership and consultation fees are generally non-refundable once clinical review is complete, expressly including cases where the provider declines to prescribe.
- Three semaglutide prices and three tirzepatide prices are live at once across the same pages — see this review's knock.
- Its pricing page and its product pages disagree about whether the $99 membership is inside the advertised figure.
- "Only pay if prescribed" is contradicted by a refund policy that keeps the fees when a provider declines.
- Canceling requires at least two days' notice before the renewal date, and partly-used periods are not prorated.
- No pharmacy is named anywhere, and the medical group is unnamed.
- Its how-it-works page still describes the service as Texas and Florida only.
- Two GLP-1 products remain in its own sitemap while their pages no longer exist.
- Its support page prints a contact address at the wrong domain, and no phone number is published anywhere.
None of this is unique to Nova — the whole category shares it.
How it compares
The providers we rank on our tirzepatide provider ranking — the most specific board Nova sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- TrimiNames its two pharmacies outright — then headlines a price that needs a year upfront.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
- Enhance MDHonest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.
139 more providers rank on our tirzepatide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Nova's current pricing before you decide. Ours was read from their own site in September 2026.
Facts on this page reflect Nova's own public disclosures when we last checked them, in September 2026. Prices and terms change without notice — confirm on Nova's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Nova
2 compounds, From $198/mo