Nova review
Membership inside the price
Charges a $99/month membership on top of medication — and then quotes the all-in figure rather than the drug alone.
Our verdict
Nova runs a membership model, which is usually a warning sign on this board, and then does the opposite of what the model normally enables. Rather than advertising a low drug price and revealing the membership at checkout, it quotes the total: semaglutide "starting at $198/mo" and tirzepatide "$210/mo", with each page stating that the figure already includes the $99/month Nova Care membership and then breaking out the medication component separately. That makes it directly comparable to the flat-rate services here instead of deceptively cheaper. The menu is broad — GLP-1, NAD+ in three routes, sermorelin, oral, sublingual and injectable testosterone, finasteride and dutasteride — across 49 states. One thing to settle before you buy: it runs a "10% off all programs" banner, so the quoted figures may not be the standing rate.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Semaglutide from $198/mo and tirzepatide $210/mo, both including the $99/mo membership. 49 states
- Medications
- Compounded semaglutide · Compounded tirzepatide
- Insurance
- Cash-pay, no insurance
- Visit
- Quiz intake / Async intake
- Availability
- 49 states
- Updated
- September 2026
Sponsored alternative
Enhance MD
Lab-guided treatment under ongoing physician oversight
Check Enhance MD availability →What it is
A telehealth service selling GLP-1 weight loss, NAD+, sermorelin, testosterone and hair-loss treatment on a membership model, available in 49 states. The membership — Nova Care, $99/month — covers provider consultations, 24/7 messaging, ongoing monitoring and dose adjustments; medication is charged in addition, and the advertised prices are stated to include both. ⛔ It is a different company from Nova MD (trynovamd.com), which holds an FDA warning letter; see the FAQ below.
How it works
Asynchronous and questionnaire-led, built around the membership rather than around a per-prescription transaction: consultations, messaging, monitoring and titration are described as covered by the $99 monthly fee, with medication billed on top and the two combined in the quoted price. Nova states 49 states across fourteen pages, publishes per-product detail pages for each item on the menu, and describes medications as third-party tested and compounded by a licensed pharmacy, which it does not name. Its site title still describes it as serving Texas and Florida, which appears to be stale.
Pricing transparency
Quoted all-in, with the components shown. Compounded semaglutide starts at $198/month, of which $130 is the medication at the starter dose and $99 the membership; tirzepatide starts at $210/month, with medication from $180. A general GLP-1 weight-loss program is listed from $165/month. NAD+ injectable starts at $134/month all-in; sermorelin at $162/month all-in; testosterone cypionate, oral testosterone and sublingual testosterone each "as low as $96/mo"; finasteride is $132/month all-in with medication at $30–$32, and dutasteride $137/month all-in with medication at $38 for 30 days or $50 for 90. Nova also publishes a comparison putting its $99 membership against Hims at $149/month and Ro at $145. ⚠ A "10% off all programs" banner runs site-wide, so confirm whether the figure you are quoted is the promotional or the standing rate.
Branded vs compounded
Compounded semaglutide and tirzepatide, including oral daily-dose and rapid-dissolve formats; NAD+ as injectable, nasal spray and troche; sermorelin, including a rapid-dissolve form; testosterone cypionate, oral and sublingual testosterone; and finasteride and dutasteride for hair loss. On the evidence: GLP-1 outcome data belongs to the branded products, not to compounded copies, and the oral and rapid-dissolve GLP-1 formats have no controlled outcome data of their own. Sermorelin has a real growth-hormone-axis mechanism with thin long-term outcome data. Injectable and intranasal NAD+ have no controlled human outcome trials, with the randomized data sitting on oral NR/NMN precursors. Finasteride and dutasteride are well-evidenced approved drugs for male-pattern hair loss, and Nova states the male-only and teratogenicity warnings for both.
Pros and watch-outs
What we like
- Quotes the all-in monthly figure with the membership included, then breaks out the medication
- Testosterone in three routes — injectable, oral and sublingual — rather than a single default
- NAD+ in three routes; sermorelin in injectable and rapid-dissolve forms
- 49 states stated consistently across the site, rather than a blanket all-50 claim
- Publishes handling and teratogenicity warnings on the hair-loss products
Watch-outs
- A $99/month membership is unavoidable, so short courses carry a large fixed overhead
- A site-wide 10% promotion means quoted prices may not be the standing rate
- The compounding pharmacy is not named
- The site title still says "Texas & Florida", which contradicts its own 49-state claim
- Name collision with Nova MD, an unrelated company holding an FDA warning letter
Best for
Readers who want consultations, messaging and titration bundled into one predictable monthly figure, and who intend to stay on treatment long enough for the membership to amortize.
Who should look elsewhere
Anyone trying a GLP-1 for a month or two, since $99 of every month is fixed regardless of medication, or anyone in the one state Nova does not cover.
The evidence behind what Nova prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
- Sermorelin: a real GHRH drug, read against the anti-aging pitch
An approved growth-hormone-releasing analog with a pediatric track record — and a longevity case built more on biomarkers than outcomes.
- NAD injections: how to get them near you or online, and what the evidence really says
Subcutaneous NAD+ injections are sold as a cheaper, at-home alternative to the IV drip — via “near me” clinics or telehealth shipped to your door. They’re compounded, not FDA-approved, and have no outcome trials; oral NR/NMN precursors are the route with the human data.
- TRT: what testosterone therapy is actually proven to do
An FDA-approved therapy for diagnosed hypogonadism — with real but moderate benefits (sexual function, mood; not vitality), cardiovascular non-inferiority in TRAVERSE, and a real fertility trade-off.
How Nova compares
A few alternatives worth a look, depending on what you’re optimizing for.
MondaeBuyers who want a low, honest month-to-month price with the compounding source named
See Mondae →
RENN HealthOne subscription and one care team across GLP-1, NAD+ and testosterone
See RENN Health →- NEUVÉ Health
Readers comparing injection against sublingual, and microdose against standard, on price
See NEUVÉ Health →
More GLP-1 telehealth reviews: SesameWellorithmRxSpan MDSuperior RemediesNoviFeelGood
Access & cost · Reviewed and last verified September 2026
How we assessed this. This review reflects Aminoscope’s own read of Nova’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- Is Nova the same company as Nova MD?
- No, and this is the most important thing to establish before reading anything else about either. Nova MD operates trynovamd.com and holds FDA warning letter #716695, issued 9 September 2025 over a compounded-semaglutide claim. We pulled that letter directly: its recipient block names "Try Nova, https://trynovamd.com" and its body refers to "your website content at the internet address https://trynovamd.com". The only domain named anywhere in the letter is trynovamd.com. This provider is trynova.co, a separate business with a different registration date and a different product model, and the letter does not attach to it.
- What does the $99 monthly membership actually cover?
- Nova states it covers provider consultations, 24/7 messaging, ongoing monitoring and dose adjustments — the clinical service around the prescription rather than the drug itself. The medication is billed separately, and the prices Nova advertises include both. So semaglutide "starting at $198/mo" is $99 of membership plus $130 of medication at the starter dose. That structure is worth understanding because the membership is fixed: if you stop treatment but keep the membership, or run a short course, the $99 is dead weight.
- Is quoting the membership inside the price unusual?
- Yes, and it is the reason we rate Nova's pricing as honest despite disliking membership models generally. Collective advertises "$59/month" for semaglutide while requiring a $199 annual membership stated only in its FAQ. MEDGm quotes "$99 membership + cost" without ever showing the cost. Nova quotes $198 — the number you actually pay — and then shows you that $130 of it is drug and $99 is membership. That makes it directly comparable to a flat-rate provider like Mondae at $87, which is exactly the comparison a reader needs to be able to make.
- How many states does Nova serve?
- Forty-nine, stated consistently across fourteen of its pages. Note that its browser title still reads "Personalized Telehealth & Wellness in Texas & Florida", which contradicts that and appears to be a leftover from an earlier stage of the business. We have gone with the 49-state figure because it is repeated throughout the body of the site while the title tag is a single stale artifact — but confirm your own state during the questionnaire.
- Is the 10% discount permanent?
- We cannot tell. A "10% off all programs" banner runs site-wide, and the product pages quote prices such as testosterone "as low as $96/mo" alongside it. Since the membership alone is $99, a $96 all-in testosterone price is difficult to reconcile with the structure described elsewhere on the site, which suggests the discounted and undiscounted figures are mixed across pages. Ask which rate applies after any promotional period before you subscribe.
- Is Nova legit?
- Nova is a GLP-1 telehealth service you reach through an online questionnaire and an online intake a clinician reviews. The medications it names are Compounded semaglutide and Compounded tirzepatide. What it publishes up front: Semaglutide from $198/mo and tirzepatide $210/mo, both including the $99/mo membership. 49 states. It is cash-pay and states it does not bill insurance. Those are the provider's own published claims rather than checks we could run ourselves, so get the ones that matter to you confirmed in writing before you pay.
- Is Nova expensive compared with other GLP-1 telehealth providers?
- Nova publishes a starting figure of $198/mo. Across the 42 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $269 with a median of $179, which puts Nova above the median. The other 31 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.