Nova MD Tirzepatide Review: Cost, an Explicit Microdose Program & Honest Verdict (2026)

Nova MD publishes on-page pricing for all four SKUs (semaglutide and tirzepatide, each in 1- and 3-month plans) — a genuine transparency signal most competitors don't match. Every fact here comes from the company's own published program.

What Nova MD is

Nova MD is a telehealth platform, offering compounded semaglutide and tirzepatide on 1-month and 3-month plans, with an explicit microdose / low-dose program for both molecules — uncommon among compounded providers.

What Nova MD costs

The 3-month plans rank among the cheapest documented on this site: $125/month for semaglutide and $199/month for tirzepatide. A $50-off first-order discount is shown publicly for tirzepatide.

The brand-vs-compounded question

Nova MD dispenses compounded semaglutide and tirzepatide only — no brand-name Wegovy, Zepbound, Mounjaro, or Ozempic option. Compounded tirzepatide is pharmacy-made, not itself an FDA-approved finished drug, and was not the specific product studied in the pivotal trials. See our guide to whether compounded tirzepatide is still legal in 2026 for the regulatory picture.

How the care model holds up

Nova MD's real strengths: published pricing for all four SKUs, among the cheapest 3-month plans documented on this site, an explicit microdose program for both molecules, and a broader longevity menu (sermorelin, NAD+, glutathione, enclomiphene) for patients wanting more. The trade-offs: legal entity name and state of incorporation aren't disclosed, the compounding pharmacy isn't named beyond "accredited facilities," LegitScript certification isn't confirmed — only a "Licensed US Providers" claim appears — and per-state availability isn't listed. As with any GLP-1 program, and especially one without a confirmed accreditation badge, ask directly about pharmacy sourcing before committing; tirzepatide carries labeled warnings for acute pancreatitis, gallbladder disease, and a boxed thyroid C-cell tumor warning — see our guides on Zepbound side effects, the gallbladder risk, and the thyroid cancer warning.

Does the drug work? (Separate from the provider)

Judge the provider on price, oversight and disclosure; judge the molecule on its trials. Tirzepatide's are strong — roughly 15–21% of body weight over 72 weeks in SURMOUNT-1¹, and better than semaglutide head-to-head² — but they were run on the brand drug at FDA-approved doses. Our tirzepatide evidence guide has the full picture.

The honest verdict

Nova MD's published four-SKU pricing and explicit microdose program are real positives, but unconfirmed LegitScript status and an unnamed pharmacy are gaps worth asking about directly before committing. For a provider with a genuinely confirmed LegitScript seal at a similarly low price, compare it against NewSelf or MyFastRx. For a provider with a similarly named legal entity but no LegitScript badge, see NuviaRx. See our best tirzepatide providers ranking for the full field.