Choosing between TelosRX and Nova Health RX comes down to price and to when you pay. Both are online-first services that publish their GLP-1 prices openly, and both offer semaglutide and tirzepatide in injectable and needle-free forms. TelosRX starts lower and reviews your intake before you are charged for a plan. Nova Health RX pairs a wide peptide and wellness catalog with a place-your-order-then-get-reviewed flow. Both require approval by a licensed provider.
If your priority is the lowest published monthly price on a weekly GLP-1, TelosRX is the more affordable choice, at $99 per month for semaglutide against $269.95 at Nova Health RX. Nova Health RX fits if you want one storefront covering GLP-1 alongside a broad peptide, skin, and longevity catalog.
Start your intake →A quick note on the name: Nova Health RX (novahealthrx.com) is a separate company from Novi, from NovoCare, and from other telehealth brands using "Nova" in their names. This article covers novahealthrx.com only.
Quick comparison: TelosRX vs Nova Health RX
Prices above were read from each company's own published pages as of publication and can change. Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is never guaranteed.
What is TelosRX?
TelosRX is an online-first, LegitScript-certified telehealth service built around GLP-1 weight management. It offers compounded semaglutide and tirzepatide, a needle-free sublingual oral GLP-1, and a microdosed tirzepatide protocol for people who want a gentler ramp.
The model is asynchronous. You complete a short online intake, a US-licensed provider from Arora Health Group reviews it, and there is no appointment to book and no video call to schedule. If you are approved, medication is prepared by a licensed compounding pharmacy, VialsRX or Jungle Jim's, and shipped to you with free 48-hour delivery included in the plan price.
Two things shape the cost. Pricing is published in full before you start, and it stays flat as your clinician titrates your dose, so a dose increase does not become a price increase. You can message a doctor around the clock, and you can cancel in one click with no cancellation fee.
Browse the semaglutide and tirzepatide options, compare all four paths on the GLP-1 options page, or start your treatment.
What is Nova Health RX?
Nova Health RX, at novahealthrx.com, describes itself as a modern wellness brand offering science-backed telehealth. Its catalog runs well past weight management into sexual wellness, skin, recovery and performance, longevity and cellular health, energy support, and cognitive health and mood.
Its GLP-1 line covers compounded semaglutide and tirzepatide as once-weekly injections, plus daily tablet versions of both molecules for people who would rather skip needles. Product pages also reference a GLP-1 Microdosing Program for patients who do not meet the criteria for the standard program.
Nova Health RX names its partners publicly, which is worth crediting. Its FAQ states that prescriptions are fulfilled through Rush Pharmacy and that medical services are provided by LocumTele, a licensed provider network. Its shipping policy states it serves 47 states and does not ship to California, New Jersey, or South Carolina.
The process is described plainly on its own site: you place your order and complete an intake form, doctors review it and either approve or deny the medication the same day, and approved orders ship to your door.
Medications: what each program offers
Both services build on the same drug class. Semaglutide is a GLP-1 receptor agonist that mimics a hormone your body already makes, helping regulate appetite and slow gastric emptying. Tirzepatide is a dual GLP-1 and GIP receptor agonist, acting on two metabolic pathways rather than one.
These molecules are the basis of FDA-approved brand products. The compounded versions offered by both TelosRX and Nova Health RX are not FDA-approved and are prepared by licensed compounding pharmacies pursuant to a prescription.
Needle-free access is real on both sides, so it is not a TelosRX exclusive. TelosRX offers a sublingual oral GLP-1 in either molecule, taken daily under the tongue, with ondansetron built into the tirzepatide formulation to help with nausea. Nova Health RX offers daily semaglutide and tirzepatide tablets. On oral semaglutide specifically, Nova Health RX's $259.95 tablet is a little below the TelosRX oral price, and it is fair to say so.
Where the two diverge is the microdosed path. TelosRX publishes a price for microdosed tirzepatide, as low as $116 per month. Nova Health RX references a microdosing program on its product pages but does not list what it costs.
For neutral background on this drug class, see the NIH NIDDK overview of prescription weight-management medications and the FDA announcement on tirzepatide for chronic weight management.
Key takeaway: Both companies publish their prices openly, which is genuinely to Nova Health RX's credit. The gap is the number itself: $99 per month for weekly semaglutide at TelosRX against $269.95 for a 28-day supply at Nova Health RX.
Pricing side by side
Neither service hides its prices behind a quiz, so this is an unusually clean comparison. Here is what TelosRX publishes:
- Semaglutide, weekly injection: as low as $99 per month, from a list price of $299
- Microdosed tirzepatide, weekly injection: as low as $116 per month, from $279
- Tirzepatide, weekly injection: as low as $139 per month, from $399
- Oral GLP-1, needle-free daily dose in either molecule: $269 per month, or from $9 a day
And here is what Nova Health RX lists on its own product pages:
- GLP-1 Semaglutide, weekly injection: $269.95 for a 28-day supply
- GLP-1 Tirzepatide, weekly injection: $269.95 for a 28-day supply
- Semaglutide Tablets, daily: $259.95
- Tirzepatide Tablets, daily: $389.95
Nova Health RX states that its program price includes the online consultation, the prescription if approved, a 28-day medication supply, free door-to-door shipping, and ongoing provider support. TelosRX bundles the same essentials, including free 48-hour shipping and 24/7 doctor messaging, into its monthly plan price.
On the two weekly injectables, the difference is large. A reader choosing semaglutide would pay $99 per month at TelosRX against $269.95 at Nova Health RX. On tirzepatide it is $139 against $269.95. On daily tablets the picture flips slightly for semaglutide and back again for tirzepatide, where the TelosRX oral price sits well below the $389.95 tablet.
Start your intake to see your own plan price in a few minutes.
How the process works
This is the structural difference most people miss, and it is worth understanding before you compare prices at all.
At TelosRX, the intake comes first. You answer a short set of questions, a licensed provider reviews your history asynchronously, and a plan follows only if you are approved. If a provider declines you, TelosRX refunds you in full. Once a prescription has been transmitted to the pharmacy, charges are final, which is standard for compounded medication.
Nova Health RX describes the reverse order on its How It Works page: you place what you want in your cart, fill in the intake form for its doctors to review, and they approve or deny the medication the same day based on your health assessment. Its published refund policy states that all medication sales are final once dispensed, because a compounded prescription is prepared for one named patient and cannot be reissued or resold. That is a reasonable and common policy. What the published policy does not spell out is what happens to your payment if a provider declines you before anything is dispensed, so it is worth asking their support team directly before you order.
Neither service prescribes automatically. Nova Health RX says so explicitly in its FAQ, noting that a consultation is never a guarantee of a prescription. TelosRX applies the same standard.
Support, coaching, and ongoing care
Both companies keep a provider in the loop after the first shipment rather than dropping you at checkout.
Nova Health RX gives patients a portal for secure messaging with their healthcare provider throughout treatment, and its support page points to a doctor network available for post-purchase questions. Its site does not describe structured coaching, a nutrition program, or scheduled check-ins.
TelosRX includes 24/7 unlimited doctor messaging, with dose adjustments handled as your body responds, and holds your price flat while that titration happens. Neither service is a heavy coaching program in the mold of an app-plus-nutritionist model. Both are medication-first, with a clinician reachable when you need one.
One practical note in Nova Health RX's favor: its catalog breadth means a patient already using its NAD+, sermorelin, or PT-141 products can manage everything in a single account. TelosRX also offers sermorelin and PT-141, though its catalog is narrower and more focused.
Safety and medical oversight
Both services gate every medication behind a licensed provider, and both are clear that no one is prescribed automatically.
GLP-1 medications are not appropriate for everyone. Providers screen for a personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia type 2, pancreatitis, and pregnancy, among other factors. Side effects most often reported are gastrointestinal: nausea, bloating, constipation, and diarrhea, usually most noticeable early in treatment. Give your full medical history and medication list during intake, because approval is subject to that review.
On third-party accreditation, TelosRX is LegitScript-certified. Nova Health RX does not display or reference LegitScript certification anywhere on its public site, so this article records that as not publicly listed rather than making any claim in either direction. It does name Rush Pharmacy as its dispensing partner and LocumTele as its provider network, which is more disclosure than many telehealth sites offer and is a fair point in its favor.
Which service is right for you?
Best for the lowest published price on a weekly GLP-1, a published microdosed option, review before you commit to a plan, a full refund if a provider declines you, and 24/7 doctor messaging from a LegitScript-certified service.
Best for one storefront covering GLP-1 alongside a wide peptide, skin, longevity, and wellness catalog, with named pharmacy and provider partners and same-day order review.
If you are comparing on cost per month for a weekly injection, TelosRX is the clearer choice. If you want a single account spanning many wellness categories and you are comfortable with the order-first sequence, Nova Health RX is a reasonable option worth a closer look.
Frequently Asked Questions
Is Nova Health RX the same company as Novi or NovoCare?
No. Nova Health RX operates at novahealthrx.com and is a separate business from Novi, from NovoCare, and from other telehealth brands that use "Nova" in their names. Check the exact web address before you order.
How much does TelosRX cost compared to Nova Health RX?
TelosRX publishes weekly semaglutide as low as $99 per month, microdosed tirzepatide as low as $116, weekly tirzepatide as low as $139, and a needle-free oral GLP-1 at $269 per month. Nova Health RX lists $269.95 for a 28-day supply of either weekly semaglutide or weekly tirzepatide, $259.95 for semaglutide tablets, and $389.95 for tirzepatide tablets. Prices were read from each site at the time of publication and can change.
Are the GLP-1 medications FDA-approved?
The compounded semaglutide and tirzepatide offered by both TelosRX and Nova Health RX are not FDA-approved. They are prepared by licensed compounding pharmacies under a prescription written by a licensed provider.
Does either service offer a needle-free option?
Yes, both do. TelosRX offers a sublingual oral GLP-1 taken daily in either semaglutide or tirzepatide. Nova Health RX offers daily semaglutide and tirzepatide tablets. Needle-free access is not exclusive to either company.
What happens if a provider decides GLP-1 treatment is not right for me?
At TelosRX, you receive a 100% refund if a provider declines you. Nova Health RX's published refund policy addresses dispensed medication rather than declined consultations, so contact its support team to confirm before ordering. Neither service guarantees a prescription.
Which states does each service cover?
Nova Health RX's shipping policy states it serves 47 states and does not ship to California, New Jersey, or South Carolina. TelosRX confirms your eligibility, including your state, during the online intake before any plan begins.
TelosRX is LegitScript-certified. Compounded medications are not FDA-approved and are prepared under federal compounding regulations. Approval is subject to evaluation by a licensed provider; approval is not guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service. Competitor details in this article were taken from publicly available pages on novahealthrx.com at the time of publication and may change.
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