GLP-1 Weight Loss Review
Novi GLP-1 Review 2026: Compounded Semaglutide & Tirzepatide, Cost, Safety, and What You Need to Know
Novi offers cash-pay compounded semaglutide and tirzepatide through independent licensed clinicians and U.S. pharmacies at a low entry price — but its FAQ and Terms of Service disagree on the commitment, and the fine print is worth reading first.
- Compounded semaglutide from $133/mo, tirzepatide from $166/mo
- Prescribed by independent licensed U.S. clinicians
- Named, board-certified clinical team listed on the site
- Cash-pay only, free 2-day shipping
Semaglutide from $133/mo · Tirzepatide from $166/mo
Compounded medications are not FDA-approved finished products
By Charly P. · Not medically reviewed · 8 min read
Published May 2026 · Pricing last checked August 2026
- From $133/mo (semaglutide)
- Named clinical team
- Licensed U.S. pharmacies
- Free 2-day shipping
Novi is a cash-pay telehealth platform for compounded semaglutide and tirzepatide — priced low, but its FAQ and Terms of Service disagree on the commitment, worth knowing before you enroll. Comparing the whole field? See our best weight loss treatments guide.
Quick-Look Summary: Novi GLP-1 at a Glance
| Provider | Novi International LLC |
|---|---|
| Program Type | Telehealth GLP-1 weight loss platform |
| Compounded Semaglutide | From $133/month (promotional pricing as of April 2026) |
| Compounded Tirzepatide | From $166/month |
| Medications | Compounded, not FDA-approved finished products |
| Prescription Required | Yes, by independent licensed U.S. clinicians |
| Delivery | Free 2-day shipping |
| Insurance | Cash-pay only |
| Cancellation | FAQ says month-to-month; ToS says 3-month minimum, verify before enrolling |
| Refunds | No returns once prescription dispensed or shipped |
| Support | 7 days/week; unlimited clinician check-ins per company |
Compounded GLP-1 Medications: What You Must Understand First
Consult a qualified healthcare professional before starting any weight-loss program or prescription treatment.
How Novi Works: The Three-Entity Structure
Novi splits care across three entities common to this space — the distinctions carry real implications for who is actually responsible for your treatment.
- 1.Novi International LLC, The Platform Layer
Handles intake, billing, and coordination. Per its own Terms of Service, Novi is not a healthcare provider and does not provide medical advice.
- 2.Licensed Clinicians, The Prescribing Layer
Independent board-certified physicians and nurse practitioners who review your health information and make prescribing decisions. The platform cannot guarantee a prescription.
- 3.Partner Pharmacies, The Fulfillment Layer
Licensed U.S. pharmacies that compound and dispense medication. Separate from both the platform and the clinicians.
What Novi Says Is Included
Per the company's website, everything below is bundled into the monthly price with no hidden fees:
Pros
- 4-week medication supply delivered monthly
- Administration supplies (injection materials)
- Unlimited clinician check-ins and dose adjustment
- Coaching support included in monthly price
- Free 2-day shipping
- 100% online, no in-person visits required
- Named, board-certified clinical team on website
Cons
- Compounded medications are not FDA-approved finished products
- Cash-pay only — no insurance accepted
- FAQ and Terms of Service disagree on the minimum commitment
- No returns once a prescription is dispensed or shipped
Novi Pricing: Current Costs as of April 2026
Pricing is one of the most-asked-about aspects of the program. Below is what the company's promotional page listed as of April 2026:
| Compounded Semaglutide | From $133/month, reflects a $200 promotional discount. Not FDA-approved finished product. |
|---|---|
| Compounded Tirzepatide | From $166/month, dual GLP-1/GIP action. Not FDA-approved finished product. |
| Insurance | Cash-pay only. No insurance accepted. HSA/FSA may apply, verify with your plan. |
| Shipping | Free 2-day. Included with prescription when fulfilled. |
Compared to Embody and altRx, Novi's starting price of $133/month for semaglutide positions it competitively in the compounded GLP-1 space. According to the FDA, semaglutide is approved for chronic weight management in adults with obesity or overweight with at least one weight-related condition.
The FAQ vs. Terms of Service Conflict: Read Before You Enroll
This is one of the most practically important issues in this review. Novi's FAQ and Terms of Service present materially different language on commitment and cancellation.
What the FAQ Says
"You can cancel your Novi subscription at any time. Our program is month-to-month with no minimum commitments or long-term contracts, so cancellation is simple and flexible."
What the Terms of Service Say
"Subscription based Products and/or Services require a minimum 3-month commitment… By enrolling in Subscription Services, you agree to pay for a minimum of three (3) consecutive months."
Once a prescription ships, the company states it cannot be returned or refunded — so your total obligation after enrolling can run well above what the FAQ framing suggests.
Novi's Named Clinical Team, A Transparency Advantage
According to the company's website, Novi's clinical team includes named, board-certified providers, a transparency element not all telehealth platforms offer. Note that the specific clinician who reviews your intake may or may not be one of the providers featured on the website.
| Daniel Funsch, MD | American Board of Emergency Medicine |
|---|---|
| Michael Wasef, MD | American Board of Internal Medicine |
| Takashi Nakamura, MD | American Board of Emergency Medicine |
| Kimberli Hastings, NP | American Academy of Nurse Practitioners |
| Kristine Clements, NP | Board-certified FNP, 25+ years experience, USAF flight medic |
| Theresa Vergara, NP | Certified NP with Doctorate in Nursing |
GLP-1 Clinical Context: What Published Research Shows
Published clinical studies on FDA-approved semaglutide and tirzepatide explain why GLP-1 medications have attracted significant clinical interest. These results are included for educational context only and do not establish equivalent outcomes for compounded formulations or any telehealth program.
Semaglutide, STEP 1 Trial
Mean weight reduction of approximately 14.9% over 68 weeks with FDA-approved 2.4 mg semaglutide vs. 2.4% placebo. Over 86% of participants achieved at least 5% weight loss. Across the STEP program, results ranged from approximately 14.9% to 17.4%.
Tirzepatide, SURMOUNT-1 Trial
Mean weight reduction of approximately 22.5% at the 15 mg dose over 72 weeks. Approximately 63% achieved 20%+ weight loss at the highest dose. The SURMOUNT-5 head-to-head found tirzepatide outperformed semaglutide (20.2% vs. 13.7%).
Novi vs. Traditional Weight Loss: Who Should Consider Novi?
Based on what the company publicly discloses, Novi may fit well for some patients and not at all for others:
| Factor | Novi GLP-1 | Traditional In-Person |
|---|---|---|
| Consultation Type | 100% Online | In-office visit |
| Medication Type | Compounded (not FDA-approved) | FDA-approved brand options |
| Starting Cost | From $133/mo | Varies widely |
| Insurance | Cash-pay only | May be covered |
| Delivery | Free 2-day home delivery | Pharmacy pickup |
| Clinical Support | 7 days/week | Office hours |
Patient reports we've seen echo the price appeal: “Novi's semaglutide at $133/month is among the best prices I found. The unlimited clinician check-ins and free 2-day shipping make the program feel complete.” (Verified Novi Patient; individual results vary.)
How We Scored Novi
Our 8.6/10 is a weighted mean of six categories, scored in August 2026 using the same criteria we apply to every GLP-1 provider. Where we could not verify a claim, the category is capped rather than given full marks.
How We Scored It
Published promotional pricing from $133/mo (semaglutide) with no hidden fees claimed, though the landing-page price can differ from the site.
Independent licensed U.S. clinicians prescribe, but the platform itself is not a healthcare provider by its own terms.
Unlimited clinician check-ins and 7-day support per the company, with coaching bundled into the monthly price.
Clean online flow and a ~3-minute quiz, but compounded formulations carry no trial evidence of their own.
100% online with free 2-day shipping and no in-person visits required.
A named, board-certified clinical team is a real transparency plus, offset by the FAQ-vs-Terms commitment conflict.
The same weighted method is applied to every provider we score, so competitor ratings are comparable. See our best weight loss treatments guide.
Novi Alternatives
Looking for alternatives to Novi? Worth reading next to this one: Oak Longevity, which breaks down semaglutide and tirzepatide pricing separately. Here are the top-rated GLP-1 weight loss programs we recommend:
Recommended Providers
Our editorial team’s top picks for this category.
Novi GLP-1: Frequently Asked Questions
Novi GLP-1 Review Summary: The Bottom Line
Our Editorial Take
On price, Novi delivers: a genuine cash-pay pathway to compounded semaglutide and tirzepatide through licensed clinicians and U.S. pharmacies, at a lower entry point than much of the field. What gives us pause is the mismatch between the company's own FAQ and its Terms of Service — when a program's marketing and its legal fine print say different things, that's a signal to read carefully, not a nitpick. Stack that alongside the compounded-vs-FDA-approved distinction and a fast-shifting enforcement landscape, and you have a program that's attractive on cost but earns real scrutiny before you hand over a card. Like all compounded GLP-1 programs, the value depends entirely on the quality of clinical oversight — ask specifically about follow-up frequency and what "ongoing support" includes before committing. Overall: 8.6/10.
Compounded semaglutide from $133/mo · Tirzepatide from $166/mo
View Novi's Official Program Details →Cash-pay only · Free 2-day shipping · Verify terms before enrolling
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