Head-to-head · WeighScore
MyStart Health vs Novi
The verdict
MyStart Health takes it — 67.1/100 to 59.9/100.
MyStart Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. MyStart Health offers all-inclusive compounded semaglutide and tirzepatide at $299/month with a price-lock guarantee, same-day physician consultations, and 24/7 care team access.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | MyStart Health | Novi |
|---|---|---|
| WeighScore | 67.1/100 | 59.9/100 |
| Grade | C | C |
| Scorecard rank | #168 | #331 |
| Semaglutide | $299/mo (all doses, compounded) | $174/mo (starting dose, compounded) |
| Tirzepatide | $299/mo (all doses, compounded) | $283/mo (starting dose, compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #168 · C
Strengths
- Price Lock Guarantee — your $299 base rate doesn't rise as your dose escalates
- Fast onboarding: roughly 5-minute intake, 24-hour prescription turnaround, 2–4 day shipping
- 24/7 care team access with unlimited clinician messaging included
- LegitScript certified
- Clear Section 503A compounding disclosure on every landing page
Where it loses points
- Not BBB accredited — C+ rating with 10 complaints, mostly shipping delays and support access
- Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
- Markets oral tirzepatide, but no FDA-approved oral tirzepatide exists
- Very new company (incorporated May 2024) with a limited track record
- Pharmacy partners not named, so 503A compliance can't be independently verified
Graded #331 · C
Strengths
- Transparent all-in monthly pricing — medication, clinician support, and shipping bundled with no hidden fees or membership add-ons
- Both compounded semaglutide and tirzepatide available
- Unlimited clinician messaging included at no extra cost
- Free 2-day shipping on every refill
Where it loses points
- Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
- 3-month minimum commitment is non-refundable per Terms of Service unless a clinician deems treatment medically inappropriate
- State availability and pharmacy partners not publicly listed — patients learn during intake which states and pharmacies serve them
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.