Head-to-head · WeighScore
Nova vs Optimized Health
The verdict
Optimized Health takes it — 67.2/100 to 64/100.
Optimized Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Optimized Health is a concierge medical weight loss and hormone clinic offering clinician-supervised GLP-1 programs with compounded semaglutide and tirzepatide, plus oral options like phentermine.
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 | Nova | Optimized Health |
|---|---|---|
| WeighScore | 64/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #260 | #176 |
| Semaglutide | $198/mo (a starting-at floor that scales with dose; the same page's FAQ says $229) | $200/mo (starting dose, compounded) |
| Tirzepatide | $210/mo (a starting-at floor that scales with dose; the same page's FAQ says $279) | $250/mo (starting dose, compounded) |
| Coverage | 49 states (all except California) | 5 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Yes |
Graded #260 · C
Strengths
- Quotes an all-in figure that already contains the $99 monthly membership and free shipping, rather than splitting the bill in two
- Names a medical director and a nurse practitioner with credentials on the site
- States a 503A class in the weight-loss FAQ, and says which pharmacies class it uses and why
- An oral daily-dose lane sits beside the injections
- Publishes the one state it does not serve rather than claiming 50 and hedging
Where it loses points
- Three price sets are live at once: $198 and $210 in the hero and the API, $229 and $279 in the same pages' FAQ headings, and a third pair in the site's own script bundle
- The FAQ's own arithmetic does not reach the hero figure — $99 membership plus $130 medication is $229, not $198
- Every published figure is a starting-at floor that scales with dose, and no dose-to-price table exists on any surface
- One page puts “starting at $165/mo” under a note that medication is billed separately while the product page for the same item says $165 includes it
- “You are only charged if a licensed provider prescribes treatment” sits against a refund policy that keeps membership and consultation fees when the provider declines
- The how-it-works page still says clinicians are licensed in Texas and Florida on a site whose footer claims 49 states
- No compounding pharmacy and no medical group is named
Graded #176 · C
Strengths
- Fully transparent pricing published on the website
- Semaglutide from $200/mo and tirzepatide from $250/mo
- Lab panels included with clinician-supervised dosing
- LegitScript certified clinic
- Lead PA-C with over a decade in obesity medicine
Where it loses points
- Telehealth limited to MO, IA, KS, UT, and WA
- Compounded GLP-1 only, not brand-name
- No insurance billing (cash-pay)
- PA-led rather than MD/DO-led
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 536 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.