Budget vs premium
Sprout Health vs Novi: Which Costs Less Over 12 Months? (2026)
Sprout Health $249/mo vs Novi $133/mo. 2026 comparison of pricing, medication and support, with 12-month totals rather than first-month offers.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.4 and 7.0 out of 10
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On paper, Sprout Health and Novi sell the same thing: a prescription, a vial and a delivery date. In practice they are priced and staffed on different assumptions.
On the number that matters after the first month, they are not close: Novi runs $133/mo against $249/mo at Sprout Health — 87% more, every month, for the same drug class.
Rather than restate two feature lists, this compares the two on cost over time, medication access, price stability and the support each one includes. Where a figure is not published, that is stated rather than estimated.
The short answer
- Lowest 12-month cost
- Novi — $1,596 against $2,938 at Sprout Health, on each provider's own best published pricing.
- Most support for the money
- Novi — No long-term contract, cancel anytime.
- Tirzepatide access
- Novi — Tirzepatide at $166/mo; the other side publishes semaglutide only.
- Longest public track record
- Novi — 50,124 patient reviews against 14,569.
Sprout Health vs Novi at a glance
Two programs, side by side, on their own published terms — with the rows that differ doing the work.
| Sprout Health | Novi | |
|---|---|---|
| Advertised price | $199 first month with $50 off, then $249/mo | Semaglutide from $133/mo, tirzepatide from $166/mo |
| Rate after promotions | $249/mo | $133/mo |
| Pricing structure | Promotional first month, then standard rate | Published rate per medication |
| Medication | Compounded GLP-1 | Compounded semaglutide and compounded tirzepatide |
| Membership fee | None | None |
| Payment options | Card only, no financing published | Card only, no financing published |
| State coverage | Not published | Not published |
| How fast you start | Lightning-quick approval | Online intake |
| Patient reviews | 14,569 | 50,124 |
| eRxDoctor score | 7.4/10 | 7.0/10 |
Cost over a full course of treatment
A first-month price is a customer-acquisition number. The totals below are the honest version, built from the rates each provider publishes.
| Sprout Health | Novi | |
|---|---|---|
| First month | $199 | $133 |
| Months 2 onward | $249/mo | $133/mo |
| 6-month total | $1,444 | $798 |
| 12-month total | $2,938 | $1,596 |
| Best published plan | No multi-month discount published | No multi-month discount published |
Novi finishes the year $1,342 cheaper. For some patients the support Sprout Health bundles closes that gap; for a patient who only needs the prescription written, it does not.
Price escalation to plan for: Sprout Health moves from $199 to $249, a 25% increase. Set a calendar reminder for the month it changes.
Novi is cheaper. Does that make it better?
Sprout Health charges $249/mo where Novi charges $133/mo. A premium is defensible only if it maps to something specific, so here is what Sprout Health puts behind it: fast, hassle-free GLP-1 delivery, and home delivery.
Novi's answer is the narrowest gap here between semaglutide and tirzepatide pricing, at $133 and $166. What it does not carry: the $133 rate depends on a $200-off promotion and there is no outcome guarantee.
For a patient who has taken a GLP-1 before, knows how they titrate and needs a reliable monthly refill, the cheaper program is usually the correct one and the premium is a donation. For a first prescription, the calculus changes.
A closer look at Sprout Health
Special Offer: Get $50 Off Your First Month Against Novi, that puts it in the position of the more expensive option.
From signup to first shipment: lightning-quick approval, then home delivery. Billing follows a promotional first month, then standard rate structure.
What continues after the first shipment: fast, hassle-free GLP-1 delivery. Formulary: compounded GLP-1.
Sprout Health pros
- Fully online with fast, hassle-free GLP-1 medication delivery
- Clear outcome framing, 10–26% body weight loss over 12 months
- Lightning-quick approval process
- $50 off the first month, bringing it to $199
Sprout Health cons
- Compounded medication only, no branded Ozempic or Wegovy
- No published outcome guarantee despite the outcome-focused marketing
- Price rises to $249/month after the discounted first month
Read next to Novi, the weak point: $249 a month ongoing is above the market and the outcome framing is marketing, not a guarantee.
How Novi works
Novi positions itself on the narrowest gap here between semaglutide and tirzepatide pricing, at $133 and $166. $200 OFF - GLP-1 for $133 Today
Practically: online intake, free 2-day shipping with every order, and a pricing model that is published rate per medication.
On the clinical side, no long-term contract, cancel anytime, prescribing compounded semaglutide and compounded tirzepatide.
Novi pros
- Free 2-day shipping included with every order
- Both compounded semaglutide and tirzepatide available
- Largest patient base on this list, 50,000+ patients, signaling operational maturity
- Competitive pricing: semaglutide from $133/month and tirzepatide from $166/month
Novi cons
- No published outcome or weight loss guarantee
- Tirzepatide ($166) costs more than the semaglutide entry rate
- Compounded medication only, no branded Ozempic, Wegovy, or Zepbound
Where it gives ground to Sprout Health: the $133 rate depends on a $200-off promotion and there is no outcome guarantee.
Who should choose Sprout Health, and who should choose Novi
Choose Sprout Health if:
- delivery works the way you want it to: home delivery
- you want to start on their timeline: lightning-quick approval
- the level of clinical contact suits you: fast, hassle-free GLP-1 delivery
- the feature you would actually use: a no-frills route to a first injection for people who want to start this week
Choose Novi if:
- what it leads on is worth paying for in your case: the narrowest gap here between semaglutide and tirzepatide pricing, at $133 and $166
- the twelve-month total is what you are optimizing ($1,596 against $2,938)
- you want tirzepatide available without changing provider later
- the monthly rate is the constraint — $133/mo against $249/mo
What each one gives up
On price. Novi is the cheaper program at $133/mo against $249/mo. What Novi gives up for that is the $133 rate depends on a $200-off promotion and there is no outcome guarantee; what Sprout Health charges for is a no-frills route to a first injection for people who want to start this week.
On commitment. Neither publishes a multi-month discount, so both are month-to-month decisions and neither asks you to prepay for a response you have not had yet. Neither publishes financing options, so plan for the full amount each month.
On medication. Sprout Health covers compounded GLP-1; Novi covers compounded semaglutide and compounded tirzepatide. Only Novi publishes a tirzepatide route, which matters if semaglutide underdelivers.
On clinical contact. Fast, hassle-free GLP-1 delivery at Sprout Health; no long-term contract, cancel anytime at Novi. Neither is a substitute for in-person care if you have complicating conditions, and both bill you directly rather than your insurer.
The medication, not the platform
Both platforms sell access to the same drug class, so the clinical record below applies equally to each.
The STEP 1 extension found participants regained roughly two-thirds of the weight they had lost within a year of stopping semaglutide, per Diabetes, Obesity and Metabolism.
SURMOUNT-1 put tirzepatide at roughly a 21% mean body-weight reduction at its highest dose over 72 weeks, per NEJM, SURMOUNT-1.
Which is to say: the medication decision belongs with a clinician, and the platform decision belongs with a spreadsheet.
Sprout Health vs Novi: common questions
What happens when Sprout Health's promotional price ends?
The rate moves to $249/mo, a 25% increase on the advertised entry price. Budget from that number rather than the headline, because it is the one you will pay for eleven of your first twelve months.
Which is cheaper to start, Sprout Health or Novi?
Novi, at $133 against $199. Note that the cheapest first month and the cheapest year are often different providers here — check the 12-month row of the cost table before deciding on the entry price.
Do Sprout Health or Novi take insurance?
Both run on a direct-pay basis: you pay the platform and it does not bill your insurer. Neither publishes HSA/FSA acceptance, so budget the full amount as out-of-pocket spending.
Which has more patient reviews, Sprout Health or Novi?
Novi, with 50,124 against 14,569. Ratings across this market cluster tightly, so volume is the more useful signal: it indicates how much operational load the platform has already absorbed, not how good the medication is.
How fast can I start with Sprout Health compared with Novi?
Sprout Health advertises lightning-quick approval, with home delivery. Novi advertises online intake, with free 2-day shipping with every order. Both are subject to clinician review and to whether your state and health history clear, so treat the advertised timeline as a best case rather than a commitment.
Are Sprout Health and Novi legitimate?
Both are licensed telehealth platforms that route a prescription through a clinician review before anything is dispensed; neither sells medication without one. Sprout Health operates on promotional first month, then standard rate with pricing published upfront, Novi on published rate per medication, published upfront. The meaningful due diligence is on the medication category and the terms, not on whether the platforms are real.
What happens if I stop taking the medication?
Both programs are month to month, which makes stopping easy and makes the consequence of stopping the thing to plan for: published extension data shows most of the lost weight returns within about a year. That is an argument for choosing on annual cost rather than entry price.
The verdict
Strictly on cost, Novi takes it — $1,596 to $2,938 over twelve months.
The case for Sprout Health is a no-frills route to a first injection for people who want to start this week. That is worth $112 a month to some patients and nothing at all to others — be honest about which you are.
Both platforms are legitimate routes to a GLP-1 prescription. The decision is commercial, and it should be made with the twelve-month figure in front of you rather than the first-month one.
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See every provider in context on the weight loss rankings, or browse the full comparison index.
Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by Sprout Health or Novi, and does not sell treatment. Read our ranking methodology.