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Josie vs Oova: Which Is Better?

Head-to-head comparison of Josie and Oova based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Josie scores higher overall in our independent evaluation (57.6/100 vs 56/100), leading on value, product range. Oova comes out ahead on trust & safety, reputation.

58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie
56
Oova
Fair

At-home urine hormone-tracking kit that quantifies LH, estrogen and progesterone metabolites via a phone app, for fertility and perimenopause; no in-house prescribing.

Visit Oova

Score Breakdown

DimensionJosieOova
Overall Score57.6/100 ✓56/100
Trust & Safety30%50/10062/100 ✓
Value25%70/100 ✓56/100
Experience20%58/10058/100
Product Range15%60/100 ✓42/100
Reputation10%45/10055/100 ✓

At a Glance

Founded—2017
Headquarters—New York, NY
Publicly tradedNoNo
Treatment categories31
Treatments listed73
Starting price$90/mo$99/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryJosieOova
Women's Health—$99
Oova Membership (discounted kits + expert consults)

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Oova

+Quantitative readings of three hormones (LH, E3G, PdG) versus the yes/no results of standard ovulation strips
+Results can be shared in real time with a patient's own clinician through a HIPAA-compliant provider dashboard
+Kits are FSA/HSA eligible, with posted one-time and recurring pricing
−No prescribing or diagnosis; membership consults are with 'experts' rather than a clearly defined treating clinician
−App reportedly blocks scans outside its calculated testing window, which can leave paid strips unusable
−At roughly $129-$159 per cycle kit, ongoing tracking costs substantially more than basic ovulation strips
Read the full Oova review →

Josie vs Oova — FAQ

Is Josie better than Oova?

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Josie scores higher overall in our independent evaluation (57.6/100 vs 56/100), leading on value, product range. Oova comes out ahead on trust & safety, reputation.

Is Josie or Oova cheaper?

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Josie has the lower starting price (from $90/mo vs $99/mo for Oova). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Josie and Oova both offer?

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Both platforms treat Women's Health. Josie covers 3 treatment categories total and Oova covers 1.

Still deciding?

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