Kova review
Kova sets out the entire ladder in ordinary sentences — "1-month plan: $249 for your first month, then renews at $299/month thereafter. 3-month plan: $179/month, or $537 upfront" — and every multiplication in it is exact. That sounds like a low bar until you have read a few sites whose per-month figures turn out to be averages hiding a one-off discount. Kova's are the real thing, and it offers the term plans monthly as well as up front. The figure to plan around is the renewal: $299 for semaglutide, $399 for tirzepatide.
then $299/mo ongoing
- Six-factor Editors' Rating
- Source-based review
This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.
Kova at a glance
- Semaglutide
- $299/mo after the first month on the one-month plan
- Tirzepatide
- $399/mo after the first month on the one-month plan
- Coverage
- All 50 states
- Brand-name
- Compounded only
How we scored Kova
Each score comes out of Kova's published pricing, disclosures and oversight, and the six combine into the 48/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.
The headline rate obscures a plan requirement or a hidden step-up.
Cost is unpredictable, premium, or hides behind a plan commitment.
Little here is shaped around a mother's week or her life stage.
Support is thin once the prescription ships.
Oversight and lab support fall short of the best we track — the review below says exactly where.
Leaving costs you — notice windows, minimum terms or fees you don't get back.
How we verified this review
- Primary source
- The company's own site
Read from Kova's own pricing page in October 2026, where the whole ladder is written out in sentences. Compounded semaglutide is $249 for a first month and then renews at $299; committing to three, six or twelve months brings it to $179, $149 or $129 a month. Tirzepatide is $299 then $399, or $249, $229 and $199 on the term plans. Every upfront total is exactly the monthly rate times the term, so these are true per-month prices rather than averages, and Kova says you may pay monthly or up front. Medication is included, lab work is not, and it serves all 50 states through five named compounding pharmacies.
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $249 → $299 | One-month plan"1-month plan: $249 for your first month, then renews at $299/month thereafter." |
| Compounded semaglutide | $179 | Three-month plan"$179/month, or $537 upfront" — and $179 × 3 is exactly $537. |
| Compounded semaglutide | $149 | Six-month plan"$149/month, or $894 upfront." |
| Compounded semaglutide | $129 | Twelve-month plan"$129/month, or $1,548 upfront." |
| Compounded tirzepatide | $299 → $399 | One-month plan"1-month plan: $299 for your first month, then renews at $399." |
| Compounded tirzepatide | $249 | Three-month plan"$249/month, or $747 upfront." |
| Compounded tirzepatide | $229 | Six-month plan"$229/month, or $1,374 upfront." |
| Compounded tirzepatide | $199 | Twelve-month plan"$199/month, or $2,388 upfront." |
Swipe the table to see plan details →
GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from Kova's public disclosures at last review and change often; confirm the current number on Kova's own site.
What we like
- Sets out the full ladder in plain sentences, renewal rate included — "$249 for your first month, then renews at $299/month thereafter"
- Its per-month figures are genuine per-month figures: every upfront total is exactly the monthly rate times the term
- The longer plans can be paid monthly or in one payment, so the discount does not require a lump sum
- Four term lengths for each molecule, making the trade between commitment and cost visible at once
- Names its operating entity and a street address
- Names its clinicians and its five compounding pharmacies in the FAQ, and says it serves all 50 states
- Medication is included in the plan price, and you are not charged until a clinician prescribes
- Cancel any time from your account page; access runs to the end of the paid period
The caveats
- The low advertised prices need a term commitment — $129/mo for semaglutide means signing up for twelve months
- Month to month, the price rises after the first month: $249 to $299 for semaglutide, $299 to $399 for tirzepatide
- Lab work is not included — if your clinician orders blood work, you pay for it separately
- Pricing is published per plan rather than per dose, so nothing is said about what happens as you titrate up
Kova for mothers: our verdict
Kova advertises $249 to start, but the regular rate is about $299/month — that second number is the one to budget for. In our scoring it does best on price transparency and worst on flexibility to pause or cancel.
Kova pricing
- Compounded semaglutide — One-month plan: $249 to start, then $299/mo
- Compounded semaglutide — Three-month plan: $179/mo
- Compounded semaglutide — Six-month plan: $149/mo
- Compounded semaglutide — Twelve-month plan: $129/mo
- Compounded tirzepatide — One-month plan: $299 to start, then $399/mo
- Compounded tirzepatide — Three-month plan: $249/mo
For comparison, the typical price we see is about $196/month — Kova sits above it. Over a year at that rate, you'd spend about $3,588. Paying for a longer plan up front brings it down to about $129/month, but you're committing to the full term.
What's included: the clinician consult, the medication, and shipping.
What Kova prescribes
Kova prescribes semaglutide and tirzepatide. Semaglutide is the drug in Wegovy and Ozempic; tirzepatide, the drug in Zepbound and Mounjaro, also acts on GIP and is often preferred where insulin resistance drives weight. Expect compounded medication, not Wegovy or Zepbound pens. That's why the price is lower, and also why the FDA hasn't approved the finished product.
Before you start the intake
Every state is covered.
How Kova compares
Close in price to Kova, and worth comparing:
- Embody — $299/mo, semaglutide and tirzepatide, same price at every dose
- Found — $289/4 wks, semaglutide and tirzepatide, same price at every dose, brand-name pens available
- Alan Meds — $315/mo, semaglutide and tirzepatide, brand-name pens available
Is Kova right for you?
Worth a look if…
- You'd like a real prescriber looking at your health history before anything ships.
- You may want to switch between semaglutide and tirzepatide later on.
- Your family might move — it serves every state.
Probably not for you if…
- You specifically want an FDA-approved brand pen with its own pregnancy and breastfeeding labeling.
- You need a no-strings plan; the cancellation fine print here is worth reading before you sign up.
- Budget is tight — it costs more than most of the providers we've reviewed.
- You want one flat price at every dose — compare CoreAge Rx, a featured partner.
Trust, safety, and oversight
With any compounded GLP-1, ask which licensed pharmacy fills the prescription and what exactly is in the vial. How we score clinical oversight is set out in our methodology.
For mothers, pregnancy plans and breastfeeding deserve a separate clinical discussion. Weight-loss treatment is not recommended during pregnancy, while breastfeeding advice depends on the medicine and formulation. Ask your clinician to assess your treatment needs and your infant’s circumstances.
What to ask Kova first
- What does the price become after the first month?
- How do I cancel, and is there a minimum term?
- Can I pause the plan if we decide to try for a baby?
The bottom line
Kova costs more than most, so it has to earn the difference — its strongest card is price transparency. If you're still choosing, compare it with CoreAge Rx, a featured partner.
The bottom line for mothers
Best for: Someone weighing commitment against price who wants the arithmetic already done, and done correctly.
Alternatives to Kova
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge RxCoreAge RxFeatured partner
The one program on our list whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
- Visit bmiMD
A complete plan table and genuine nationwide coverage, undercut by a homepage that strikes the same product through from two different “regular” prices.
- Visit Embody
A flat price at every dose — $299/mo semaglutide, $349/mo tirzepatide, currently cut to $79 and $129 by a time-limited sale — but real Trustpilot reviews say the signup price hasn't always held, and payment happens before the eligibility review.
Providers like Kova
Keep comparing Kova
Head-to-head & alternatives
Ranked boards
- The 2026 guide to the best GLP-1 for moms
- Best GLP-1 for women — PCOS & menopause
- Best GLP-1 for first-timers & beginners
- Cheapest GLP-1 without insurance
- Best GLP-1 after baby — postpartum providers ranked
- Best GLP-1 with insurance & coverage help
- Best GLP-1 providers for PCOS
- Best GLP-1 for perimenopause & menopause
- Cheapest tirzepatide online, month to month
- Cheapest semaglutide online, month to month
Kova, answered
- How much does Kova cost?
- When we last checked, the lowest eligible ongoing compounded price at Kova worked out to an estimated $299 per calendar month. This is a monthly budget equivalent; the actual charge and billing interval may differ. Confirm today's all-in invoice amount, renewal dates and dose-specific rate before signing up.
- Is Kova safe to use while breastfeeding?
- Discuss breastfeeding with your prescriber before starting treatment through Kova. Advice depends on the exact medicine and formulation, your treatment needs and your infant's circumstances; limited milk data do not establish infant safety. Oral and injectable products can have different labeling, and a compounded preparation needs its own assessment. Tell the clinician if you are pregnant or planning pregnancy so treatment and any stopping interval can be planned individually.
- Does Kova offer both semaglutide and tirzepatide?
- Kova discloses both semaglutide and tirzepatide options. Confirm the specific product, formulation, current availability in your state and eligibility with the provider; a listed menu does not mean either medicine is appropriate for you.
- Where does Kova rank for mothers?
- Kova takes 48/100 in our Editors' Rating, placing it #243. Six factors chosen for mothers feed that number. CoreAge Rx, a featured partner, is worth a side-by-side look.
Pricing, states and verification reflect Kova's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.