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Kova review
Kova is the rare site where the arithmetic is already done and comes out right. "3-month plan: $179/month, or $537 upfront" — and $179 × 3 is $537 exactly, which holds for all eight of its plans. That matters because plenty of sellers advertise a per-month figure that is really an average with a one-off discount folded in; these are not. Month to month, the number to plan around is the renewal: $299 for semaglutide, $399 for tirzepatide, after a cheaper first month.
then $299/mo ongoing
- HSA / FSA-eligible
- Editor-vetted
- No insurance needed
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
- Not published on the site
- Start
- Not published
How we scored Kova
Each factor is read off Kova's published pricing, disclosures and intake flow, and the six roll up into the 51/100 Rx-Readiness Score on the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.
Tiered or opaque — the true monthly is hard to pin down up front.
Limited or state-gated availability — confirm yours first.
Both molecules, though pricing on one isn't cleanly posted.
Exit terms are the weak point: lock-in, notice periods, or a cancellation path that isn't published.
The hardest start to fit around a workday — a scheduled visit, or no published answer either way.
The weakest showing on speed — a slow published timeline, or none at all.
How we verified this review
- Last verified
- August 2026
- Confidence
- high
- Primary source
- trykova.com/pricing
Read from Kova's own pricing page in August 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 states you may pay monthly or up front. No list of states is published and no compounding pharmacy is named.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutideOne-month plan"1-month plan: $249 for your first month, then renews at $299/month thereafter." | $249 → $299 | One-month plan"1-month plan: $249 for your first month, then renews at $299/month thereafter." |
| Compounded tirzepatideOne-month plan"1-month plan: $299 for your first month, then renews at $399." | $299 → $399 | One-month plan"1-month plan: $299 for your first month, then renews at $399." |
HSA/FSA generally applies to GLP-1 telehealth; confirm with your plan. These figures are Kova's public disclosures at last review and change often; confirm the current number on Kova's own site.
What we like
- The whole ladder is published in plain sentences, renewal rate included
- Per-month figures are true per-month figures: every upfront total is exactly the monthly rate times the term
- The term plans can be paid monthly rather than as a lump sum
- Four term lengths per molecule, so the commitment-versus-cost trade is visible at once
- Names its operating entity and a street address
The caveats
- The low prices require a term commitment — $129/mo for semaglutide means twelve months
- Month to month the price rises after month one: $249 to $299 for semaglutide, $299 to $399 for tirzepatide
- No list of states served
- No compounding pharmacy named
- Pricing is per plan rather than per dose, so nothing is published about titration
Kova for working moms: our verdict
Kova is best assessed on the total charge, your state eligibility, and how easily you can stop future billing. The advertised entry is $249, but the standing rate settles near $299/month — so read the headline as a starting offer, not the monthly line on your budget.
Before choosing Kova, confirm the prescription offered, the services included, and the renewal terms. The sections below separate those decisions so you can compare the same costs and commitments.
What Kova will cost you
- 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 context, the typical ongoing price across our roster is around $179/month, so Kova sits at the premium end.
The medications Kova prescribes
Kova prescribes semaglutide and tirzepatide. Availability of both does not guarantee that switching is appropriate or that a new evaluation is unnecessary. For any compounded option, confirm the dispensing pharmacy and formulation. Compounded medications are not FDA-approved finished products.
Where Kova fits — and where it doesn't — for working moms
Right for you if…
- you want a straightforward semaglutide and tirzepatide program and will confirm the details before you commit.
Not your best option if…
- you specifically want an FDA-approved brand pen and insurance navigation.
- you want frictionless cancellation and no prepay lock-in — the exit terms are the weak point here.
Trust, safety, and the fine print
Before enrolling with Kova, confirm the clinician, the dispensing pharmacy, and how to reach the care team between refills. As with any compounded GLP-1, the most useful thing working moms can do is confirm which licensed pharmacy fills the prescription and what's in the formulation — we explain how we weigh oversight in our scoring methodology.
Discuss pregnancy plans and breastfeeding with your clinician before starting or continuing treatment. Product-specific recommendations differ; this program review cannot establish that a medication is appropriate for you.
The bottom line
Choose Kova only when the ongoing cost and care arrangements fit your needs. Ask for the next charge, the cancellation deadline, and a contact for treatment questions before paying. Compare the same drug, supply period, and commitment across providers.
The bottom line for working moms
Best for: Someone deciding between three, six and twelve months who wants the totals to be trustworthy.
Alternatives to Kova
Providers we have a referral relationship with, ordered by Rx-Readiness Score — highest first. A fee never moves a score, but it does decide who appears here, so this is not the full list: see the complete review directory.
- Visit CoreAge RxRx-Readiness95100CoreAge RxOur #1 pick
The shortlist pick: one flat price that doesn't climb as your dose does, both molecules on a single plan, and a nationwide async intake you can finish on a break.
- Visit Trimi HealthRx-Readiness88100
The price-first partner: some of the lowest flat, all-inclusive compounded pricing we track, nationwide and async — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
- Visit Gala HealthRx-Readiness85100
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included partner if you can live with a yearly plan and a pharmacy it doesn't name.
Keep comparing Kova
Head-to-head & alternatives
Kova, answered
- How much does Kova cost?
- Budget around $299/mo — that was Kova's lowest ongoing compounded rate at last review ($299/mo after the first month on the one-month plan semaglutide, $399/mo after the first month on the one-month plan tirzepatide). Verify the all-in figure on their site before you plan around it; these numbers change often.
- Can I start Kova without a scheduled video visit?
- Confirm the consultation format directly with Kova. An online program may still require a live visit depending on your state, clinician and medical needs; the score alone does not establish your intake requirements.
- Does Kova offer both semaglutide and tirzepatide?
- Kova lists tirzepatide access as well as semaglutide. Confirm the exact treatment offered to you; switching requires clinician approval and may involve a new evaluation or different cost.
- Where does Kova rank for working moms?
- Kova earns 51/100 on our Rx-Readiness Score, ranking #237. Speed to first dose and flat pricing carry the most weight of the six factors behind it. Compare the price, care arrangements and eligibility described in the review.
Pricing, states and verification reflect Kova's public disclosures at last review; the Rx-Readiness Score 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.