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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 semaglutideThree-month plan"$179/month, or $537 upfront" — and $179 × 3 is exactly $537. | $179 | Three-month plan"$179/month, or $537 upfront" — and $179 × 3 is exactly $537. |
| Compounded semaglutideSix-month plan"$149/month, or $894 upfront." | $149 | Six-month plan"$149/month, or $894 upfront." |
| Compounded semaglutideTwelve-month plan"$129/month, or $1,548 upfront." | $129 | Twelve-month plan"$129/month, or $1,548 upfront." |
| 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." |
| Compounded tirzepatideThree-month plan"$249/month, or $747 upfront." | $249 | Three-month plan"$249/month, or $747 upfront." |
| Compounded tirzepatideSix-month plan"$229/month, or $1,374 upfront." | $229 | Six-month plan"$229/month, or $1,374 upfront." |
| Compounded tirzepatideTwelve-month plan"$199/month, or $2,388 upfront." | $199 | Twelve-month plan"$199/month, or $2,388 upfront." |
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 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. 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.
We weigh Kova the way working moms actually have to: not just the monthly line on your budget, but how fast you can start without a scheduled video visit and a flat monthly price that doesn't climb as your dose does — the parts a generic review does not measure.
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 — the two best-evidenced molecules in the class, and having both on one account matters because you can switch between them without re-enrolling or hunting down a new provider mid-plan. These are compounded formulations from a licensed pharmacy — the reason the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are.
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.
- you'd rather the most predictable place to start and pause — which is exactly what our #1 pick, CoreAge Rx, is designed around.
Trust, safety, and the fine print
Our confidence in Kova's public facts is high — pricing, pharmacies, and clinical network were verifiable at last review. 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.
One line that applies to every provider on this site: no GLP-1 is established as safe in pregnancy or while breastfeeding, and the labels advise against use. This is a review of a commercial program, not a green light — the timing decision belongs to you and your clinician.
The bottom line
Kova is a reasonable option — weigh it on how fast you can start without a scheduled video visit and a flat monthly price that doesn't climb as your dose does against the alternatives below. For most working moms, CoreAge Rx remains the stronger all-round fit — see why it tops our ranking.
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 ranking.
- 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 Pallas HealthRx-Readiness89100
Pallas Health removes the two things that usually cost a working parent the most time: it publishes every price before intake, and it runs care asynchronously in 43 of 50 states, so there's no video appointment to wedge into a workday. Compounded semaglutide averages about $199 a month and tirzepatide $299, and unusually the genuine FDA-approved pens sit alongside them — Zepbound $1,069, Ozempic $1,299, Wegovy and Mounjaro $1,349 — all cash-pay from the same clinician. The price is flat at every dose, so a titration never produces a surprise bill, and the plan figure already contains the clinician, dose adjustments, check-ins and messaging with no membership fee. Its cancellation terms are unusually concrete: cancel free through the portal, keep access to the end of the paid period, full refund if a clinician declines you, and a $5 processing fee on a qualifying refund. The trade-offs are that billing lands every 12 weeks in $597 and $897 blocks rather than monthly, the compounding pharmacy is never named, and insurance is never billed.
- 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.
Keep comparing Kova
Head-to-head & alternatives
Kova, answered
- How much does Kova cost?
- Budget around $299 a month — 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?
- Kova involves more clinician touchpoints (and, in some cases, a scheduled visit), so it isn't the fastest async start. If a no-video signup is your priority, our #1 pick is built for it.
- Does Kova offer both semaglutide and tirzepatide?
- Yes — Kova offers both molecules, so you can switch without re-enrolling. Tirzepatide's dual GIP/GLP-1 action posts the strongest published weight-loss numbers.
- Where does Kova rank for working moms?
- Kova earns 51/100 on our Rx-Readiness Score, ranking #226. Speed to first dose and flat pricing carry the most weight of the six factors behind it. CoreAge Rx leads — see how they compare.
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.