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Ranked #261 for moms · Grade C · 51/100

Kova review

Kova’s monthly plan costs $249 first month then $299 for semaglutide, and $299 then $399 for tirzepatide. Three-, six- and twelve-month prepaid totals are $537/$894/$1,548 and $747/$1,374/$2,388. Clinical care, medication and delivery are included. Early cancellation can reprice completed or shipped months under the plan terms.

$249to start

then $299/mo ongoing

Consult Medication Shipping
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Written by (pen name) — provider research, not medical advicePrices checked

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
Brand-name
Compounded only

How I scored Kova

Every factor here comes from Kova's own pricing and its disclosures, and the six add up to the 51/100 Mom-Tested Score on the same weighted six-factor method I use on every provider. Some providers are partners, and we may be paid if you sign up through our links.

No-surprise pricing70/100 · Weak

Scores low: pinning down the real ongoing number takes work.

Works in your state22/100 · Weak

Scores low: whether it reaches you is the open question.

Both meds available78/100 · Fair

Covers what most moms need, if not every option.

Cancel without a fight34/100 · Weak

Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.

Nap-time-easy signup54/100 · Weak

Scores low here: getting started asks more of your week than most.

Support you can reach40/100 · Weak

Support is the weakest part of this provider's score.

How I verified this review

Confidence
high
Primary source
Kova's website

Kova’s monthly plan costs $249 first month then $299 for semaglutide, and $299 then $399 for tirzepatide. Three-, six- and twelve-month prepaid totals are $537/$894/$1,548 and $747/$1,374/$2,388. Clinical care, medication and delivery are included. Early cancellation can reprice completed or shipped months under the plan terms.

Pricing

Compounded semaglutide$249 → $299One-month plan"1-month plan: $249 for your first month, then renews at $299/month thereafter." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded semaglutide$179Three-month plan"$179/month, or $537 upfront." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded semaglutide$149Six-month plan"$149/month, or $894 upfront." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded semaglutide$129Twelve-month plan"$129/month, or $1,548 upfront." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded tirzepatide$299 → $399One-month plan"1-month plan: $299 for your first month, then renews at $399." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded tirzepatide$249Three-month plan"$249/month, or $747 upfront." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded tirzepatide$229Six-month plan"$229/month, or $1,374 upfront." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.
Compounded tirzepatide$199Twelve-month plan"$199/month, or $2,388 upfront." Clinician consultations, medication, delivery and ongoing support included. Multi-month plans are prepaid at the stated total. Early cancellation can reprice shipped months at the disclosed early-cancellation rate; confirm that rate before paying.

HSA and FSA usually work for this — worth checking your own plan. The prices here are what Kova's public disclosures showed at last review, and they change often; confirm the current number on Kova's own site.

What I like

  • The full monthly and prepaid plan ladder is published before intake.
  • The per-month figures are the real per-month figures: every upfront total is exactly the monthly rate times the term
  • You can pay the longer plans monthly instead of in one lump
  • Four term lengths per medication, so the trade between committing and paying more is right there
  • Names its company and a street address

The caveats

  • Early cancellation can reprice completed or shipped months under the applicable plan terms.
  • No list of states
  • It doesn't name a compounding pharmacy

What I actually think of Kova

Kova’s monthly plan costs $249 first month then $299 for semaglutide, and $299 then $399 for tirzepatide. Three-, six- and twelve-month prepaid totals are $537/$894/$1,548 and $747/$1,374/$2,388. Clinical care, medication and delivery are included. Early cancellation can reprice completed or shipped months under the plan terms. The number they lead with is $249, but the price that sticks is closer to $299/month — so read the headline as an introductory offer, not the real monthly number.

I look at Kova the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and canceling without a fight. That's the stuff a generic weight-loss review skips right over.

What Kova really costs

  • 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 my shortlist is around $179/month, so Kova sits at the pricey end.

Which meds Kova prescribes

Kova prescribes semaglutide and tirzepatide. They work differently; a clinician should assess the indication, medical history, contraindications and practical access before choosing between them. Compounded GLP-1s are not FDA-approved finished products like Wegovy and Zepbound. Ask who dispenses the prescription and why a compounded formulation is appropriate for your situation.

Who Kova is — and isn't — for

A good fit if…

  • you might need to move between semaglutide and tirzepatide as your body and hormones shift.

Look elsewhere if…

  • you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
  • you want to be able to cancel without a fight — the exit terms are the part of the fine print I'd read twice here.
  • you want to compare another option before deciding — review the published terms and support offered by CoreAge Rx, our featured partner, alongside this provider.

Can you trust it?

I'm confident in the public facts on Kova — pricing, pharmacies, and the clinical network all checked out when I last looked. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.

Pregnancy planning and breastfeeding need advice for the exact product, formulation and indication. Injectable and oral products have different lactation wording. The breastfeeding evidence guide explains the limited data; decide timing with your prescriber and pediatrician.

So, would I use it?

Kova is a reasonable option — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. If you want a second option, CoreAge Rx is our featured partner — you can see them side by side in this head-to-head.

The bottom line for moms

Best for: If you're comparing three months against six against twelve and want the math already done, correctly.

If Kova isn't the one

These are partners — we may be paid if you sign up through these links. My full list has every provider, partner or not.

  • CoreAge RxFeatured partner

    A featured partner advertising compounded semaglutide at $79 and tirzepatide at $129 a month, with the same price at every listed dose, supplies and shipping included.

    Visit CoreAge Rx
  • It just tells you the price and then charges it — $299 or $399, injection or tablet, no first-month bait — and it puts its doctors' names on a public page. It's expensive, it only works in 36 states, and it has an advertising complaint it never answered.

    Visit Willow
  • Found combines medication, clinical care and membership in its compounded plans, billed every 28 days. Cash semaglutide costs $289 after the introductory cycle and tirzepatide $359; prepaid terms cost less. Insurance care requires video visits plus copays, while self-pay usually uses chat or text.

    Visit Found Health

Providers like Kova

A few more providers with a lot in common with Kova, if you want to read them side by side.

Keep comparing Kova

Kova, answered

How much does Kova cost?
As I last checked, Kova's pricing starts around $299/month ($299/mo after the first month on the one-month plan semaglutide, $399/mo after the first month on the one-month plan tirzepatide). Confirm the current, all-in number on Kova's own site before you commit — these move.
Is Kova okay to use while I'm breastfeeding?
Breastfeeding advice depends on the exact medication and formulation. Breastfeeding is not recommended during oral semaglutide treatment; injected semaglutide and tirzepatide labeling calls for weighing clinical need, breastfeeding benefits and possible infant effects. Limited milk-transfer findings do not establish infant safety. Discuss the product offered by Kova, your baby's age and feeding pattern with your prescriber and pediatrician before deciding.
Does Kova have both semaglutide and tirzepatide?
Public information lists tirzepatide from Kova; confirm whether semaglutide is also currently available and which formulations are offered. Medication choice needs an individual clinical assessment, including your medical history and treatment goals.
Where does Kova land on your list?
Kova scores 51/100 on the Mom-Tested Score (ranked #261), which weights the six things that actually matter when you're doing this around kids. CoreAge Rx, our featured partner, is worth a look side by side.

Pricing, states and verification reflect Kova's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.

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