- tracked the real cost
- read the fine print
Kova review
Kova just writes it out, in sentences, like a person explaining it to you: "1-month plan: $249 for your first month, then renews at $299/month thereafter. 3-month plan: $179/month, or $537 upfront." I checked every multiplication and they're all exact, which sounds like faint praise until you've spent an evening on sites whose per-month figures turn out to be averages with a one-off discount buried in them. The number to hold onto is the renewal — $299 for semaglutide, $399 for tirzepatide — unless you sign up for a term.
then $299/mo ongoing
- HSA / FSA-eligible
- Read every disclosure
- 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
- Brand-name
- Compounded only
How I scored Kova
Every factor here comes from Kova's own pricing, its disclosures and the signup I walked, and the six add up to the 51/100 Mom-Tested Score on the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.
Scores low: pinning down the real ongoing number takes work.
Scores low: whether it reaches you is the open question.
Covers what most moms need, if not every option.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
Scores low here: getting started asks more of your week than most.
Support is the weakest part of this provider's score.
How I 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 says you can 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 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." |
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
- Writes the whole ladder out plainly, renewal price included — "$249 for your first month, then renews at $299/month thereafter"
- 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
- The low prices need a commitment — $129/mo for semaglutide means twelve months
- Month to month the price goes up after the first month: $249 to $299, and $299 to $399 on tirzepatide
- No list of states
- It doesn't name a compounding pharmacy
- Pricing is per plan, not per dose, so nothing is said about what happens when you titrate up
What I actually think of Kova
Kova just writes it out, in sentences, like a person explaining it to you: "1-month plan: $249 for your first month, then renews at $299/month thereafter. 3-month plan: $179/month, or $537 upfront." I checked every multiplication and they're all exact, which sounds like faint praise until you've spent an evening on sites whose per-month figures turn out to be averages with a one-off discount buried in them. The number to hold onto is the renewal — $299 for semaglutide, $399 for tirzepatide — unless you sign up for a term. The number they lead with is $249, but the price that sticks is closer to $299/month — so read the headline as a first-month 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 — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. These are compounded from a licensed pharmacy — that's why the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are, and it's worth knowing that going in.
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'd rather a prescriber actually talk through nursing and pregnancy timing with you — that's what my #1 pick, CoreAge Rx, is built to do.
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.
One line that's true of every provider on this site: no GLP-1 is established as safe in pregnancy or while breastfeeding, and the labels say don't. This is me reviewing a commercial signup, not giving you a green light — the timing call is yours and your clinician's.
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. For most moms, CoreAge Rx is still the stronger all-round fit — and 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
Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxMy #1 pick
The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.
- Visit Pallas HealthMom-Tested Score86/100B+
Pallas is one of the few places that will sell you either the cheap compounded route or the real brand-name pen without making you pick a provider first — compounded semaglutide works out to about $199 a month and tirzepatide about $299, while actual Zepbound, Ozempic, Wegovy and Mounjaro sit alongside them at cash-pay prices from $1,069. The price genuinely doesn't climb as you titrate, Pallas says so plainly on its own site, and the clinician, dose adjustments, check-ins and messaging are all inside that one number with no membership fee stacked on top. Two clinicians are named and both check out in the federal NPI registry, the LegitScript badge it displays is a real one, and it publishes an actual refund policy — full refund if a clinician turns you down, and a $5 processing fee if you cancel a qualifying payment — which is more paperwork than most of this market bothers with. The two things to know before you commit: it bills every 12 weeks in $597 and $897 chunks rather than monthly, and it never names its compounding pharmacy.
- Visit Trimi HealthMom-Tested Score85/100B
The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.
Keep comparing Kova
Head-to-head & alternatives
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?
- No — and that's true of every GLP-1, compounded or brand: none is established as safe in pregnancy or breastfeeding, and the labels say don't. Kova is no exception. Plan any GLP-1 for after weaning and talk the timing through with your own clinician. I'm a mom, not a doctor.
- Does Kova have both semaglutide and tirzepatide?
- Yes — Kova offers both. Tirzepatide's dual GIP/GLP-1 action is often the one clinicians reach for when insulin resistance drives weight, which matters if you've got PCOS or a history of gestational diabetes.
- Where does Kova land on your list?
- Kova scores 51/100 on the Mom-Tested Score (ranked #235), which weights the six things that actually matter when you're doing this around kids. My #1 pick, CoreAge Rx, leads the list — worth seeing how they stack up.
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.