Metabolic-Fit / 100
Kova review
Kova writes the whole ladder out in prose, which almost nobody does: "1-month plan: $249 for your first month, then renews at $299/month thereafter. 3-month plan: $179/month, or $537 upfront." Every multiplication checks — $179 × 3 is $537, $129 × 12 is $1,548 — so unlike the plans that quote a blended average, Kova's per-month figures are the real per-month figures, and it says you may pay monthly or upfront. The number to plan around is the renewal: $299 for semaglutide, $399 for tirzepatide, unless you commit to a term.
then $299/mo ongoing
- HSA / FSA-eligible
- Editor-vetted
- No insurance needed
Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Every clinical figure in this piece is cited inline to its primary source — the trial or the FDA label — so you can open it and check us. This is background reading, not medical advice.
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 we scored Kova
Every factor comes from Kova's own published pricing, disclosures and oversight, and the six combine into the 35/100 Metabolic-Fit Score by the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.
Cost is unpredictable or sits at the premium end.
No postpartum or breastfeeding framing — a generic weight program.
Thin on the hormonal picture that drives many mothers' weight.
Support is thin once the prescription ships.
Oversight and lab support fall short of the top of this roster — the review below says exactly where.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
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 quoted 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 upfront. It publishes no list of states and does not name a compounding pharmacy.
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." |
Swipe the table to see plan details →
Many HSA and FSA plans cover GLP-1 telehealth — check yours. These figures are what Kova's own site disclosed at last review; this market re-prices often, so confirm the current number at the source.
What we like
- Publishes the complete price ladder in plain sentences, including the renewal rate — "$249 for your first month, then renews at $299/month thereafter"
- The per-month figures are genuine per-month figures, not averages: every upfront total is exactly the monthly rate times the term
- Both the monthly and the upfront payment option are offered on the longer plans
- Four term lengths for each molecule, so the trade between commitment and price is visible at a glance
- Names its operating entity and a street address
The caveats
- The advertised low prices need a term commitment: $129/mo for semaglutide means twelve months, or $1,548 up front
- Month to month, the price rises after the first month — $249 to $299 for semaglutide, $299 to $399 for tirzepatide
- No list of states served is published
- No compounding pharmacy is named
- Prices are quoted per plan rather than per dose, so there is nothing published about what happens as you titrate up
Kova for mothers: our verdict
Kova writes the whole ladder out in prose, which almost nobody does: "1-month plan: $249 for your first month, then renews at $299/month thereafter. 3-month plan: $179/month, or $537 upfront." Every multiplication checks — $179 × 3 is $537, $129 × 12 is $1,548 — so unlike the plans that quote a blended average, Kova's per-month figures are the real per-month figures, and it says you may pay monthly or upfront. The number to plan around is the renewal: $299 for semaglutide, $399 for tirzepatide, unless you commit to a term. The advertised entry is $249, but the standing rate settles near $299/month — so read the headline as a starting offer, not the monthly cost.
We weigh Kova the way mothers actually have to: not just the monthly cost, but postpartum and breastfeeding timing and PCOS and insulin resistance — the parts a general weight-loss roundup leaves out.
What Kova costs, in full
- 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.
Kova says the price covers the provider visit, the medication and shipping. That is the comparison that matters at this price: two providers a few dollars apart can differ by a hundred a month once the extras are counted, so line up what each one bundles before you decide.
The medications Kova prescribes
Kova prescribes semaglutide and tirzepatide — the two with the largest published weight-loss effects, and carrying both on one account matters when insulin resistance, common with PCOS and after gestational diabetes, makes tirzepatide the better-suited option. 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 mothers
A good fit if…
- switching between semaglutide and tirzepatide may become necessary as your body and your hormones change.
Look elsewhere if…
- you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
- you want frictionless cancellation — read the cancellation and refund terms in the caveats above before you pay.
- you'd rather a prescriber talk through timing around postpartum and breastfeeding timing — that is the ground our #1 pick, CoreAge Rx, is built on.
Oversight, safety, and what we could verify
Everything Kova states publicly checked out at last review: pricing, pharmacies and clinical network were all verifiable. As with any compounded GLP-1, the most useful thing mothers 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 postpartum and breastfeeding timing and PCOS and insulin resistance against the alternatives below. For most mothers, CoreAge Rx remains the stronger all-round fit — see why it tops our ranking.
The bottom line for mothers
Best for: Someone comparing commitment lengths who wants the arithmetic already done and correct.
Alternatives to Kova
Providers we have a referral relationship with, ordered by their Metabolic-Fit Score — highest first. This module leaves out the provider whose page you are reading, so on CoreAge Rx's own review our #1 pick is the one name you will not find here. These are not the whole roster: see the full ranking for every provider we cover, paid or not.
- Visit CoreAge Rx92
Metabolic-Fit / 100
CoreAge RxOur #1 pickOne flat price, both molecules on a single chart, and a prescriber who reads your history before writing — the most predictable place for a mother to start and, just as important, to pause.
- Visit Gala Health84
Metabolic-Fit / 100
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.
- Visit Enhance MD81
Metabolic-Fit / 100
One of the more oversight-forward compounded programs here — lab work and a live provider visit bundled into every plan, with a gentle microdosing tier — the catch is that the low '$212' headline you'll see quoted is the 12-month prepay rate, not the $249 you'd pay month to month.
Keep comparing Kova
Head-to-head & alternatives
Kova, answered
- How much does Kova cost?
- At last review, Kova's lowest ongoing compounded rate was about $299 a month — $299/mo after the first month on the one-month plan for semaglutide, $399/mo after the first month on the one-month plan for tirzepatide. This market re-prices often, so check the current all-in figure at the source before committing.
- Is Kova safe to use while breastfeeding?
- Nothing in this class — compounded or brand — has been established as safe in pregnancy or lactation, and every label advises against use. Kova is not an exception to that. Plan a GLP-1 for after weaning and settle the timing with your own clinician.
- Does Kova offer both semaglutide and tirzepatide?
- Yes — Kova offers both molecules. Tirzepatide's dual GIP/GLP-1 action is often preferred where insulin resistance drives weight, which matters for PCOS and after gestational diabetes.
- Where does Kova rank for mothers?
- Kova scores 35/100 on our Metabolic-Fit Score and sits at #240. That score is a weighted read of six things mothers actually have to care about. CoreAge Rx currently leads it — see how they compare.
Pricing, states and verification reflect Kova's public disclosures at last review; the Metabolic-Fit 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.