Metabolic-Fit / 100
Kova review
Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Prices and terms come from the company's own published pages. This is background reading, not medical advice.
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
- Confirm HSA / FSA coverage
- Public information reviewed
- Confirm your total cost
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 on our weighted six-factor framework. Commissions don't change a provider's score.
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 best on our list — 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 checked this review
Kova's pricing page writes the whole ladder 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
| Medication | Price | 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
The regular one-month rate follows an opening discount
Kova's one-month semaglutide plan costs $249 for the first month and renews at $299 monthly. Tirzepatide starts at $299 and renews at $399. Those continuing amounts should anchor a flexible-plan comparison, with the initial reduction counted separately. A buyer should not multiply the first payment across a year or use a longer-plan rate without accepting that term. The full offer is particularly important when transferring an existing prescription, because the requested treatment and the quoted purchase need to match.
The longer semaglutide plans are $179 monthly for three months, $149 for six and $129 for twelve, with corresponding upfront totals of $537, $894 and $1,548. Tirzepatide is $249, $229 and $199 for the same terms, or $747, $1,374 and $2,388 upfront. The arithmetic is transparent and the company offers either upfront payment or monthly spreading. That makes payment timing a choice, but an installment option does not necessarily remove the underlying commitment to the selected term.
A monthly installment can still belong to a long agreement
Someone choosing the lowest twelve-month rate should ask what remains owed if treatment stops early, how renewal works and whether a clinician-directed change affects the agreement. The $129 semaglutide option is a year-long plan even when payments are spread, not a no-commitment substitute for $299 monthly. Compare the term and total rather than only the amount charged in the opening installment. A predictable payment schedule is useful when the rules for pauses, medication changes and early termination are equally understandable.
Kova lists clinician review, prescription-eligibility assessment and medication-fulfillment coordination as inclusions. Those descriptions identify parts of the service but do not itemize every possible laboratory, supply or delivery expense. Ask for the final selected-order total and practical follow-up arrangement. There is no public dose-by-dose ladder explaining what happens after titration, so a plan price should not automatically become a verified all-dose ceiling. The clinician should identify the preparation and quantity, and the financial quote should clearly cover that intended prescription.
The business identity is clearer than local availability
The company identifies Telegra MD LLC and a Sherman Oaks, California address. Telegra also supplies telehealth infrastructure to other brands, which does not establish that their storefronts are the same company or have identical consumer terms. A patient changing providers for an independent clinical perspective should ask which practice and professional will actually manage care. A different website name does not, by itself, guarantee a different medical team, and an identified platform company does not name the dispenser assigned to the prescription.
No complete state list or named compounding pharmacy is established in the available material. Confirm local eligibility and dispensing details before choosing a longer agreement. Women seeking postpartum or PCOS care should also establish the clinician's actual scope rather than infer specialization from a general weight-management plan. Kova's strength is a clearly expressed ladder with both installment and upfront choices. Its decision still needs dose coverage, follow-up and stopping rules explained, using the $299 or $399 regular one-month amount whenever flexibility is the requirement rather than an annual commitment. The availability of installment payments deserves the same written explanation as the upfront choice, particularly when early termination may leave an outstanding obligation.
The bottom line for mothers
Best for: Someone comparing commitment lengths who wants the arithmetic already done and correct.
Alternatives to Kova
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge Rx86
Metabolic-Fit / 100
CoreAge RxFeatured partnerCoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.
- Visit Enhance MD81
Metabolic-Fit / 100
A compounded program that advertises ongoing provider care, metabolic testing every six months and shipping within its price. Semaglutide is $249 and tirzepatide $329 every four weeks without a longer commitment; lower equivalents require 12-, 24- or 48-week terms. Microdose and combination options need separate current quotes.
- Visit Embody41
Metabolic-Fit / 100
Compounded medication with clinician access and coaching, with semaglutide shown at $299 regular and $79 on a time-limited sale. The important commitment comes before the eligibility decision: payment is taken first, paid terms are generally non-refundable, and medical disqualification refunds only the unused portion after deductions.
Providers like Kova
Keep comparing Kova
Head-to-head & alternatives
Ranked boards
- Best GLP-1 for women
- Best GLP-1 for PCOS & insulin resistance
- Best GLP-1 for perimenopause
- Best GLP-1 while breastfeeding (safety-first)
- Cheapest GLP-1 programs
- Compounded tirzepatide providers
- Cheapest tirzepatide online
- Cheapest semaglutide online
- Where to get Zepbound online
- Semaglutide vs tirzepatide: which is right for you
Kova, answered
- How much does Kova cost?
- At last review, Kova's lowest ongoing compounded rate was about $299/mo — $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?
- No GLP-1 is established as safe in pregnancy. If you are nursing, the Wegovy injection, Ozempic, Zepbound and Mounjaro labels say there is little or no data on the drug in breast milk, and they leave it to you and your clinician to weigh the benefits of breastfeeding against your need for treatment. Compounded versions carry no label of their own, which puts more of that judgment on your prescriber. Kova is not an exception to any of that — 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.
- How does Kova score for mothers?
- Kova scores 35/100 on our Metabolic-Fit Score, a weighted read of six things mothers actually have to care about. CoreAge Rx, a featured partner, is worth a side-by-side look.
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.