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Rank #230 for first-timers · Grade C

Kova review

Kova spells it out: "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 all come out exact, which sounds like small praise until you have spent an afternoon on sites whose "per month" figures turn out to be averages with a one-time discount buried inside. The number to keep in mind is the renewal: $299 for semaglutide and $399 for tirzepatide, unless you commit to a term.

$249to start

then $299/mo thereafter

Consult Medication Shipping
Meet Kova
  • HSA / FSA eligible
  • Independently scored
  • No insurance needed
Compare our gentle first-step options ↓
Written by Camila Rael, editora mom, not a clinician treating you

Every medical claim is cited to its primary source — the clinical trial or the FDA label — so you can open it and check it yourself. No one on this team is your healthcare professional. What follows is friendly information, never medical advice.

Gentler first steps than Kova

Providers we'd send a friend to, with the ones we work with listed first — CoreAge Rx leads our ranking on the score. Some of these links earn MamaGLP a referral commission.

  • CoreAge RxOur #1 pick

    $99/mo semaglutide, $149/mo tirzepatide, one flat price with both medications in a single account — and an intake that walks you through it instead of cornering you with a quiz.

    Meet CoreAge Rx
  • Brand only: Wegovy pill from about $149/mo, Zepbound about $349–$499/mo, with a real video visit — pricier and with more moving parts than a flat compounded plan, but transparent.

    Meet Sesame
  • $199–249/mo semaglutide, $299–356/mo tirzepatide depending on plan — but you only see those numbers after the intake, and the 3-month plan costs more per month than monthly.

    Meet CareBareRX

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

Each factor is judged from Kova's actual pricing, disclosures and support, then combined into the Mama-Match Score of 47/100 using the same weighted six-factor framework we apply to every provider — never influenced by whether a provider pays us.

Honest, upfront pricing72/100 · Weak

The cost is unpredictable, hidden behind a quiz, or in the premium range.

Available nationwide22/100 · Weak

Coverage is limited or gated behind a signup.

Simple, fair cancellation34/100 · Weak

Canceling carries real friction — commitments, notice windows or non-refundable charges.

Gentle, easy start54/100 · Weak

The start feels transactional — more cash register than welcome.

Real clinician support40/100 · Weak

Little public detail about who oversees your care, and how.

Ongoing help & check-ins42/100 · Weak

Support is thin once the prescription ships.

How we verified this review

Last reviewed
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 may pay monthly or up front. It publishes no list of states and names no compounding pharmacy.

Pricing

Prices re-verified

MedicationMonthlyPlan
Compounded semaglutide$249 → $299One-month plan"1-month plan: $249 for your first month, then renews at $299/month thereafter."
Compounded semaglutide$179Three-month plan"$179/month, or $537 upfront" — and $179 × 3 is exactly $537.
Compounded semaglutide$149Six-month plan"$149/month, or $894 upfront."
Compounded semaglutide$129Twelve-month plan"$129/month, or $1,548 upfront."
Compounded tirzepatide$299 → $399One-month plan"1-month plan: $299 for your first month, then renews at $399."
Compounded tirzepatide$249Three-month plan"$249/month, or $747 upfront."
Compounded tirzepatide$229Six-month plan"$229/month, or $1,374 upfront."
Compounded tirzepatide$199Twelve-month plan"$199/month, or $2,388 upfront."

Swipe the table to see plan details →

HSA/FSA is usually accepted for GLP-1 telehealth — check your plan. Prices reflect what Kova disclosed publicly at our last review and change often; confirm the current number on Kova's site.

What we like

  • Publishes the complete ladder in plain sentences, renewal rate included
  • The monthly figures are genuine monthly figures: every upfront total is exactly the monthly rate times the term
  • The longer plans can be paid month by month, not only in one payment
  • Four terms per medication, so the trade between committing and paying more is visible at a glance
  • Names its company and an address

The caveats

  • The low prices require a commitment: $129/mo on semaglutide means twelve months
  • Month to month the price rises after the first month: $249 to $299, and $299 to $399 on tirzepatide
  • It does not publish which states it serves
  • It names no compounding pharmacy
  • Pricing is per plan rather than per dose, so it says nothing about what happens as your dose goes up

Kova for moms: our verdict

Kova spells it out: "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 all come out exact, which sounds like small praise until you have spent an afternoon on sites whose "per month" figures turn out to be averages with a one-time discount buried inside. The number to keep in mind is the renewal: $299 for semaglutide and $399 for tirzepatide, unless you commit to a term. The advertised starting price is $249, but the regular rate settles nearer $299/mo — so read the headline as an intro offer, not as the monthly cost.

We looked at Kova the way moms actually have to: not just the monthly cost, but the right timing around pregnancy and nursing and honest, clear pricing from the start — the parts a generic weight-loss review skips.

What Kova actually 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 on our list is around $179/mo, so Kova sits at the pricier end.

That price covers the consult, the medication and shipping.

The medications Kova prescribes

Kova prescribes semaglutide and tirzepatide — the two molecules with the strongest published weight-loss results, and having both on one account matters when insulin resistance (common with PCOS and after gestational diabetes) makes tirzepatide the better fit. These are compounded formulas from a licensed pharmacy — the reason the price stays low — but compounded GLP-1s are not FDA-approved finished products the way Wegovy and Zepbound are.

Where it operates. Kova lists its coverage as: Not published on the site.

Where Kova fits — and where it doesn't — for moms

A good fit if…

  • you may need to switch between semaglutide and tirzepatide as your body and your hormones change.

Look elsewhere if…

  • you specifically want an FDA-approved brand-name pen with its own pregnancy and breastfeeding label.
  • you want friction-free cancellation — the fine print here is where the complaints cluster.
  • you'd rather have a clinician talk the timing through with you, with the right timing around pregnancy and nursing in mind — that's what our #1 pick, CoreAge Rx, is built for.

Trust, safety and oversight

Our confidence in Kova's public data is high — the pricing, the pharmacies and the clinical network were all verifiable at our last review. As with any compounded GLP-1, the most useful thing moms can do is confirm which licensed pharmacy fills the prescription and what's in the formula — we explain how we score oversight in our scoring methodology.

One line that applies to every provider on this site: no GLP-1 is proven safe during pregnancy or breastfeeding, and the labels advise against use. This is a review of a commercial program, not a green light — the decision about timing is yours and your healthcare provider's.

The bottom line

Kova is a reasonable option — weigh it on the right timing around pregnancy and nursing and honest, clear pricing from the start against the alternatives below. For most moms, CoreAge Rx is still the best choice overall — see why it tops our ranking.

The bottom line

Best for: If you are comparing three months against six against twelve and want the math already done, and done right.

Keep comparing Kova

Kova, answered

How much does Kova cost?
As of our last review, Kova's compounded pricing starts around $299/mo ($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 price on Kova's site before you commit.
Is Kova safe to use while breastfeeding?
Here is the honest answer: no GLP-1 — compounded or brand-name — is established as safe during pregnancy or breastfeeding, and the labels advise against use; Kova is no exception. Plan any GLP-1 for after weaning, and talk the timing through with your own clinician.
Does Kova offer both semaglutide and tirzepatide?
Yes — Kova offers both. Tirzepatide's dual action is often preferred when insulin resistance is driving the weight, which matters with PCOS and after gestational diabetes.
Where does Kova land in your ranking?
Kova scores 47/100 on our Mama-Match Score (rank #230), which weights six things that matter to a first-timer. Our #1 pick, CoreAge Rx, leads the ranking — see how they compare.

Prices, states and verification reflect what Kova disclosed publicly at our last review; the Mama-Match Score is our editorial judgment under the published methodology. This is gentle 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.

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