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WeighLab

Alternatives

Alternatives to Kova

Kova scores 73/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Kova review →CoreAge Rx vs Kova →

Kova at a glance

Semaglutide
$299/moMonth to month, compounded
Tirzepatide
$399/moMonth to month, compounded
Coverage
All 50 states
Brand-name GLP-1s
No, compounded only
Oral option
No
Pricing verified
October 2026

7 of the 8 programs below list semaglutide for less than Kova's $299 a month. 8 of the 8 list tirzepatide for less than its $399 a month.

Kova charges $299 a month for compounded semaglutide and $399 for tirzepatide month to month, with a cheaper first month and lower rates on 3-, 6- and 12-month plans.

Best for: Shoppers willing to commit to a longer plan to bring compounded semaglutide down toward $129 a month, with an app that tracks protein and side effects.

What Kova does well

  • Semaglutide drops from $299 a month to $179, $149 and $129 on 3-, 6- and 12-month plans, all listed before you start
  • You aren't charged unless a clinician approves treatment
  • Names its prescribers, led by Dr. Laurie Mercier, and five compounding pharmacies, including Strive and Southend
  • A companion app for dose reminders, injection-site rotation, protein tracking and side-effect logging is included
  • Serves all 50 states, and you can cancel any time

Why readers look for an alternative

  • Month to month is the dearest way to buy: $299 for semaglutide and $399 for tirzepatide after the first month
  • The $129 to $179 semaglutide rates require a 3-, 6- or 12-month commitment
  • Lab work isn't included; if your clinician orders it, you pay for it separately
  • Prescribing runs through an outside telehealth provider network rather than Kova's own clinicians
  • Compounded only, with no brand-name or oral option
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Kova: $200/mo less for semaglutide · $250/mo less for tirzepatide

    Visit CoreAge Rx CoreAge Rx vs Kova →
  2. 02C

    Gala Health

    Partner

    Every dose at one published price, with the whole price list visible before you hand over an email — but the only terms it sells on are a yearly subscription at $179 or a three-month plan at $199, so there is no monthly number here to compare with anyone else's.

    Sema
    From $129/moCompounded (plan length not stated); brand Ozempic $1,299/mo
    Tirz
    $179/moYearly subscription; $199/mo on a 3-month plan
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Kova: $220/mo less for tirzepatide · also lists brand-name GLP-1s

    Visit Gala Health Gala Health vs Kova →
  3. 03C

    Direct Meds

    Partner

    Direct Meds sells semaglutide and tirzepatide both as a sublingual and as an injection, every product priced in the open, from $249 a month on a plan that bills against a 90-day supply.

    Sema
    $249/moSublingual, 90-day supply billed monthly
    Tirz
    $299/moSublingual, 90-day supply billed monthly
    Coverage
    Not disclosed
    Brand
    Compounded

    Compared with Kova: $50/mo less for semaglutide · $100/mo less for tirzepatide · offers an oral option

    Visit Direct Meds Direct Meds vs Kova →

    Regulatory note: the FDA issued a warning letter to directmeds.com, Inc. dba DirectMeds in September 2025. We still list and link to Direct Meds; you should know the letter is on the public record before you decide.

  4. 04C

    Luma Health Co

    Luma Health Co publishes a four-week dose-by-dose price list for compounded semaglutide and tirzepatide, with care from a named nurse practitioner.

    Sema
    $115For a 4-week supply (0.25 mg starting dose, compounded; higher doses cost more)
    Tirz
    $180For a 4-week supply (2.5 mg starting dose, compounded; higher doses cost more)
    Coverage
    30 states
    Brand
    Compounded

    Compared with Kova: $184/mo less for semaglutide · $219/mo less for tirzepatide

    Visit Luma Health Co Luma Health Co vs Kova →
  5. 05C

    MyFastRx

    MyFastRx is a cash-pay compounded-GLP-1 platform with a full published price ladder: a $139/mo semaglutide and $199/mo tirzepatide standing month-to-month rate, a discounted first month with a promo code.

    Sema
    $139/moAll doses, promotional rate, compounded
    Tirz
    $199/moAll doses, promotional rate, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Kova: $160/mo less for semaglutide · $200/mo less for tirzepatide

    Visit MyFastRx MyFastRx vs Kova →
  6. 06C

    Harbor

    Harbor is a national telehealth program selling compounded semaglutide and tirzepatide at one price at every dose, with a 'no price increases' promise and a LegitScript badge issued to its own site.

    Sema
    $99/moSame at every dose on the homepage; the semaglutide page shows $89 with no plan length, compounded
    Tirz
    $149/moSame at every dose; the semaglutide page shows $119 with no plan length, compounded
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Kova: $200/mo less for semaglutide · $250/mo less for tirzepatide

    Visit Harbor Harbor vs Kova →
  7. 07C

    TrueMe

    TrueMe is a cash-pay telehealth brand offering compounded semaglutide and tirzepatide with added B vitamins, alongside NAD+, sermorelin and glutathione.

    Sema
    $139/moMonth-to-month, same price at any dose, compounded; $89/mo on the 3-month plan, $267 charged at checkout
    Tirz
    $149/moMonth-to-month, same price at any dose, compounded; $99/mo on the 3-month plan, $297 charged at checkout
    Coverage
    6 states
    Brand
    Compounded

    Compared with Kova: $160/mo less for semaglutide · $250/mo less for tirzepatide

    Visit TrueMe TrueMe vs Kova →
  8. 08C

    BioGlow Health

    BioGlow Health is a multi-service telehealth platform (weight loss, peptides, TRT, ED, hair loss) that does offer compounded semaglutide and tirzepatide.

    Sema
    $129/mo1 mg monthly supply; price rises with dose, compounded
    Tirz
    $169/mo10 mg monthly supply; price rises with dose, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Kova: $170/mo less for semaglutide · $230/mo less for tirzepatide

    Visit BioGlow Health BioGlow Health vs Kova →

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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