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Head-to-head · Cost-Efficiency Index

Kova vs NowPatient

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #477

Kova

Cost-first shoppers who want not applicable to consumers -- this is an infrastructure vendor for other healthcare businesses, not a patient-facing GLP-1 provider.

Visit Kova
VS
Grade C · #481

NowPatient

Cost-first shoppers who want not clearly established for US GLP-1 shoppers based on available public pricing.

Visit NowPatient

The verdict

Too close to callGrade C vs C

Kova and NowPatient tie on the Cost-Efficiency Index at 44/100, so neither wins outright on the numbers. For most shoppers we'd start with Kova (ranked #477, a hair above #481) — Cost-first shoppers who want not applicable to consumers -- this is an infrastructure vendor for other healthcare businesses, not a patient-facing GLP-1 provider. But NowPatient is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Kova.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

45
45

Price Transparency

54
20

Nationwide Access

24
24

Formulation Options

40
53

Clinical Oversight

71
85

Contract Flexibility

25
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecKovaNowPatient
Cost-Efficiency Index44/10044/100
Semaglutide / moNot disclosedNot disclosed
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)
Tirzepatide / yr (modeled)
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#477#481

Kova

44/100

Where the value is

  • Displays LegitScript, HIPAA-compliance, and 'SecureMetrics Verified' badges at the platform level

The tradeoffs

  • Not a consumer-facing prescriber -- no patient intake, cart, or pricing exists on the site
  • No GLP-1 price, medical director, pharmacy partner, or state list to report
Visit Kova

Full Kova review →

NowPatient

44/100

Where the value is

  • Established multi-country digital health platform with ISO/HIPAA/GDPR compliance claims
  • Named medical director and superintendent pharmacist on the site
  • Broader platform includes prescription-savings and monitoring tools beyond just GLP-1s

The tradeoffs

  • No US GLP-1 pricing could be located on the site
  • Named clinical leadership titles (Superintendent Pharmacist, GPhC) appear to be UK-specific, unclear US applicability
Visit NowPatient

Full NowPatient review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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