Head-to-head · Cost-Efficiency Index
Kova vs Revive Longevity
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.
Kova
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.
Visit KovaRevive Longevity
Shoppers who want compounded tirzepatide from a program that names its pharmacy, and who don't need semaglutide.
Visit Revive LongevityThe verdict
Kova and Revive Longevity tie on the Cost-Efficiency Index at 73/100, so neither wins outright on the numbers, so choose on fit. Kova: 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. Revive Longevity: Shoppers who want compounded tirzepatide from a program that names its pharmacy, and who don't need semaglutide.
Worth knowing either way: CoreAge Rx is one of our partners and leads our leaderboard, where partners are listed first (Cost-Efficiency Index 94/100). 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
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Kova | Revive Longevity |
|---|---|---|
| Cost-Efficiency Index | 73/100 | 73/100 |
| Semaglutide / mo | $299/moMonth to month, compounded | Not offered |
| Tirzepatide / mo | $399/moMonth to month, compounded | $279Every 4 weeks (compounded, subscription you can cancel; $299 for a single month) |
| Semaglutide / yr (modeled) | $3,588 | — |
| Tirzepatide / yr (modeled) | $4,788 | $3,62713 charges |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #90 | #93 |
Kova
73/100Where the value is
- 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
The tradeoffs
- 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
Revive Longevity
73/100Where the value is
- Tirzepatide prices are on the product page before any questionnaire: $279 every four weeks on subscription, $299 for one month, or $749 for a three-month supply
- Names its compounding pharmacy, Strive Pharmacy in Gilbert, Arizona, and its clinical platform partner, Telegra MD
- Your card is only authorized at checkout, and the hold is released with no charge if a provider decides you aren't a candidate
The tradeoffs
- No semaglutide: tirzepatide is the only GLP-1 it sells
- The subscription bills every four weeks, which is 13 charges a year, or $3,627 at $279
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.