Kova vs Vytora Health
In our scoring, Vytora Health edges ahead overall (8.4 vs 6.5 out of 10), and Vytora Health costs less for compounded semaglutide (about $1,440 a year less).
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Key differences
- Price
- Vytora Health $179/mo vs Kova $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,440 a year less with Vytora Health)
- Coverage
- Kova 50 states; Vytora Health 50 states + DC (only Vytora Health: District of Columbia)
- Included
- Kova: medication, clinician visits, shipping (not included: labs); Vytora Health: medication, clinician visits, shipping

Kova
Best for a bundled semaglutide or tirzepatide plan with a tracking app, if you'll commit to a longer plan
semaglutide
$299
$249 first month
Our score 6.5/10

Vytora Health
Best for compounded or brand-name GLP-1 with named pharmacy partners, 50 states
semaglutide
$179
Our score 8.4/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Kova
Vytora Health
Price
Semaglutide / month
$299/mo
$249 first month
Better on this row: $179/mo
Semaglutide / year (modeled)
$3,588
Better on this row: $2,148
Tirzepatide / month
$399/mo
$299 first month
Better on this row: $249/mo
Tirzepatide / year (modeled)
$4,788
Better on this row: $2,988
Brand Zepbound / Mounjaro / month
Not listed
$1,399/mo
Coverage
State availability
50 states
50 states + DC
Brand-name access listed
Not listed
Zepbound / Mounjaro
Included in the price
Medication, clinician visits, shipping
Not included: labs
Medication, clinician visits, shipping
FSA/HSA accepted
Yes
Not listed
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
1-month plan renews monthly; 3-, 6- and 12-month plans are a fixed term, paid monthly or upfront
None on monthly plans; 3-month plans are billed every 3 months
Refunds
Charges for a plan period that has already begun are non-refundable and shipped medication cannot be returned. Full refund if no prescription is issued before the first shipment.
'All sales are final' for prescription products; refund requests 'reviewed on a case-by-case basis'
Early-cancellation fee
Yes
Not disclosed
FDA warning letters
None on record
None on record
Provider facts checked
October 2026
October 2026
Show where they differ by stateHide state lists
Only Vytora Health (DC)
- District of Columbia
Every dose and plan: Kova · Vytora Health
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.

Choose Kova if…
- Accepts FSA/HSA cards
- Consultation, medication, supplies and shipping are included, with no separate membership or dispensing fees
- Names its provider network (Telegra), four clinicians and five dispensing pharmacies
What to weigh up
- About $1,440 a year more than Vytora Health for compounded semaglutide
- Not available in District of Columbia

Choose Vytora Health if…
- About $1,440 a year less than Kova for compounded semaglutide at standing prices
- Lists brand-name Zepbound / Mounjaro, which Kova doesn't price
- Serves District of Columbia, where Kova doesn't
What to weigh up
- Brand-name Mounjaro and Zepbound at $1,399/mo are priced at retail; manufacturer self-pay programs are often cheaper
- Compounded tirzepatide at $249/mo month-to-month is mid-market
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Kova
6.5/10
Vytora Health
8.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Ready to start? Vetted GLP-1 providers
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GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
Get started →From $247/mo
Get started →Kova vs Vytora Health: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.