Coivas Review

Is Coivas worth it?

Coivas built its program around one core idea: all-inclusive compounded GLP-1 at one flat price per dose, with a conditional money-back guarantee. It runs $249/month at every dose, a premium versus the rest of the category, so its specific extras need to earn the difference. Its flat, all-dose pricing helps anyone worried about cost climbing as they titrate up.

Coivas charges the same price at every dose. It also refunds you if it doesn't work out and is LegitScript-certified.

How much Coivas costs

Compounded semaglutide runs $249/month and compounded tirzepatide runs $299/month.

For context, the median across the GLP-1 providers we track (each program's lowest listed ongoing monthly price for compounded semaglutide) is around $185/month. Coivas's standing rate sits at the premium end of that range, well above the cheapest options in the category.

For a direct comparison, Wellorithm runs semaglutide and tirzepatide from $247/month, so compare it with Coivas before you commit.

Medications: what Coivas prescribes

Coivas prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro), the two most-studied weight-loss molecules on the market today. These are dispensed as compounded formulations from a licensed pharmacy, which is how the price stays below brand-name pens. Compounded drugs aren't FDA-approved as finished products, which is the standard trade-off across the compounded-GLP-1 market.

Who Coivas is best for, and who should skip it

A good fit if you…

• live anywhere in the US and want the certainty that your state is already covered.

Look elsewhere if you…

• want the lowest total cost over 6–12 months, where a flat-rate provider like altRX will likely beat the ongoing price.
• specifically want an FDA-approved brand-name pen instead of a compounded formulation, which this provider doesn't fill.
• need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.

Trust, safety, and medical oversight

Coivas treats patients in all 50 states, and we found no FDA warning letter on file for it. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation, and we explain how in our scoring methodology.

Bottom line

Coivas costs more than the budget end of the market, so it makes the most sense if its specific extras matter to you. If they don't, you can likely get the same medication for less elsewhere. If you're comparison-shopping, PlexusDx is one of the closest alternatives we track; compare the two before deciding.