Kova vs TrimRx
Kova and TrimRx sell different medications; this is what separates them.
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Kova
Best for: seeing what it charges before you answer any medical questions
Visit Kova →TrimRx
Best for: compounded semaglutide at $299/month after a $199 first month
Visit TrimRx →If you are choosing between Kova and TrimRx, price alone will not settle it. TrimRx leads our six-part score, 6.3 to 5.4.
Kova vs TrimRx price
Kova and TrimRx start at the same figure, $299 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Medications and formats
TrimRx lists semaglutide and tirzepatide; Kova does not name its drug.
On format, Kova posts no priced format, while TrimRx prices compounded injections and brand-name pens.
If you want the FDA-approved brand rather than a compounded version, TrimRx is the only one of the two with a brand-name price.
Where each one treats patients
Neither Kova nor TrimRx publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
Kova
Standing renewal rate published in the site FAQ: 'Intro month (1st 4 weeks only): $249, renewal (every 4 weeks): $449'. Billed per 4 WEEKS, not per calendar month — 13 charges a year rather than 12. Bundle includes clinician review, medication, delivery and the companion app; there is no separate medication charge. The specific GLP-1 molecule is never named on the site.
Intro month (first 4 weeks only): $149. Renewal: $987 every 12 weeks ($329 per 4 weeks).
Intro month (first 4 weeks only) is $129; after that, renewal is $1,794 every 24 weeks ($299 per 4 weeks). The $129 headline price is this intro month only.
TrimRx
TrimRx's terms price the first month at $199 and each follow-up month at $299, with medication, consultation and shipping included. The home page advertises 'Starting at $179', which the terms do not tie to a month-to-month plan.
TrimRx's terms price the first month at $349 and each follow-up month at $399, with medication, consultation and shipping included. The home page advertises 'Starting at $259', which the terms do not tie to a month-to-month plan.
Priced at $1,299 for the first month and $1,299 for follow-up months, medication included.
Priced at $1,399 for the first month and $1,399 for follow-up months, medication included.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Kova is silent on lab work and coaching.
TrimRx is silent on lab work and coaching.
Kova
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
TrimRx
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, TrimRx scores 6.3 and Kova 5.4 out of 10.
Kova is stronger on value (3.0 vs 1.6).
TrimRx is stronger on effectiveness (10.0 vs 5.0).
User experience, trust & safety, accessibility and support are within half a point.
Kova
5.4/10
TrimRx
6.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Kova nor TrimRx has an FDA warning letter on record with us.
Features & Coverage
| Feature | Kova | TrimRx |
|---|---|---|
| Starting Price | $299/mo prepaid | $299/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | ✓ Yes |
| FSA/HSA Accepted | ✓ Yes | — |
| FDA Warning Letters | None | None |
About Kova
Read the $129 carefully: it applies to the first month and nothing after. What you actually pay is $449 for each 4 weeks on the 1-month plan, or $329 and $299 per 4 weeks if you take the 3- or 6-month one. A Delaware company, LifeTech Apps Inc, is behind it, and an app rides along tracking side effects, protein intake and weight. Delivery, the compounded GLP-1 and clinician review all sit inside the one plan price.
Read our full Kova review →About TrimRx
Three things TrimRx does not publish: the pharmacy that compounds its drugs, the states it serves, and any LegitScript certification. Specifics sit behind an intake quiz. What is visible is a cash-pay program with tiered monthly pricing plus multi-month bundles, no insurance, selling compounded semaglutide and tirzepatide shipped monthly at no shipping cost. Licensed US providers prescribe after reviewing an online medical history. The pitch is dose continuity and stable pricing: "switch and keep your current dose, no price hikes". Compounded GLP-1s are not FDA-approved.
Read our full TrimRx review →Pros & Cons
Kova
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Kova
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
TrimRx
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to TrimRx
Watch-outs
- Semaglutide costs $299 a month, 62% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
TrimRx wins this one, 6.3 to 5.4, above all for compounded semaglutide at $299/month after a $199 first month. Kova fits better if seeing what it charges before you answer any medical questions is your priority.
Choose Kova if…
You want seeing what it charges before you answer any medical questions and an opening price near $299 a month.
Choose TrimRx if…
You want compounded semaglutide at $299/month after a $199 first month and an opening price near $299 a month.
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Strut Health
Semaglutide at $99/month, 48% below the typical price
From $99/mo
Get started →Enhance MD
Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
Get started →DudeMeds
Compounded semaglutide at $175/month
From $175/mo
Get started →Kova vs TrimRx: FAQ
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Or see the full category ranking.
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