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Kova vs TrimRx

Kova and TrimRx sell different medications; this is what separates them.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Kova logo

Kova

5.4
★★★☆☆2.7/5

Best for: seeing what it charges before you answer any medical questions

Visit Kova →
VS
TrimRx logo

TrimRx

6.3
★★★☆☆3.2/5

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

1-month plan, billed every 4 weeksCompounded
$449$249/mo
Save 45% right now

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.

3-month plan, billed every 12 weeksCompounded
$329$149/mo
Save 55% right now

Intro month (first 4 weeks only): $149. Renewal: $987 every 12 weeks ($329 per 4 weeks).

6-month plan, billed every 24 weeksCompounded
$299$129/mo
Save 57% right now

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

GLP-1 (semaglutide) monthly planCompounded
$299$199/mo
Save 33% right now
semaglutide

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.

GLP-1 + GIP (tirzepatide) monthly planCompounded
$399$349/mo
Save 13% right now
tirzepatide

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.

Ozempic monthly planBrand-name
$1299/mo
semaglutide (ozempic)

Priced at $1,299 for the first month and $1,299 for follow-up months, medication included.

Zepbound monthly planBrand-name
$1399/mo
tirzepatide (zepbound)

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.

How we score

Kova

5.4/10

Overall

TrimRx

6.3/10

Value25%

3.0A
vs
B
1.6

Effectiveness25%

5.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Kova nor TrimRx has an FDA warning letter on record with us.

Features & Coverage

FeatureKovaTrimRx
Starting Price$299/mo prepaid$299/mo
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name—✓ Yes
FSA/HSA Accepted✓ Yes—
FDA Warning LettersNoneNone

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

Winner: TrimRx

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.

Ready to start? GLP-1 providers we have vetted

Telehealth providers, vetted by us, prescribing GLP-1 online.

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8.4

Strut Health

Semaglutide at $99/month, 48% below the typical price

8.4

Enhance MD

Knowing which pharmacy fills the vial: it names Tru Meds Rx

6.1

DudeMeds

Compounded semaglutide at $175/month

Kova vs TrimRx: FAQ

Neither on the entry price: Kova and TrimRx both start at about $299 a month. The difference is in what the price includes.
No. Kova lists no named drug; TrimRx lists semaglutide and tirzepatide.
Kova does not publish where it ships; TrimRx does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Kova has none. TrimRx has none.
No. Neither Kova nor TrimRx pays us anything.

Or see the full category ranking.

Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.