Head-to-head dispatch
AquaVita NextGen vs Kova
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
AquaVita NextGen (AquaVita Wellness & Medspa) offers compounded semaglutide and tirzepatide (ODT tablets).
$375/mo (first-month rate, compounded) sema · $320/mo (starting dose, 3-month plan, compounded) tirz · Verified July 20, 2026
Marked down on: Only 5 states (AZ, CA, FL, TX, NV)
Desk Score
Kova is a 50-state GLP-1 weight-loss program from LifeTech Apps Inc, a Delaware company, selling compounded semaglutide and tirzepatide — injectable or oral — with the medication included in the plan price and a companion app that tracks weight, protein intake and side effects.
$299/mo month-to-month ($249 for the first month); $179/mo on a 3-month plan ($537 up front); $149/mo on a 6-month plan ($894 up front); $129/mo on a 12-month plan ($1,548 up front); medication included; compounded sema · $399/mo month-to-month ($299 for the first month); $249/mo on a 3-month plan ($747 up front); $229/mo on a 6-month plan ($1,374 up front); $199/mo on a 12-month plan ($2,388 up front); medication included; compounded tirz · Verified August 29, 2026
Marked down on: At $299 and $399 a month, the standing month-to-month rates are among the dearest compounded GLP-1 options we track — the low figures all require a three-, six- or twelve-month commitment paid or billed in full
Kova takes this head-to-head with the higher Desk Score, 72/100 (C) against 65/100 (C) for AquaVita NextGen. AquaVita NextGen still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
AquaVita NextGen
65/100
C
Kova
72/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | AquaVita NextGen | Kova |
|---|---|---|
| Semaglutide | $375/mo (first-month rate, compounded) | $299/mo month-to-month ($249 for the first month); $179/mo on a 3-month plan ($537 up front); $149/mo on a 6-month plan ($894 up front); $129/mo on a 12-month plan ($1,548 up front); medication included; compounded |
| Tirzepatide | $320/mo (starting dose, 3-month plan, compounded) | $399/mo month-to-month ($299 for the first month); $249/mo on a 3-month plan ($747 up front); $229/mo on a 6-month plan ($1,374 up front); $199/mo on a 12-month plan ($2,388 up front); medication included; compounded |
| Coverage | 5 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Patients in AZ/CA/FL/TX/NV seeking medspa-backed GLP-1 with a named medical director. | People who want compounded semaglutide or tirzepatide with the medication included in one price, a published four-rung ladder for each, and a tracking app bundled in. |
| Desk Score | 65/100C | 72/100C |
The verdict
Desk pick — KovaKova takes this head-to-head with the higher Desk Score, 72/100 (C) against 65/100 (C) for AquaVita NextGen. AquaVita NextGen still holds its ground where its strengths line up with yours.
Choose AquaVita NextGen if…
Patients in AZ/CA/FL/TX/NV seeking medspa-backed GLP-1 with a named medical director.
$375/mo (first-month rate, compounded) sema · $320/mo (starting dose, 3-month plan, compounded) tirz · 5 states
Choose Kova if…
People who want compounded semaglutide or tirzepatide with the medication included in one price, a published four-rung ladder for each, and a tracking app bundled in.
$299/mo month-to-month ($249 for the first month); $179/mo on a 3-month plan ($537 up front); $149/mo on a 6-month plan ($894 up front); $129/mo on a 12-month plan ($1,548 up front); medication included; compounded sema · $399/mo month-to-month ($299 for the first month); $249/mo on a 3-month plan ($747 up front); $229/mo on a 6-month plan ($1,374 up front); $199/mo on a 12-month plan ($2,388 up front); medication included; compounded tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: AquaVita NextGen · Kova.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- AquaVita NextGen vs CoreAge Rx
- CoreAge Rx vs Kova
- AquaVita NextGen vs SkinnyRx
- Kova vs SkinnyRx
- Apex MD vs AquaVita NextGen
- Apex MD vs Kova
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.