Head-to-head dispatch
Kova vs MyStart Health
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
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
Desk Score
MyStart Health offers all-inclusive compounded semaglutide and tirzepatide at $299/month with a price-lock guarantee, same-day physician consultations, and 24/7 care team access.
$299/mo (all doses, compounded) sema · $299/mo (all doses, compounded) tirz · Verified July 14, 2026
Marked down on: Not BBB accredited — C+ rating with 10 complaints, mostly shipping delays and support access
FDAWarning letter issued to Matthew Stern, CEO MyStart Health LLC. in September 2025. See the FDA warning-letter database.
Kova takes this head-to-head with the higher Desk Score, 72/100 (C) against 70/100 (C) for MyStart Health. MyStart Health 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.
Kova
72/100
C
MyStart Health
70/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Kova | MyStart Health |
|---|---|---|
| Semaglutide | $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 | $299/mo (all doses, compounded) |
| Tirzepatide | $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 | $299/mo (all doses, compounded) |
| Coverage | All 50 states | Not listed on MyStart Health's site (checked July 14, 2026) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | 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. | Fastest compounded GLP-1 onboarding with a price lock. |
| Desk Score | 72/100C | 70/100C |
The verdict
Desk pick — KovaKova takes this head-to-head with the higher Desk Score, 72/100 (C) against 70/100 (C) for MyStart Health. MyStart Health still holds its ground where its strengths line up with yours.
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
Choose MyStart Health if…
Fastest compounded GLP-1 onboarding with a price lock.
$299/mo (all doses, compounded) sema · $299/mo (all doses, compounded) tirz
FDAWarning letter issued to Matthew Stern, CEO MyStart Health LLC. in September 2025. See the FDA warning-letter database.
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: Kova · MyStart Health.
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
- CoreAge Rx vs Kova
- CoreAge Rx vs MyStart Health
- Kova vs SkinnyRx
- Invigor Medical vs MyStart Health
- Apex MD vs Kova
- Apex MD vs MyStart Health
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.