Head-to-head dispatch
Kova vs Velvet Rx
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
Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide.
$299/mo (compounded) sema · $359/mo (compounded) tirz · Verified July 25, 2026
Marked down on: Oral GLP-1 SKU doesn't name the specific drug — a real gap given Rybelsus, Foundayo, and compounded oral semaglutide differ clinically
Kova takes this head-to-head with the higher Desk Score, 72/100 (C) against 66/100 (C) for Velvet Rx. Velvet Rx 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
Velvet Rx
66/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Kova | Velvet Rx |
|---|---|---|
| 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 (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 | $359/mo (compounded) |
| Coverage | All 50 states | Not listed on Velvet Rx's site (checked July 25, 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. | Cash-pay compounded GLP-1 with bundled shipping across three SKUs. |
| Desk Score | 72/100C | 66/100C |
The verdict
Desk pick — KovaKova takes this head-to-head with the higher Desk Score, 72/100 (C) against 66/100 (C) for Velvet Rx. Velvet Rx 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 Velvet Rx if…
Cash-pay compounded GLP-1 with bundled shipping across three SKUs.
$299/mo (compounded) sema · $359/mo (compounded) tirz
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 · Velvet Rx.
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 Velvet Rx
- Kova vs SkinnyRx
- Apex MD vs Velvet Rx
- Apex MD vs Kova
- TeleCareSpot vs Velvet Rx
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.