Compounded semaglutide

Coivas review

By ·Editor·Reviewed

Compounded semaglutide at Coivas renews at $169 a month, with one price whatever dose your clinician sets. If you've never taken a GLP-1, your first month is $129. Clinician visits, messaging and shipping come with the plan.

A real month costs$169advertised $129 +$40.00 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesSame at every dose
Where it shipsClaims every state
FDA warning letterNone found
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Visit Coivas →

On this page

Is it right for you?

Worth a look if

  • You're starting semaglutide for the first time and qualify for the $129 intro month.
  • You want to message your care team at any hour through a portal.
  • You'd rather not see the price change as your dose climbs.

Skip it if

  • You've taken a GLP-1 before, since the intro rate is for first-time users only.
  • You'd expect money back for the unused part of a month after canceling.

What's included

Month to month, semaglutide at Coivas is $169 after the $129 intro month. The quarterly plan bills every three months and works out cheaper. The page promises the same price at every dose, free shipping and no hidden fees.

Arora Health & Aesthetics, based in Seattle, supplies the clinicians, mostly NPs and PAs. Coivas fills through 503A compounding pharmacies and 503B outsourcing facilities. It says every formulation is third-party tested for potency, sterility and purity.

From sign-up to refills

  1. Complete the short intake online.
  2. A licensed clinician evaluates it, and most members hear back within a day. Some states require a phone or video consult.
  3. If semaglutide is prescribed, the pharmacy usually prepares it in 1 to 3 business days and ships it expedited.
  4. Message your care team in the portal for dose changes or side-effect questions.
  5. Each month the plan renews at $169 unless you pause or cancel.

What's good, what isn't

What's good

  • The semaglutide page promises the same $169 at every dose Coivas prescribes.
  • Every compounded formulation gets third-party tests for potency, sterility and purity, Coivas says.
  • If an Arora Health clinician declines you, Coivas's FAQ promises a full refund.

What isn't

  • Only first-time GLP-1 users get the $129 intro month; everyone else starts at $169.
  • A subscription month you've partly used isn't refunded under Coivas's return policy.
  • Your dispensing pharmacy isn't fixed; Coivas says it depends on location, medication and availability.

Read these terms first

Intro eligibility
The $129 month applies to patients starting GLP-1 therapy for the first time, and only to the first billing cycle.
Quarterly by default
The page opens on the quarterly plan, which bills three months at once. Tap Monthly if you want to pay $169 a month.
Damaged or warm shipments
Report a damaged or temperature-exposed box within 7 days. Coivas works with the pharmacy on a replacement.

Price

Coivas costs $169 a month for compounded semaglutide. It advertises $129.

How we got $169

The arithmeticOne month = 30.4375 days

  1. Coivas advertises

    Read on Coivas's own site

    $129.00

  2. The card is charged $169.00, not $129.00

    The advertised figure is not the amount that leaves the account.

    + $40.00

  3. And it is charged once a calendar month

    + $0.00

A real month$169.00

A real month costs $40.00 more than the figure advertised.

Where it sits, and what costs less

$54median $199$325+

104 cheaper · 27%263 dearer · 69%

The most expensive 10 sellers charge between $325 and $540 a month.

  1. Fidelity Medical Clinicstarting dose$54
  2. Collective$76
  3. NextMeds$79
  4. Lean Meds$79
  5. RxPepsDirectstarting dose$80
  6. Coivas$169

Another 99 sellers are cheaper than Coivas. The whole cheapest list →

Where it says it operates

Coivas is available in all 50 states.

Read on its own site in August 2026. That is the seller’s own promise for the whole country, so confirm your state when you sign up.

State pages this seller appears on: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.

Common questions about Coivas

Is Coivas legit for semaglutide?
Coivas is a telehealth platform run by Coivas Health, Inc. in New York. Arora Health & Aesthetics provides the clinicians, and licensed U.S. pharmacies dispense. Its semaglutide is compounded, so it isn't Wegovy or Ozempic, and the FDA doesn't review compounded drugs.
How much does Coivas semaglutide cost per month?
$169 a month on the monthly plan, at any dose. First-time GLP-1 users pay $129 for month one. Tirzepatide at Coivas is $269 a month.
Does Coivas accept insurance?
No insurance is needed; you pay yourself. FSA or HSA reimbursement may work, depending on your plan.
How do I cancel Coivas?
Use the member portal or contact support. There's no cancellation fee, and the change takes effect at the end of your current billing period.