Coivas Review: Compounded GLP-1 Pricing, Guarantee Fine Print, and Who It Fits

Coivas is a cash-pay telehealth platform that sells compounded semaglutide and compounded tirzepatide at a flat monthly price that doesn't rise with your dose. That flat price is its main selling point. The guarantee and some mismatched numbers across its pages are the parts to read carefully before you pay.

We haven't been patients. This review is built from Coivas's published pricing, treatment pages, Terms of Service, return policy, and the regulatory records we could check as of October 29, 2026. Prices on telehealth sites change often, so confirm the number at checkout.

What Coivas offers

Coivas lists three weight-loss options on its homepage:

• Compounded semaglutide (weekly injection, vial), pitched as the starting option.
• Compounded tirzepatide (weekly injection, vial), labeled most popular.
• GLP-1 oral tablets, marked "coming soon" with no drug name or price.

There are no brand-name products. You won't find Wegovy, Zepbound, Ozempic, Mounjaro, or the newer oral brands here. If you have insurance that might cover a brand-name drug, Coivas can't help you use it: its Terms say it doesn't accept insurance.

Coivas also sells hormone, hair-loss, sexual-health, and NAD products, so GLP-1s are one line in a broader wellness catalog rather than its only focus.

Coivas pricing, as published

Coivas's pricing is the most confusing part of its site, because different pages show different numbers. Here's what each page said when we checked:

The semaglutide page also says you "save $213" on the quarterly plan, which doesn't add up if the monthly price is also $178. The tirzepatide page claims a $135 saving on quarterly billing, which implies a month-to-month price around $299. An independent review site that tracks provider pricing reported month-to-month prices of $249 for semaglutide and $299 for tirzepatide in October 2026. Treat the $119 and $199 homepage figures as teaser prices until you see them in your cart.

The good part: every treatment page states the price is the same at every dose. With many compounded programs, the bill climbs as you titrate up. Coivas says it doesn't, and its homepage adds that your price stays locked while you remain on the same medication and plan.

What the price includes

• Online clinician review (no live visit required; most people are prescribed within a day, per Coivas)
• Medication, if prescribed
• Check-ins and dose adjustments
• Care-team messaging and support
• Free, discreet shipping, typically 1–3 business days after the pharmacy ships

Coivas says there are no separate membership or visit fees. A footnote on its comparison table says competitor prices may not include consultation fees; Coivas presents its own number as the all-in plan price. Lab work isn't mentioned as included.

Coivas says most plans allow HSA or FSA reimbursement, but check with your plan administrator before counting on it.

Membership, cancellation, and refunds

Plans are subscriptions with no long-term contract and no cancellation fee. You cancel or pause in the patient portal. Timing matters: cancel before your next shipment is processed, or that cycle still goes out and gets billed.

The return policy is standard for pharmacy products. Shipped medication can't be returned. Coivas will replace or refund medication that arrives wrong, damaged, or defective if you email within 7 days of delivery. It refunds a consultation that never happened, duplicate charges, and fees when a clinician decides treatment isn't appropriate for you. Completed consults, delivered medication, and partial billing periods are non-refundable.

The Terms set disputes in binding arbitration in New York under AAA rules, and the operator is listed as WellVi LLC doing business as Coivas, with a contact entity of Coivas Health, Inc. in New York.

The money-back guarantee, read closely

Coivas advertises "see results, or your money back." The actual terms are much narrower than the headline.

• The trigger is no loss at all. You qualify only if your verified final weight is equal to or higher than your verified starting weight. Losing even a little disqualifies you.
• The length conflicts. The Challenge page describes a 3-month program. The Terms of Service define a 6-month continuous enrollment period. Ask support which applies to you, in writing, before you start.
• Any gap voids it. Pausing, canceling, a failed payment, a late refill form, or a chargeback ends eligibility.
• Strict eligibility. New customers only, starting weight verified within 7 days, no other weight-loss medication during the period or in the 12 months before, and a claim filed within 40 days of the last shipment.
• Verification costs are yours. You prove weight by provider attestation or a short self-recorded weigh-in video. Attestation costs aren't reimbursed.
• All or nothing. The refund isn't prorated.

For most people the guarantee is unlikely to matter. It's a safety net for a full non-response, not a results promise.

Pharmacy, prescribers, and regulatory checks

Who prescribes

Coivas describes itself as a technology platform, not a pharmacy or medical practice. Its homepage names Beluga Health (Houston, Texas) as the clinical provider, and its Terms say independent licensed clinicians make prescribing decisions.

Who compounds

Coivas doesn't name its pharmacy. Its pages say medication comes from state-licensed 503A compounding pharmacies and 503B outsourcing facilities, that the dispensing pharmacy may vary by location and availability, and that products get third-party testing. The Terms say NABP-accredited pharmacies dispense. Since you can't look up an unnamed pharmacy, ask for the pharmacy's name and license number after you're prescribed. Our pharmacy verification guide walks through the license lookup.

LegitScript, FDA, and reviews

• LegitScript: Coivas's About page displays a LegitScript seal. We couldn't get a result from LegitScript's public lookup tool during our check, so confirm it yourself on legitscript.com before relying on it.
• FDA: The FDA sent 30 warning letters to telehealth companies over compounded GLP-1 marketing on March 3, 2026. We found no FDA warning letter naming Coivas or WellVi LLC, and a third-party tracker also listed none as of October 2026.
• Customer reviews: Coivas has a claimed Trustpilot profile with zero reviews as of our check. There isn't much public track record to go on yet.

Red flags and things to verify

• Brand-trial numbers on a compounded product. Coivas's tirzepatide page cites the roughly 21% average weight loss from the SURMOUNT-1 trial. That trial tested brand-name tirzepatide, not a compounded version, and the FDA's 2026 warning letters specifically targeted marketing that implies compounded drugs match approved ones.
• Inconsistent prices across the homepage, treatment pages, and Challenge page.
• Conflicting guarantee length (3 vs. 6 months).
• AI-content disclaimer. The treatment pages state that some site content may be AI-generated and isn't guaranteed accurate, and that ads may use models or actors.
• Unnamed pharmacy. Common in this market, but it means you have to ask.

None of these is disqualifying on its own. Together, they mean you should screenshot the price and terms you sign up under. Our list of telehealth red flags covers what else to watch for.

Who Coivas is best for

Coivas is a weaker fit if you want a brand-name, FDA-approved drug, have insurance that might cover one, or want a live video visit with a named clinic. It's also a poor fit if you need a long public track record before you trust a company with an ongoing prescription.

Alternatives to consider

• Want brand-name at cash price? Manufacturer programs sell Wegovy and Zepbound directly. See NovoCare and LillyDirect explained.
• Comparing compounded prices? Our cost comparison across 15 providers and the under-$200 roundup are good next stops.
• Want a broader shortlist? Start with our best telehealth platforms guide.

Before you sign up: a checklist

1. Screenshot the price in your cart. Note whether it's monthly or quarterly and the total charged today.
2. Ask which guarantee terms apply. Get the 3-month vs. 6-month answer in writing from support.
3. Ask for the pharmacy name. Then check its license with your state board of pharmacy.
4. Set a calendar reminder a few days before each shipment processes, so you can pause or cancel in time.
5. Know your red-flag symptoms. Severe stomach pain that won't ease, repeated vomiting, or signs of an allergic reaction need urgent in-person care, not a portal message.

Dose decisions belong to your prescriber. If Coivas's terms check out for you, the buttons below go to its two drug pages.