Coivas vs Wellorithm: Compounded GLP-1 Pricing, Terms and Guarantees Side by Side

Coivas and Wellorithm are both cash-pay telehealth programs built around compounded semaglutide and tirzepatide, and both advertise a results-based money-back guarantee. Coivas lists lower starting prices and a simpler one-product focus. Wellorithm costs more per month on compounded medication but covers more ground: oral tablets, brand-name care through insurance, and a guarantee that pays out under a looser weight-loss threshold. Which one fits depends mostly on whether you want the lowest compounded price or more ways to be treated.

We haven't been patients of either company. This comparison is built from each company's published pricing, policies, pharmacy disclosures, and regulatory records as of October 2026.

We planned to include RightWell as a third option. Its site wouldn't load for us in a way we could read, and we couldn't verify its current pricing, drugs, or terms from a primary source, so we've left it out rather than guess.

At a glance

Pricing in more detail

Coivas

Coivas' homepage lists compounded semaglutide vials from $119 a month and compounded tirzepatide vials from $199 a month, with no membership fee. It doesn't say which plan length or dose those "from" prices require, and it doesn't publish a full price table. A third-party review we consulted reported higher month-to-month prices on Coivas' treatment pages than the homepage figures. Treat $119 and $199 as the floor and confirm your actual price at the end of intake, before you enter payment.

Coivas' terms say subscription prices can change with 30 days' notice, and the homepage says your price stays locked while you remain on the same medication and plan. Switching drugs or plans may change it.

Wellorithm

Wellorithm's pricing page is more specific. Compounded semaglutide is $147 for the first month, then $247 a month, across weekly doses from 0.25 mg to 2.4 mg. Compounded tirzepatide is $249 for the first month, then $349 a month, across 2.5 mg to 15 mg. The page says your clinician sets the dose and the price is the same throughout each range.

For brand-name GLP-1s, Wellorithm doesn't sell cash-pay pens. It charges a $49 monthly service fee to manage insurance-routed care, and your medication cost depends on your plan, pharmacy, and prior authorization. Wellorithm says any prior authorization or coordination fees are disclosed before checkout. Our prior authorization guide explains what that process involves.

Billing, cancellation, and refunds

Coivas

• Subscription you can cancel anytime in the patient portal or through support.
• Cancel before your next shipment is processed to avoid the next charge; if it's already processed, cancellation applies to the following cycle.
• The terms say fees are non-refundable unless the law or a separate refund policy says otherwise.
• Disputes go to AAA arbitration in New York under New York law. The terms were last updated July 6, 2026.

Wellorithm

• Plans renew monthly at the ongoing rate unless canceled; the terms describe weight-loss billing on a 28-day cycle.
• Cancel from your account, or contact support at least 48 hours before the next renewal charge. The current cycle isn't refunded.
• If a clinician decides treatment isn't appropriate, you aren't charged for medication, but Wellorithm says the consultation fee may be kept. The pricing page doesn't state that fee's amount.
• The terms cap Wellorithm's liability at the greater of $50 or what you paid in the prior six months, and send disputes to JAMS arbitration in New York with a 30-day opt-out.

The money-back guarantees, compared

Both companies lead with a results guarantee. Both are much narrower than the headline suggests.

Coivas

Coivas' terms require at least six consecutive months of paid enrollment, and your verified final weight must be at or above your verified starting weight. In other words, it pays out only if you lost nothing. Other conditions: you must be a new customer, use compounded semaglutide or tirzepatide (brand-name and microdosing don't qualify), verify your starting weight within seven days, have no cancellation, pause, lapse, failed payment, or chargeback during the period, follow clinician instructions, complete refills on time, and avoid other weight-loss medications. Claims are due within 40 days of the final shipment, verified by a clinician attestation or a short scale video. The terms add that the guarantee isn't a promise of any medical result.

Wellorithm

Wellorithm's terms say you may qualify if you lose less than 10% of your baseline weight after 16 weeks of taking your prescribed doses. Qualifying patients may receive up to four months of fees back, limited to what was paid. You must be new, complete the intake, and not have used other weight-loss medications in the prior year. Verification is by doctor attestation or a scale video.

Wellorithm's threshold is easier to meet: plenty of people lose some weight but less than 10% in 16 weeks. Coivas' version only covers the case where the scale doesn't move at all over six months. Neither guarantee should be the reason you pick a provider, but if it matters to you, Wellorithm's is the more usable of the two.

Pharmacy, clinicians, and regulatory checks

Neither company names the pharmacy that fills its compounded prescriptions. Coivas says it uses state-licensed 503A compounding pharmacies and 503B outsourcing facilities and that the dispensing pharmacy may vary; its terms describe them as licensed and NABP-accredited. Wellorithm doesn't name a pharmacy in its terms or pricing. For either one, ask support which pharmacy will fill your order and check its license; our pharmacy verification guide shows how.

Coivas names its clinical partner, Beluga Health, on its homepage. Wellorithm refers to licensed providers connected through unnamed professional entities. Both sites display LegitScript seals. We did not find FDA warning letters or state enforcement actions addressed to either company in what we reviewed; that check relied partly on a third-party warning-letter tracker, so confirm in FDA's database if it matters to you.

One small note on Coivas: its headline says "guaranteed fat loss," while its own disclaimers say results vary and aren't guaranteed. Read the guarantee terms rather than the banner.

Best for

If neither fits, our 15-provider cost comparison and telehealth platform roundup cover more options.

How to decide

1. Check insurance first. If your plan might cover Wegovy or Zepbound, Wellorithm's insurance route, or your own doctor, may cost less than any compounded program.
2. Get the real Coivas price. Finish intake up to the payment screen and compare that number, not the homepage floor, with Wellorithm's $247 or $349.
3. Decide whether the guarantee matters. If it does, read each company's guarantee section in its terms and note the verification deadlines.
4. Ask both for the pharmacy name. Pick the one that will tell you.
5. Leave dose decisions to the prescriber. Severe abdominal pain, persistent vomiting, signs of dehydration, or an allergic reaction need prompt medical care, whichever company you choose.