Compounded tirzepatide

Coivas review

By ·Editor·Reviewed

Coivas bills $269 a month for compounded tirzepatide after the first month, and that figure stays the same at every dose. New GLP-1 patients pay $229 for month one. The plan price covers the clinician, the medication and shipping, with no membership fee.

A real month costs$269advertised $229 +$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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On this page

Who it suits

Good fit if

  • You plan to move up through the doses and want the monthly bill to stay put.
  • You'd commit to a 3-month plan in exchange for Coivas's refund offer if the scale doesn't move.
  • You want to pay with FSA or HSA funds, which Coivas says most plans allow.

Look elsewhere if

  • You're comparing the $229 first month with other sellers. From month two it's $269.
  • You want a set pharmacy. Coivas says the dispensing pharmacy can change with your location and supply.

What you get

The monthly plan starts at $229 for new GLP-1 users, then renews at $269 a month until you cancel. A quarterly plan costs less per month but bills three months at a time. Either way the price is the same at every dose, and there are no separate membership or visit fees.

Clinical care comes from Arora Health & Aesthetics, a Seattle practice whose clinicians are mostly nurse practitioners and physician assistants. Prescriptions go to state-licensed 503A pharmacies or 503B outsourcing facilities. Expedited shipping is included and usually takes 2 to 3 business days.

If a clinician decides treatment isn't appropriate for you, Coivas promises a full refund.

How it works

  1. Fill in the online intake about your health history, goals and current medications.
  2. An Arora Health clinician reviews it, usually within 24 hours. Where state law requires one, there's a video or phone visit.
  3. Your treatment plan appears in the Coivas portal. If tirzepatide is prescribed, the pharmacy prepares it within 1 to 3 business days.
  4. The order ships with insulated packaging and cold packs, and a tracking number arrives by email.
  5. The plan renews each month at $269. You can pause or cancel from the member portal.

Pros and cons

Pros

  • Coivas charges $269 at every tirzepatide dose, so moving up doesn't raise the bill.
  • A clinician's no means a full refund, according to Coivas's plan FAQ.
  • Expedited shipping, 2 to 3 business days by Coivas's estimate, comes with every order at no charge.

Cons

  • The $229 rate covers only the first month for new GLP-1 users; renewals are $269.
  • Cancellation takes effect at the end of the billing period, and Coivas doesn't refund a partly used month.
  • No single pharmacy is named; Coivas says the dispensing partner varies by location, medication and availability.

Check before you pay

The plan tab
The tirzepatide page opens on the quarterly plan. Switch to Monthly to see the $229 first month and the $269 renewal.
Challenge rules
The money-back Challenge applies to 3-, 6- or 12-month plans. Any pause or cancellation voids it, and your starting weight has to be verified within seven days.
Orders already shipped
You can cancel at any time, but an order already sent out by the pharmacy can't be recalled.

Price

Coivas costs $269 a month for compounded tirzepatide. It advertises $229.

How we got $269

The arithmeticOne month = 30.4375 days

  1. Coivas advertises

    Read on Coivas's own site

    $229.00

  2. The card is charged $269.00, not $229.00

    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$269.00

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

Where it sits, and what costs less

$86median $269$434+

182 cheaper · 50%176 dearer · 48%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. Coivas$269

Another 177 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 tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.

Coivas questions

Is Coivas legit?
Coivas Health, Inc. is a New York telehealth company. Its clinical provider is Arora Health & Aesthetics, LLC, and licensed U.S. pharmacies compound the medication. Compounded tirzepatide isn't Zepbound or Mounjaro and isn't FDA-approved, which Coivas also says.
How much is Coivas tirzepatide per month?
$269 a month at any dose, after a first month of $229 for people new to GLP-1s. That covers the clinician, medication and shipping. Coivas's compounded semaglutide renews at $169 a month.
Does Coivas take insurance?
No. It's self-pay, though FSA and HSA reimbursement may be available depending on your plan.
Can you cancel Coivas?
Yes. Cancel from your account settings or through support, with no cancellation fee. You won't be charged for the next cycle, but the current month isn't refunded.