Head-to-head · WeighScore
Always Wellness and Recovery vs Kova
The verdict
Always Wellness and Recovery takes it — 57.5/100 to 44.3/100.
Always Wellness and Recovery grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Always Wellness and Recovery is a nationwide telehealth platform offering physician-prescribed compounded semaglutide and tirzepatide with personalized dosing and no mandatory subscription.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Always Wellness and Recovery | Kova |
|---|---|---|
| WeighScore | 57.5/100 | 44.3/100 |
| Grade | C | C |
| Scorecard rank | #396 | #498 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #396 · C
Strengths
- Compounded semaglutide and tirzepatide with personalized dosing, not one-size-fits-all
- No mandatory subscription — cancel anytime
- Every case reviewed by a board-certified US physician (medical director Dr. M. Reyes, MD)
- Unlimited HIPAA-secure messaging with the care team
- Lab work included where clinically indicated; free discreet shipping in 3-5 days
Where it loses points
- Pricing is not shown until you complete an application
- Compounded GLP-1s are not FDA-approved finished products
- No LegitScript certification visible and the compounding pharmacy is not named
- Cash-pay only — no insurance billing
Graded #498 · C
Strengths
- Publishes the full price ladder for all three plan terms — intro month and renewal rate — directly in its FAQ
- Medication is included in the plan price, with no separate pharmacy charge
- States plainly that its compounded GLP-1s are 'not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality'
- Companion app tracks weight, protein and side effects, with medication schedule reminders
- You are not charged unless a provider approves treatment
Where it loses points
- At $449 per 4 weeks, the standing 1-month plan is among the most expensive compounded GLP-1 options we track
- The advertised $129 is the 6-month plan's intro month only — that plan then renews at $1,794 every 24 weeks
- Billed every 4 weeks rather than monthly, which is 13 charges a year instead of 12
- Never names which GLP-1 molecule is dispensed — only 'compounded, non-FDA-approved GLP-1 medications'
- No pharmacy or prescribing medical group is named anywhere on the site
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.