Provider review
Coivas review
Names a real clinic and medical director behind the prescribing — rare here
Coivas prescribes through Arora Health & Aesthetics, LLC, a real clinical practice at 300 Lenora Street, Seattle, WA, with a named medical director — Dr. Sean Arora, NPI 1841729449 — though the site itself notes providers are "primarily NPs and PAs." Its all-inclusive quarterly rate ($149/month semaglutide, $229/month tirzepatide) is the cheapest way in; month-to-month runs $179 and $289. The money-back guarantee is real but conditional: refunds cover uncompleted visits and duplicate charges, not delivered medication without a defect, and reporting a damaged or wrong shipment has a 7-day window.
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On this page
The verdict
Coivas is an all-inclusive GLP-1 telehealth service — one price covers the doctor consult, prescription, shipping and support — with compounded semaglutide from $149/month and tirzepatide from $229/month on a quarterly plan ($179/$289 monthly). Clinical care runs through Arora Health & Aesthetics, LLC, with a named medical director, Dr. Sean Arora, and the site cites USP 797/NABP-accredited pharmacy standards without naming a specific facility. It's available in all 50 states with HSA/FSA eligibility, but the money-back guarantee excludes delivered, non-defective medication and refund disputes route to binding New York arbitration rather than court.
Coivas is not ranked on any of our boards. This is a standalone read of what the company publishes about itself — the providers we do rank in this category are on our semaglutide provider ranking. Nothing on this page is a performance claim — see the evidence review for what these compounds do and do not do.
Who it is for, and who it is not
A good fit if
- You want a named medical director and real clinical practice address behind the prescribing
- You're comfortable committing to a quarterly plan to reach the $149/$229 rate
- You want HSA/FSA-eligible, all-50-state coverage in one price
Look elsewhere if
- You want a specific compounding pharmacy named rather than a category standard (503A/503B, NABP)
- You want the money-back guarantee to cover delivered medication, not just uncompleted visits
- You'd rather have a dispute resolved in court than in binding New York arbitration
What it actually costs
What they advertise
Compounded semaglutide $149/month, compounded tirzepatide $229/month on the quarterly plan; $179/$289 monthly, per coivas.com.
What you actually pay, month to month
The $149/$229 figures require the quarterly (3-month) plan; the standing month-to-month rate is $179 and $289.
The commitment trap
Quarterly-plan pricing shown as the headline rate; the standard monthly rate is 20-26% higher.
Money you will meet later
- 24/7 support and HSA/FSA eligibility are included in the quoted price, per the site
Checked live on Coivas's own site at https://www.coivas.com/ in August 2026. Prices change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what Coivas bundles in, and what it does not.
Clinician consult
A doctor consult is bundled into the single quoted price, per…
the homepage.
Bloodwork / labs
Not addressed in the sources read.
Follow-ups and dose changes
Not addressed with a specific cadence in the sources read.
Human support
24/7 support is advertised as included, per the homepage.
Injection supplies
Not itemized in the sources read.
Shipping
Shipping is bundled into the single quoted price, per the…
homepage.
Pharmacy, labs and oversight
The pharmacy
Not named individually. Described only by category: "503A/503B" compounding, NABP-accredited.
Oversight
A doctor consult is bundled into the single quoted price, per the homepage. Not addressed with a specific cadence in the sources read.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
All 50 states, per the homepage.
The honest cons
The part they would rather you skipped
The money-back guarantee sounds unconditional in the marketing but excludes delivered medication without a defect, and if a refund dispute isn't resolved directly, the terms route it to binding arbitration in New York — not the recourse a "money-back guarantee" banner implies.
- No specific compounding pharmacy named, only a category standard
- Headline price requires a 3-month prepay; month-to-month costs 20-26% more
- Money-back guarantee excludes delivered, non-defective medication
- Refund disputes route to binding New York arbitration, not court
None of this is unique to Coivas — the whole category shares it. What we hold against a provider is the part it hides, and the ways vendors hide things are catalogued in our vendor red-flags guide.
How it compares
The providers we rank on our semaglutide provider ranking, in the order that board ranks them. Coivas is not among them: it is reviewed here, not ranked there, and we would rather show you the comparison than pretend the two are the same thing.
- BHBodybuilding Health+One of the deepest peptide catalogues here, and the loosest one
- Enhance MDWrites a flat-price-at-every-dose policy down — and charges near the top for it
- RxSpan MDOral tablet only, at a real $179 monthly rate
- Direct MedsThe plainest price mechanics on either board, from a company with an FDA warning letter
- Synergy RxPublishes a starting number, and nothing about what it commits you to
- Sprout HealthA $150 markdown the site never explains, and a semaglutide price quoted by the quarter
- Strut HealthInjection or troche, but $119 is the auto-refill price only
- MadeMedPrices are published — but there is no monthly option at all
7 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect Coivas's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Coivas's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.