Coivas review

What it is

Coivas is a telehealth platform operated by WellVi LLC, doing business as Coivas, at 30 North Gould Street in Sheridan, Wyoming; its return and shipping policies list Coivas Health, Inc., in New York as the contact. It is not a pharmacy or a medical practice. Its clinical provider is Beluga Health, a medical group at 1321 Upland Drive in Houston, Texas, whose independent licensed providers make every treatment decision. Prescriptions are filled by state-licensed 503A compounding pharmacies and 503B outsourcing facilities, which vary by location and medication and aren't named. The service is available in all 50 states. Weight loss is its only treatment for now, with an oral GLP-1 tablet listed as coming soon. The site displays a LegitScript seal, and it notes that some site content may be created with artificial intelligence and that people in its ads may be models.

How it works

You complete an online assessment to confirm eligibility. A licensed provider reviews your information and, if they need more detail before deciding, the company contacts you to schedule a brief virtual appointment. If you're approved, your prescription goes to the pharmacy and the medication usually arrives within one to three business days, with expedited shipping included. If you're already taking a GLP-1 from another provider, you can upload proof of your prescription, and the provider may let you continue at your current dose. After that, you message your assigned clinician through your member dashboard whenever you need to, and dosing questions, shipping and follow-up are handled in the patient portal. Damaged, lost or incorrect shipments should be reported within seven days, and the company says it will work with the pharmacy to replace them. Your health data is encrypted, and the company says it never sells it.

Pricing transparency

Compounded semaglutide starts at $159 a month and compounded tirzepatide at $199 a month, with no membership fee. The price includes the consultation, prescription, medication, free shipping and ongoing support. Those starting prices appear during a fall sale, and the site says the monthly price varies by medication and treatment plan and can change with your dose, titration, treatment length or your provider's recommendations; you review and approve the price before you're charged. It also says your price is locked as long as you stay on the same medication and plan, and its terms say prices can change with 30 days' notice. Plans are subscriptions you can cancel any time from the patient portal; cancel before your next shipment is processed to avoid the next charge. Refunds are limited to cases such as a consultation that never happened, a duplicate charge, or a fee paid when no prescription was issued, and shipped medication can't be returned. The Coivas Challenge guarantee refunds eligible subscription fees if you stay enrolled for your full three-, six- or twelve-month plan and your verified final weight is the same as or higher than your starting weight. Insurance isn't accepted.

Branded vs compounded

Coivas prescribes compounded semaglutide and compounded tirzepatide. Compounded medications are not FDA-approved, and the site says the FDA doesn't review them for safety or effectiveness. It describes its partner pharmacies as following sterile compounding and testing standards, and its shipping policy says they are NABP-accredited, but it doesn't name them or post test results. Brand-name Wegovy, Ozempic and Zepbound aren't offered. The 15% and 21% average weight-loss figures on its plan cards come from clinical trials of the brand-name drugs, not of compounded versions. A search of the FDA warning-letter database under Coivas, WellVi and its web address returned no letters.

Pros and watch-outs

The evidence behind what Coivas prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• What the semaglutide weight-loss trials actually showed

  STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.

• Tirzepatide vs semaglutide for weight loss: what the trials actually support

  Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.

• Compounded vs branded GLP-1: regulatory status, sourcing and the evidence

  Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.

How Coivas compares

A few alternatives worth a look, depending on what you’re optimizing for.

• HEHealthRX

  Low-cost compounded GLP-1 with overnight shipping and physician review

  See HealthRX →
• Found

  Compounded GLP-1 with the drug included, and insurance for the visits

  See Found →
• Actin

  Cash buyers who want a flat price at every dose, no membership and the option to cut the monthly cost with a longer plan

  See Actin →

More GLP-1 telehealth reviews: GobyMeds · Amazon One Medical · Amble · knownwell · Measured · Calibrate