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Telehealth Graded

Enhance MD review

Enhance MD charges $249 every four weeks for semaglutide on its shortest plan. The homepage's $212/mo quote requires its twelve-month plan, billed every 48 weeks.

Pricing grade
BMinor gap
Monthly price
Not published
Price comparison
$249 every four weeks
the one-month plan, billed every four weeks
FDA warning letter
None found

Pricing transparency · How we grade · How we verify prices

Pricing and terms
$212/mo quoted on the 48-week plan
the homepage figure for compounded semaglutide
$249 every four weeks
the one-month plan, billed every four weeks

The $212 is the twelve-month plan, billed every 48 weeks. The product page shows it beside the $249 one-month rate; the homepage card shows only the $212.

  • No month-to-month price published
  • States published: AK, AZ, CA, CO, CT, DC, DE, FL, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MT, NC, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SD, TX, UT, VA, VT, WA, WI, WV, WY
See current pricing at Enhance MD

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The verdict

One of the more honest price pages we've read: nearly every product shows its one-month rate beside the prepaid ones. Budget $249 for semaglutide or $329 for tirzepatide, and know that a month here is four weeks.

Quick facts

Key facts

Semaglutide, every four weeks
$249, billed every four weeks
Semaglutide, twelve-month plan
$212/mo quoted on the plan billed every 48 weeks
Tirzepatide, every four weeks
$329, billed every four weeks
Where the one-month rate appears
On the product pages, beside the prepaid rates
States served
40 states and D.C., listed in its FAQ
Pharmacies named
Yes — but the terms and the FAQ name different sets
HSA / FSA cards
Not accepted, per its FAQ
Company
Enhance.MD, LLC, Lewes, Delaware

Pros and cons

What we like

  • The semaglutide, tirzepatide, combined and NAD+ pages each print all four billing terms together — one, three, six and twelve months — with the billing interval under each price. Semaglutide is $249, $237, $224 or $212 a month depending on how far ahead you pay.
  • The price doesn't change with the dose. Each GLP-1 page says so, and the homepage repeats it as a guarantee.
  • It publishes a state list: 40 states and D.C., in its FAQ.
  • It names its pharmacies and its medical groups in the terms of service, with pharmacy addresses.
  • Lab work is part of the program, with labs repeated every six months, and the FAQ says the program price covers it.

What could be better

  • The homepage leads every card with the twelve-month rate and doesn't say that's what it is. You have to open the product page to see $249.
  • A month is four weeks. The one-month plan is billed every four weeks, which is thirteen charges a year.
  • The terms of service name three pharmacies and the FAQ names three, but only one pharmacy is on both lists.
  • The low-dose tirzepatide program has no one-month plan; three months at $189/mo quoted is the shortest.
  • No HSA or FSA cards, and prescription orders can't be returned once they ship.

What it is

Enhance MD sells compounded semaglutide, compounded tirzepatide, a program that combines the two, a low-dose tirzepatide plan and NAD+ in two forms. You do an online intake, get lab work through Quest, and a clinician from one of the medical groups named in its terms reviews it — how most telehealth prescriptions get written now. Enhance itself says it is a management platform and does not practice medicine.

Every price we found at Enhance MD

PlanAdvertisedPublished price
Compounded semaglutide, four-week billingBilled every four weeks. The page takes $50 off the first order on this plan.$212/mo quoted on the 48-week plan$249 every four weeks
Compounded semaglutide, twelve monthsBilled every 48 weeks, with $100 off the first order. This is the homepage figure.not published$212/mo quoted; billed every 48 weeks
Compounded tirzepatide, four-week billingBilled every four weeks. The three-month plan quotes $313/mo and bills every 12 weeks; the twelve-month plan quotes $280/mo and bills every 48 weeks. These quoted rates are not the full invoices.$280/mo quoted on the 48-week plan$329 every four weeks
Semaglutide and tirzepatide combined, four-week billingBilled every four weeks; $322 is the twelve-month rate.$322/mo quoted on the 48-week plan$379 every four weeks
Low-dose tirzepatide, three months1 mg a week, shipped every 12 weeks. No one-month plan exists; the twelve-month plan quotes $169/mo and bills every 48 weeks. The quoted rate is not the full invoice.not published$189/mo quoted; three-month plan, delivery every 12 weeks
NAD+ injections, four-week billingBilled every four weeks; $169 is the twelve-month rate.$169/mo quoted on the 48-week plan$199 every four weeks
NAD+ sublingual wafers, four-week billingBehind the wafers tab on the NAD+ page. Billed every four weeks; $84 is the twelve-month rate.$84/mo quoted on the 48-week plan$99 every four weeks

What it actually costs at Enhance MD

Pay every four weeks and it's $249 for semaglutide, $329 for tirzepatide and $379 for the combined program. Commit to twelve months and those drop to $212, $280 and $322 — and the twelve-month number is the one on every homepage card, under "Starting at". It's the standard move, and what a starting-at price is usually buying you. The difference here is that the product page a click away prints all four rates together, with how often each is billed.

The one-month plan is billed every four weeks, not every calendar month — thirteen charges a year, not twelve.

NAD+ injections cost $199 every four weeks on the shortest plan, the sublingual wafers $99 every four weeks. The low-dose tirzepatide program has no one-month option at all; its shortest plan is three months at $189/mo quoted. If that's what you came for, read what GLP-1 microdosing actually costs across sellers first.

Who it's wrong for

Skip it if you were counting on HSA or FSA money — its own FAQ says it doesn't take either card. And if the homepage's $212 is your budget, the only way to pay it is to commit to 48 weeks. What ships is compounded, not the brand-name drug, so compounded versus brand GLP-1s is worth ten minutes before you weigh the saving.

  • You live in one of the ten states missing from its list — Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina or Tennessee.
  • You want to try one month and leave. That works, but at $249 rather than $212 — Henry Meds is another seller that publishes its full month-to-month ladder, if you want a comparison on the same terms.

How Enhance MD works

  1. You pick a program and answer the intake

    It's online. The intake has 38 steps, and at step 17 it asks you to create an account and verify your phone number by text.

  2. You get labs drawn

    Through Quest, booked from a link Enhance sends. The FAQ lists a metabolic panel, lipids, thyroid and HbA1c, repeated every six months.

  3. A clinician reviews it

    From one of the medical groups named in the terms. If you're found ineligible during onboarding, the site says your first payment is refunded.

  4. A pharmacy ships it

    Two-day shipping is included in the price. The membership renews every 28 days until you pause or cancel.

Medications available

  • Compounded semaglutideCompounded
    $249 every four weeks; $212/mo quoted on the 48-week plan

    Injection. Same price at every dose.

  • Compounded tirzepatideCompounded
    $329 every four weeks; $280/mo quoted on the 48-week plan

    Injection. Same price at every dose.

  • Semaglutide and tirzepatide combinedCompounded
    $379 every four weeks; $322/mo quoted on the 48-week plan

    Pitched at people who have plateaued on one drug.

  • Low-dose tirzepatideCompounded
    $189/mo quoted on three months

    1 mg a week. No one-month plan.

  • NAD+ injections and wafersCompounded
    $199 or $99 every four weeks

    Injections and sublingual wafers are priced separately.

Is Enhance MD legit?

Enhance MD is operated by Enhance.MD, LLC, 16192 Coastal Highway, Lewes, Delaware 19958, according to its terms of service.

No FDA warning letters found

Pharmacy, prescribers and safety checks

  • Legal entityEnhance.MD, LLC, named in its terms of service
  • Pharmacies namedThree in the terms, three in the FAQ, one name on both lists
  • Who prescribesClinicians employed or contracted by three medical groups named in the terms
  • States served40 states and D.C., listed in its FAQ
  • Lab workRequired before treatment and repeated every six months, through Quest
  • Drug formCompounded, not FDA-approved brand-name drugs — the product pages say so
  • DisputesBinding arbitration in San Diego, California

Common questions

How much does Enhance MD cost per month?

$249 every four weeks for compounded semaglutide and $329 every four weeks for tirzepatide on the shortest plans. The twelve-month plans quote $212/mo and $280/mo, billed every 48 weeks; those quotes are not the full prepaid invoices.

Is the $212 semaglutide price real?

Yes, on the twelve-month plan. The homepage shows it without saying so; the semaglutide product page lists it beside the $249 one-month rate and says it's billed every 48 weeks.

Does the price go up when my dose goes up?

Not according to Enhance. Each GLP-1 product page says the same price applies at all doses, and the homepage calls it a same-price-at-every-dose guarantee.

Which states does Enhance MD serve?

Its FAQ lists 40 states plus D.C. Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina and Tennessee are not on the list.

Which pharmacy fills Enhance MD prescriptions?

It depends which page you read. The terms of service name Rite-Away Pharmacy, Vios Compounding Pharmacy and TruMedsRx; the FAQ names Tru Meds Rx, Strive Pharmacy and Pharmacy Hub.

Can I use an HSA or FSA card at Enhance MD?

No. Its payment FAQ lists Visa, Mastercard, Discover and American Express, and says it does not accept FSA or HSA cards, gift cards or pre-loaded cards.

Why we gave Enhance MD a B

Read the full grading rationale

Each product page prints its full plan ladder, and every one except the low-dose tirzepatide program includes a one-month rate: semaglutide $249, tirzepatide $329, the two combined $379, NAD+ injections $199, each billed every four weeks, beside the three-, six- and twelve-month rates. What keeps it off an A is the homepage, which leads every card with the twelve-month figure — $212 for semaglutide — and never says so there. A "month" here is four weeks, so the one-month plan bills thirteen times a year. The FAQ names 40 states and D.C. The terms name three pharmacies; the FAQ names three as well, and only one appears on both lists. The legal entity is Enhance.MD, LLC, with a Lewes, Delaware address.

Read the evidence

How we reviewed Enhance MD

We read every Enhance MD product page, its terms of service, privacy policy, consumer notice and shipping policy, and all 54 FAQ answers. Prices come from each product page's own plan table; the wafer prices sit behind a tab.

We went through the signup without paying to step 17 of 38, where it asks for an account and a verified phone number. The prices shown up to there matched the product pages.

Where each price comes from
  • Core semaglutide page
    12-month Save 15% + $100 off first order Billed every 48 weeks $212/mo 6-month Save 10% + $100 off first order Billed every 24 weeks $224/mo 3-month Save 5% + $100 off first order Billed every 12 weeks $237/mo 1-month $50 off first order Billed every 4 weeks $249/mo
  • Advanced tirzepatide page
    12-month Save 15% + $100 off first order Billed every 48 weeks $280/mo 6-month Save 10% + $100 off first order Billed every 24 weeks $296/mo 3-month Save 5% + $100 off first order Billed every 12 weeks $313/mo 1-month $50 off first order Billed every 4 weeks $329/mo
  • Elite tirzepatide and semaglutide page
    12-month Save 15% + $100 off first order Billed every 48 weeks $322/mo 6-month Save 10% + $100 off first order Billed every 24 weeks $341/mo 3-month Save 5% + $100 off first order Billed every 12 weeks $360/mo 1-month $50 off first order Billed every 4 weeks $379/mo
  • Microdosing tirzepatide page
    1mg/week Delivery of Medication Every 12 Weeks Ongoing Provider Care & Support Free Shipping ‍ If you’re interested in more intensive dosing or larger weight loss goals, learn more about our GLP-1 Advanced tirzepatide program. 12-month Billed every 48 weeks $169/mo 6-month Billed every 24 weeks $179/mo 3-month Billed every 12 weeks $189/mo
  • Nad therapy page
    NAD+ Injections NAD+ Wafers Maximum bioavailability through subcutaneous injections. Experience rapid energy improvement, enhanced mental clarity, and cellular rejuvenation. 85% of patients choose injectable for faster, more dramatic results. Pharmaceutical-Grade NAD+ Vials Ongoing Provider Care & Support 12-month Save 15% Billed every 48 weeks $169/mo 6-month Save 10% Billed every 24 weeks $179/mo 3-month Save 5% Billed every 12 weeks $189/mo 1-month Billed every 4 weeks $199/mo

Alternatives to Enhance MD

ProviderGradePublished price context
Aquivia HealthBMinor gapMonthly medication total not confirmed — publishes $179 for compounded semaglutide, fifty-two week plan per shipment
Bodybuilding Health+CCaveatFrom $279/mo for compounded semaglutide, month to month
NoluCCaveatPublished $149 for compounded semaglutide, twelve-month plan — billing period not confirmed
TMatesBMinor gapFrom $249/mo for compounded semaglutide, one-month plan
ShedBMinor gapFrom $199/mo for compounded semaglutide, one-month plan