Enhance MD semaglutide cost & review
By Sofia Mendez, Patient Education EditorUpdated
Labs and a video visit before your first dose, and one price at every dose.
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Check Enhance MD pricingOn this page
Is Enhance MD worth it? The short answer
Our verdict
Pick Enhance MD if you want someone reading your bloodwork, not just mailing a vial. Labs at Quest and a video visit come before your first prescription, and every dose costs the same. Budget on the month-to-month rate, billed every 4 weeks, rather than the 12-month figure. Then check that your state is on its list before you start.
- Good for: You want baseline bloodwork, and a provider who has read it, before you take a single dose
- Look elsewhere if: You live in Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina or Tennessee
Enhance MD at a glance
Price, as published
$249/mo
Compounded semaglutide $249/mo month to month, billed every 4 weeks; $237 on a 3-month plan, $224 on 6 months, $212 on 12 months; $50 off the first 1-month order, $100 off longer plans.
Full pricing details
Tirzepatide $329/mo month to month ($280 on 12 months); combo from $322, microdose tirzepatide $169; NAD+ available
Pricing model
Flat at every dose
Consult
Included
Labs
Required
Dietitian
Not included
Pharmacy
5 pharmacies named (503A)
Medication
Compounded
Who makes your medication
Rite-Away Pharmacy
San Antonio, TX
503AVios Compounding Pharmacy
Livonia, MI
503ATruMedsRx
Fairfax, VA
503AStrive Pharmacy
503APharmacy Hub
503A
Enhance MD doesn't say which of these fills your order, so ask the care team before you pay.
Where this comes from →What six months of Enhance MD costs you
Semaglutide is long-term, so here is what six months adds up to, clinician visits included.
Month 1
$249
Months 2 to 6, each
$249
Six-month total
$1,494
Paying month to month; longer plans in the price above can lower this. Prices change, so check before you pay.
Thinking about Enhance MD?
See today’s price and whether it serves your state.
What it does well, and what to watch
What we like
- All four plan lengths are published side by side, and every dose costs the same
- Lab work at Quest and a video visit come before your first prescription, with labs repeated every six months
- Says outright that its medication is compounded under Section 503A, and names its pharmacy partners
- Full refund of your first payment if a provider finds you ineligible
What to watch
- Bills every 28 days, so the month-to-month price lands 13 times a year rather than 12
- Compounded only — not the brand-name product (Wegovy/Ozempic), which matters with insurance
- Serves 40 states plus DC — not Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina or Tennessee
- The lowest figure ($212) needs a 12-month plan; month to month is $249
Who Enhance MD suits, and who should look elsewhere
A good fit if
- You want baseline bloodwork, and a provider who has read it, before you take a single dose
- You expect to titrate up and want the bill to stay where it started
- You might add tirzepatide or NAD+ later and would like it on the same account
Look elsewhere if
- You live in Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina or Tennessee
- You plan to pay with an HSA or FSA card, which Enhance MD does not accept
- You want the lowest price without signing up for a year; month to month costs noticeably more
How Enhance MD works, start to finish
A compounded-only telehealth program built around monitoring.
More about how it works
Before your first prescription you get labs drawn at Quest and a video visit with a provider, and labs repeat every six months. Semaglutide is $249 a month with nothing locked in, billed every 4 weeks, and falls to $212 on a 12-month plan; every dose costs the same. Its product pages say the medication is compounded under Section 503A. It carries no brand-name or oral option, and it serves 40 states plus DC.
- Fill in the free medical intake about your health history, lifestyle and goals.
- Choose a plan length and pay at checkout; it renews every 4 weeks.
- Get your labs drawn at a nearby Quest location as soon as you order.
- Results reach your dashboard in 1 to 2 business days; then book your video visit.
- If your provider prescribes, medication ships 2-day priority at no extra cost.
- Refills follow every 28 days, and your labs repeat every six months.
What Enhance MD includes in the price
- A metabolic lab panel at Quest, repeated every six months
- Video visits with a physician or nurse practitioner
- Medication at the same price for every dose
- Dose guidance and adjustments as you titrate
- Lifestyle coaching and messaging with your care team
- 2-day priority shipping
Before a lab visit, read what blood tests can show during semaglutide treatment and ask your clinician which tests were ordered, why they are needed and who will review the results.
If you want to cancel or get a refund
Your plan renews every 28 days until you pause or cancel, which you can do anytime by emailing or calling support. If a provider decides during onboarding that you're not eligible, your first payment is refunded in full, usually within 5 to 10 business days. Shipped prescriptions can't be returned, so cancel before your next refill is sent.
What customers say about Enhance MD
Based on public customer reviews.
Customers praise
- Easy sign-up
- Close follow-up with labs and video visits
- Caring nurse practitioners
Customers complain about
- A price that feels high to stay on
- Refill delays
- Charges people didn't expect
Source: Trustpilot, October 2026
Questions people ask about Enhance MD
Do I need bloodwork before Enhance MD will prescribe?
Yes. You're asked to get a metabolic panel drawn at Quest right after you order, and your video visit is booked once the results arrive. Labs repeat every six months while you're enrolled.
Is Enhance MD available in every state?
No. Its FAQ says it is licensed in all 50 but currently serves 40 states plus DC. If your address is rejected at sign-up, your state is likely one it doesn't ship to yet.
Can I pay for Enhance MD with an HSA card?
No. It takes Visa, Mastercard, Discover and American Express, and its FAQ says FSA and HSA cards, gift cards and prepaid cards are not accepted. It doesn't bill insurance either.
Why is the 12-month price lower than month to month?
You're paying for commitment: longer plans save up to 15%, with the 12-month plan billed every 48 weeks. If you're not sure you'll stay a year, budget on the month-to-month rate.
How do I stop my Enhance MD subscription?
Email or call support; you can pause or cancel anytime. Do it before your next refill goes to the pharmacy, because prescription medication can't be returned once it ships.
If Enhance MD isn't the right fit
Close to Enhance MD, but each does better on the thing Enhance MD does least well.
Clearer pricing
EverPrime
PartnerIts headline price is closer to what you'll pay each month.
$249
More care included
CoreAge Rx
Featured partnerClinician visits and dietitian support come in the price.
$99/mo
Lower monthly price
Sprout Health
PartnerPublishes a lower monthly price than Enhance MD.
$149 per 4 weeks
FDA warning letter · September 2025
Partners pay us a commission if you start care through our link. How we make money
Before you pay for anything
Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as Wegovy or Ozempic. Go into your visit with real numbers and these reads:
How Enhance MD stacks up against the others
Two minutes of comparing could save you money, or confirm Enhance MD is the right pick.
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