Provider review
Enhance MD review
By Derek Olsson ·
Flat dose pricing, with four-week billing and required labs
Tirzepatide is $329 every four weeks and semaglutide $249 at the shortest term. The advertised $280 and $212 rates require 48-week plans; a four-week charge is different from a calendar-month bill.
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On this page
The verdict
Enhance MD explicitly promises that medication prices stay the same as prescribed doses change. It describes a lab-first process, a virtual evaluation and repeat metabolic testing every six months. The budget still needs care: $329 every four weeks annualizes to about $358 per calendar month, and the lowest advertised rate requires a long term. Pharmacy disclosure also needs clarification because the FAQ and legal terms list different partners. Product pages describe Section 503A-guideline compounding, which does not independently identify or verify an assigned facility. Before prepaying, confirm the pharmacy, initial payment after any promotion and unused-term refund rules.
Enhance MD appears on our tirzepatide provider ranking, our semaglutide provider ranking, our NAD+ provider ranking, our weight-loss ranking for women and our weight-loss ranking for men. Nothing on this page is a performance claim — see tirzepatide vs. semaglutide for what the treatment does and does not do.
Want to see Enhance MD's plans for yourself?
Who it is for, and who it is not
A good fit if
- You expect dose changes and want an explicit same-price policy for all prescribed doses.
- You want baseline bloodwork before the virtual prescribing visit and a published repeat-testing interval.
- You can compare the actual term charge with your budget rather than relying only on a displayed monthly equivalent.
- You prefer a named medical-group structure and an option to discuss having a prescription sent to your own pharmacy.
Look elsewhere if
- You need calendar-month billing or want the advertised lowest rate without a long prepayment.
- You need one consistent public pharmacy list or the actual dispensing pharmacy assigned before buying.
- You want an explicit public deadline for canceling renewal and a clear unused-term refund policy.
- You live in a state outside the published availability list, even though the FAQ also describes all-state licensure.
Sounds like a fit? Start with Enhance MD.
What it actually costs
What they advertise
Tirzepatide displays $329, $313, $296 and $280 per month on 1-, 3-, 6- and 12-month tiles, billed every 4, 12, 24 and 48 weeks. Semaglutide displays $249, $237, $224 and $212 on the corresponding terms. These are week-based terms despite the month labels.
What you actually pay, month to month
Semaglutide is $249 per four weeks on the shortest plan. Derived tirzepatide term totals are $329, $939, $1,776 and $3,360; semaglutide totals are $249, $711, $1,344 and $2,544. The shortest recurring terms annualize to about $358 and $271 per calendar month. The 48-week terms annualize to about $304 and $230. These are budgeting equivalents, not monthly invoices.
The commitment trap
The lowest figure combines a long prepayment with a four-week definition of a month. Compare dollars charged and weeks covered together. Product tiles separately advertise $50 off a first shortest-term order or $100 off longer first orders; the public price display does not justify treating those one-time savings as permanent renewal rates or subtracting them twice.
Money you will meet later
- Product pages promise the same price at all doses, but the actual prescription remains a clinical decision rather than a guaranteed dose entitlement.
- The FAQ describes lab work, virtual visits, partnered-pharmacy medication and shipping as included. Confirm any patient-specific laboratory charges before paying, rather than assuming every testing arrangement is free.
- Using a pharmacy outside the partner network means that pharmacy bills medication separately at its own prices.
- The FAQ permits pause or cancellation through support but does not publish a precise advance-notice deadline or explain reimbursement of unused prepaid weeks.
Pricing information: October 2026. Prices come from Enhance MD's own website and can change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
Prices change. Check today's price on Enhance MD's site.
What is included
Compare the total cost, including fees and any minimum commitment. Here is what Enhance MD bundles in, and what it does not.
Clinician consult
The public process places a virtual clinician evaluation after baseline lab results
Medical eligibility and prescribing are determined by licensed providers; an order or payment does not guarantee medication.
Bloodwork / labs
Baseline labs come before the initial visit
Baseline testing at Quest Diagnostics includes a comprehensive metabolic panel, TSH, lipids and HbA1c. Product pages describe metabolic testing every six months. The process requires completing labs before the initial video visit; it is not simply a medication order followed by optional monitoring.
Follow-ups and dose changes
Ongoing provider care and six-month laboratory monitoring are included
Public pages do not establish a recurring private appointment schedule or guaranteed clinical-message response time.
Human support
The platform identifies Enhance Wellness PC, EnhanceMD CA PC and iThriveMD PC in its terms
Its FAQ describes US-licensed physicians and nurse practitioners. AI may assist communications, while medical advice and prescribing remain the responsibility of licensed providers.
Injection supplies
The product pages reviewed do not itemize injection supplies
Confirm the vial quantity, concentration and included equipment for the specific prescription rather than inferring them from a four-week delivery promise.
Shipping
Included two-day priority shipping follows provider review and processing
The shipping policy warns that delivery timing is not guaranteed. It refuses prescription-product returns and directs quality concerns to support and a medical provider.
Pharmacy, labs and oversight
The pharmacy
The published pharmacy lists differ between pages. The FAQ names Tru Meds Rx, Strive Pharmacy and Pharmacy Hub, while the legal terms name Rite-Away Pharmacy, Vios Compounding Pharmacy, TruMedsRx and other licensed pharmacies. The consumer notice separately identifies TruMedsRx. These differing lists should be clarified before ordering; they do not establish which pharmacy fills a particular prescription. The GLP-1 product pages describe compounding in accordance with Section 503A guidelines. That disclosure does not independently establish a particular facility’s license, designation or certification, and a network list should not be presented as a fixed dispensing assignment.
Oversight
Ongoing provider care and six-month laboratory monitoring are included. Public pages do not establish a recurring private appointment schedule or guaranteed clinical-message response time.
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
The FAQ lists 40 states plus DC: Alaska, Arizona, California, Colorado, Connecticut, Delaware, Florida, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia and Wyoming. Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina and Tennessee are absent. Confirm product availability; a separate all-state licensure claim does not expand this list.
The honest cons
The part they would rather you skipped
The full initial payment is refundable if a clinician finds the patient ineligible during onboarding; this is an eligibility protection, not a guarantee of treatment success. Once treatment begins, prescription returns are refused and the public pages do not clearly resolve unused prepaid-term refunds. The FAQ’s general 28-day renewal wording also needs to be read alongside the longer term-specific billing cards, rather than assumed to describe every plan.
- Four-week billing produces a higher calendar-month average than the displayed monthly label suggests.
- Lowest rates require long prepaid terms; first-order discounts do not establish the renewal price.
- Public pharmacy lists differ and do not identify the dispenser assigned to an order.
- Cancellation notice and unused prepaid-term refund rules remain insufficiently specific publicly.
Weigh these trade-offs against the costs, care and terms above. For questions to ask before enrolling, see our vendor red-flags guide.
Weighed the cons and still interested in Enhance MD?
Questions about Enhance MD
What do the four-, twelve-, twenty-four- and forty-eight-week plans cost?
The October 2026 product tables display monthly equivalents for plans covering 4, 12, 24 and 48 weeks. Using the listed one-, three-, six- and twelve-month price multipliers gives tirzepatide totals of $329, $939, $1,776 and $3,360, and semaglutide totals of $249, $711, $1,344 and $2,544, before any first-order reduction. The longest plan covers 48 weeks, not 52. At the shortest terms, the recurring charges average about $358 for tirzepatide and $271 for semaglutide per calendar month; the longest terms average about $304 and $230. These are calculated budgeting equivalents, not monthly invoices. Delivery is advertised every four weeks; that does not change the selected billing term.
Do first-order discounts and dose changes affect the renewal price?
The product tiles advertise $50 off a shortest-term order or $100 off a longer order as first-order reductions. Those savings do not establish a permanent renewal discount. Confirm the exact first charge and subsequent term charge before paying, and do not subtract a promotion twice. Enhance advertises the same price at all prescribed doses, but that is not a dose entitlement: a clinician decides the prescription, and the price promise does not establish a fixed milligram quantity.
Are blood tests required before the first visit, and are repeat labs included?
Yes. The published process requires baseline Quest Diagnostics testing, including a comprehensive metabolic panel (CMP), TSH, lipids and HbA1c, before the initial video evaluation. Metabolic monitoring every six months is advertised as included, alongside ongoing provider care. That does not establish that every patient-specific testing arrangement is free or that a fixed number of private follow-up visits is included. Confirm any additional tests or outside-lab charges with the care team before paying.
Can I cancel a prepaid plan and get unused weeks refunded?
If a clinician finds you ineligible during onboarding, Enhance describes a full refund of the initial payment. That protection does not promise treatment success. Support can pause or cancel future renewal, but the precise advance-notice deadline and reimbursement of unused prepaid weeks remain unresolved in the published terms reviewed in October 2026. The FAQ describes general 28-day automatic renewal, while product cards specify 12, 24 and 48-week billing for longer plans; confirm your selected plan’s next charge. Prescription returns are refused. A stated 5–10-business-day refund-processing time does not itself establish eligibility for a refund.
Which pharmacy fills the prescription, and what does the 503A statement establish?
The public lists differ: the FAQ names Tru Meds Rx, Strive Pharmacy and Pharmacy Hub; the terms name Rite-Away Pharmacy, Vios Compounding Pharmacy, TruMedsRx and other licensed pharmacies. A consumer notice separately identifies TruMedsRx. None of these lists establishes the dispenser assigned to your order. The product pages describe Section 503A-guideline compounding; that is not independent verification of an assigned facility’s license, designation or certification. An outside pharmacy bills medication separately. Enhance Wellness PC, EnhanceMD CA PC and iThriveMD PC are medical groups, separate from dispensing; AI may assist communications, while licensed providers prescribe.
Is Enhance available nationwide, and does two-day shipping include the whole process?
The FAQ reviewed in October 2026 lists 40 states plus Washington, DC. Its separate all-state licensure wording is not a guarantee of product availability. Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina and Tennessee are absent from that service list; confirm your intended treatment and location. Included two-day priority shipping follows provider review and processing, with no guaranteed arrival date. It does not mean treatment arrives two days after applying. Vial quantity, concentration and the full injection-supply inventory are not itemized in the reviewed product pages.
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Side by side: our weight-loss ranking for women · 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.
Provider offers and terms are based on Enhance MD's public information. Other sources, where used, are identified in this review. Prices and terms change without notice — confirm on Enhance MD'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.