Skip to content
PeptideRank

Provider review

Enhance MD cost: $329 / 4 wks (about $358/mo) tirzepatide

Enhance MD lists tirzepatide at about $358/mo, semaglutide at about $271/mo and NAD+ at about $108/mo. Prices checked October 2026.

Honest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.

Enhance MD says outright that its medication is compounded under Section 503A, shows all four price tiers side by side, and states the same price at every dose. Two catches. It doesn't serve ten states, despite claiming all 50. And every "/mo" price is billed every four weeks, so you pay 13 times a year.

Verified October 2026

By PeptideRank Pricing Desk

Transparency scorecard

3 of 4 disclosed openly

What Enhance MD discloses about itself, read from its own pages — not estimated.

Pharmacy category stated

Disclosed

Names its compounding pharmacy and states a federal regulatory category (503A/503B), sourced to its own site.

State coverage published

Disclosed

Publishes which states it actually serves.

A real price is published

Disclosed

A real dollar figure is published on its own site, not estimated.

No hidden commitment trap

Not disclosed

The advertised price requires a prepay, auto-refill, or other commitment we found and named.

This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. A commission does not change what a review says. Full disclosure here.

At a glance

Visit Enhance MD

Pharmacy

503A pharmacy

Labs

Included and required: labs at a Quest Diagnostics…

States

Published state list

On this page

How much does Enhance MD cost?

Enhance MD's prices, read from its own site. What you pay monthly leaves out first-month and prepay rates and includes any required membership.
Tirzepatide $329 / 4 wks (about $358/mo)about $358/mo503A pharmacyOctober 2026
Semaglutide $249 / 4 wks (about $271/mo)about $271/mo503A pharmacyOctober 2026
NAD+ $99 / 4 wks (about $108/mo) troche, $216 injectionabout $108/mo503A pharmacyOctober 2026

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Included

Coaching

Not confirmed

The catch — Every price says "/mo" and every plan bills in four-week blocks: "Billed every 4 weeks", or every 12, 24 or 48. Over a year that is 13 payments, not 12 — tirzepatide at "$329/mo" costs about $4,277 a year, roughly $329 more than the label implies.

See plans at Enhance MD

Prices read from Enhance MD's own site

What they advertise

Tirzepatide: $329/mo billed every 4 weeks, $313 every 12 weeks, $296 every 24 weeks, $280 every 48 weeks. Semaglutide: $249, $237, $224, $212 on the same terms. Combined tirzepatide and semaglutide from $322. NAD+: injection $199 down to $169, sublingual wafer $99 down to $84. Same price at every dose.

What you actually pay

$329 for tirzepatide and $249 for semaglutide are real pay-as-you-go prices with nothing locked in, each billed every four weeks — about $356 and $270 a calendar month. The cheaper figures need 12, 24 or 48 weeks paid up front.

Money you will meet later

  • If you have your prescription sent to a pharmacy of your choice instead, that pharmacy bills you for the medication separately.

The bottom line

Enhance MD sells compounded tirzepatide, semaglutide, a combined tirzepatide-and-semaglutide plan, microdosed tirzepatide and NAD+, and it is unusually straight about the things this category usually blurs. Every product page states the medication is compounded under Section 503A. All four term lengths are published together — $329 for tirzepatide with no commitment, down to $280 if you prepay 48 weeks — and the price is the same at every dose. Lab work is part of the program: labs at Quest before your first visit, then metabolic testing every six months, included in the price. Where it slips is coverage and billing: the FAQ opens with "licensed in all 50 states" and then lists 40 plus DC, and every plan bills in four-week blocks rather than months.

Enhance MD appears on our tirzepatide provider ranking, our semaglutide provider ranking, our NAD+ provider ranking and our combined weight loss injections ranking.

Who is Enhance MD for, and who is it not for?

A good fit if

  • You want to see every price tier before you commit, not just the cheapest one.
  • You want the provider to say plainly that the medication is compounded, and under which rule.
  • You want lab work built in: testing every six months is included in the price.
  • You live in one of the 40 states it actually serves — worth checking, because the FAQ says 50.

Look elsewhere if

  • You live in Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina or Tennessee — Enhance MD doesn't serve any of them.
  • A predictable monthly charge matters to you — this one lands every four weeks, so it drifts through the calendar.
  • You want to skip the blood draw. Labs at a Quest Diagnostics location come before your first video visit.

What Enhance MD offers

Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.

Who fills your prescription

503A pharmacy

Enhance MD names pharmacy partners and states a compounding category. Confirm which partner will fill your prescription.

  • Rite-Away Pharmacy
  • Vios Compounding Pharmacy
  • TruMedsRx
  • Strive Pharmacy
  • Pharmacy Hub
What its own site says

Every product page says the medication is "compounded in accordance with federal Section 503A guidelines" — no hedging. Its two own pages disagree on who fills orders: the Terms list Rite-Away Pharmacy, Vios Compounding Pharmacy and TruMedsRx (Beauty Empower Rx, LLC), while the FAQ lists Tru Meds Rx, Strive Pharmacy and Pharmacy Hub. Neither says which one fills yours.

What's the difference between 503A and 503B?

A 503A pharmacy compounds for one named patient; 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. Compounded peptides are not FDA-approved.

Where you can get it

Published state list

Available in 40 states. Not available in these 10:

ALARGAHILAMSMONDSCTN
See the full list and where it comes from

List-published (40 states plus DC). Enhance MD's own FAQ headlines "licensed in all 50 states," then states in the same answer: "based on product availability, we will be launching in select states which currently include:" 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.

The honest cons

The part they would rather you skipped

Enhance MD's FAQ tells you it's "licensed in all 50 states," then in the very next sentence lists where it actually operates — 40 states plus DC. Ten are missing: Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina and Tennessee. Check that list before assuming you're covered. The other catch is billing: every plan is billed in four-week blocks, so a price quoted "/mo" charges you 13 times a year, not 12.

  • Claims all 50 states, then lists 40 plus DC in the same answer.
  • Bills every four weeks, so you pay 13 times a year, not 12.
  • Its Terms and FAQ name two different sets of pharmacies.

How it compares

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. The evidence below is where that gets settled.

Ready to get started?

Prices and plans in this category change often — check Enhance MD's current pricing before you decide. Ours was read from their own site.

See Enhance MD pricing

Facts on this page reflect Enhance MD's own public disclosures when we last checked them. 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. See our disclosure and editorial policy.