altRX vs Enhance MD
In our scoring, Enhance MD edges ahead overall (8.2 vs 7.4 out of 10), and altRX costs less for compounded semaglutide (about $1,476 a year less).
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Key differences
- Price
- altRX $89/mo vs Enhance MD $212/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,476 a year less with altRX)
- Coverage
- Enhance MD 39 states (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; Enhance MD: medication, clinician visits, labs
- Safety
- FDA warning letters on record: altRX 1, Enhance MD none
altRX
Affiliate partnerBest for low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options
semaglutide
$89
Our score 7.4/10
Enhance MD
Affiliate partnerBest for lab-monitored compounded GLP-1 with mandatory video visit
semaglutide
$212
$112 first month
Our score 8.2/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
altRX
Enhance MD
Price
Semaglutide / month
Better on this row: $89/mo
$212/mo
$112 first month
Semaglutide / year (modeled)
Better on this row: $1,068
$2,544
Tirzepatide / month
Better on this row: $149/mo
$169/mo
Tirzepatide / year (modeled)
Better on this row: $1,788
$2,028
Brand Wegovy / Ozempic / month
$1,149/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,249/mo
Not listed
Coverage
State availability
List not published
39 states
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, labs
Terms & safety
Price shown
Before intake
Before intake
Lab work
Not disclosed
Required
Video visit
Not disclosed
Required
Cancel anytime
Yes
Yes
Minimum commitment
Single-month and multi-month plans; multi-month plans are a single, non-refundable purchase for the full term
None
Refunds
Refund policy (Aug 25, 2026): 'ALL PAYMENTS FOR THE SUBSCRIPTION SERVICES ARE FINAL AND NON-REFUNDABLE AT THE TIME OF PURCHASE.' A medical disqualification refunds the unused portion minus consultations, provider review and other services already rendered.
Not disclosed
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
October 2026
August 2026
Every dose and plan: altRX · Enhance MD
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose altRX if…
- About $1,476 a year less than Enhance MD for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Enhance MD doesn't price
- Brand-name Zepbound, Wegovy and Ozempic available alongside compounded options
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Choose Enhance MD if…
- Publishes its full state list (39 states)
- No FDA warning letters on record (altRX has 1)
- Baseline and ongoing metabolic labs (CMP, lipids, TSH, HbA1c) at Quest every 6 months — rare for compounded GLP-1
What to weigh up
- About $1,476 a year more than altRX for compounded semaglutide
- Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
altRX
7.4/10
Enhance MD
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $139/mo
Get started →From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →altRX vs Enhance MD: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.