Enhance MD vs Strut Health
In our scoring, Enhance MD edges ahead overall (8.2 vs 8.0 out of 10), and Strut Health costs less for compounded semaglutide (about $756 a year less).
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Key differences
- Price
- Strut Health $149/mo vs Enhance MD $212/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $756 a year less with Strut Health)
- Coverage
- Enhance MD 39 states; Strut Health 49 states (only Strut Health: Alabama, Georgia, Hawaii and 7 more)
- Included
- Enhance MD: medication, clinician visits, labs; Strut Health: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: Enhance MD none, Strut Health 1
Enhance MD
Affiliate partnerBest for lab-monitored compounded GLP-1 with mandatory video visit
semaglutide
$212
$112 first month
Our score 8.2/10
Strut Health
Affiliate partnerBest for oral-lozenge compounded GLP-1 access
semaglutide
$149
Our score 8.0/10
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.
Enhance MD
Strut Health
Price
Semaglutide / month
$212/mo
$112 first month
Better on this row: $149/mo
Semaglutide / year (modeled)
$2,544
Better on this row: $1,788
Tirzepatide / month
Better on this row: $169/mo
$199/mo
Tirzepatide / year (modeled)
Better on this row: $2,028
$2,388
Oral semaglutide / month
Not listed
$99/mo
Oral tirzepatide / month
Not listed
$199/mo
Coverage
State availability
39 states
49 states
Oral option listed
Not listed
Yes
Included in the price
Medication, clinician visits, labs
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Lab work
Required
Not disclosed
Video visit
Required
Not disclosed
Cancel anytime
Yes
Not disclosed
Minimum commitment
None
Not disclosed
Refunds
Not disclosed
No refunds once order processed
FDA warning letters
Better on this row: None on record
1 warning letter
Provider facts checked
August 2026
August 2026
Show where they differ by stateHide state lists
Only Strut Health (10 states)
- Alabama
- Georgia
- Hawaii
- Louisiana
- Mississippi
- Missouri
- North Dakota
- South Carolina
- Tennessee
- West Virginia
Every dose and plan: Enhance MD · Strut Health
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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 Enhance MD if…
- No FDA warning letters on record (Strut Health has 1)
- Baseline and ongoing metabolic labs (CMP, lipids, TSH, HbA1c) at Quest every 6 months — rare for compounded GLP-1
- Mandatory video visit with a US-licensed MD or NP before your first prescription — not a pure questionnaire model
What to weigh up
- About $756 a year more than Strut Health for compounded semaglutide
- Not available in 10 states that Strut Health serves
Choose Strut Health if…
- About $756 a year less than Enhance MD for compounded semaglutide at standing prices
- Lists oral compounded semaglutide and oral compounded tirzepatide, which Enhance MD doesn't price
- Serves 10 states that Enhance MD doesn't
What to weigh up
- 1 FDA warning letter on record
- Requires a "medical necessity" review, but the criteria aren't published — you can't self-screen before paying for a consult
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Enhance MD
8.2/10
Strut Health
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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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 →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →Enhance MD vs Strut Health: 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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