Fella Health vs Enhance MD
An in-depth comparison of two leading GLP-1 Providers
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Fella Health
Best for men's weight lossStarting at $165/mo
Enhance MD
Best for lab-monitored compounded GLP-1 with mandatory video visitStarting at $49/mo
Side-by-Side Comparison
| Feature | Fella Health | Enhance MD |
|---|---|---|
| Overall Score | 7.1/10 | ✓8.6/10 |
| Starting Price | $165/mo | ✓$49/mo |
| Editorial Rating | 3.6 ★ /5 | ✓4.3 ★ /5 |
| Features | ✓8 features | 6 features |
| States Available | 20 | ✓39 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
Fella Health
Pros
- ✓Specialized vertical — program designed for men, particularly 'bigger guys'
- ✓Free 1:1 health coaching included with the membership
- ✓6-month money-back guarantee if the program doesn't work
- ✓Flat monthly price stays the same as your dose escalates
- ✓Both compounded semaglutide and tirzepatide available
- ✓Discloses partner pharmacies (Strive Pharmacy in AZ, Red Rock Home Pharmacy in UT)
Cons
- ✗Limited to men's health vertical — not available to women
- ✗Available in only 20 published states (not nationwide)
- ✗Exact GLP-1 monthly cost not published on the public site — only an 'under $10/day' starting figure
- ✗Pricing transparency below industry standard for compounded GLP-1 telehealth
Enhance MD
Pros
- ✓Baseline and ongoing metabolic lab panels (CMP, lipids, TSH, HbA1c) at Quest Diagnostics every 6 months — a rigor most compounded GLP-1 providers skip entirely
- ✓Mandatory one-on-one video visit with a US-licensed MD or NP before the first prescription — not a pure-async questionnaire model
- ✓Three pricing tiers including a combined semaglutide + tirzepatide Elite plan ($322/mo ongoing) — useful for patients plateaued on a single GLP-1
- ✓LegitScript-certified 503A pharmacy network: Tru Meds Rx, Strive Pharmacy, Pharmacy Hub
- ✓Aggressive first-month intro pricing: $49 on Core, $99 on Advanced, $189 on Elite
- ✓Unlimited clinician messaging and dose-adjustment support included
Cons
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
- ✗Not available in 10 states: Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, South Carolina, Tennessee, West Virginia
- ✗Mandatory lab work adds 5–10 days to onboarding vs. async-only competitors
- ✗No insurance accepted — cash pay, HSA/FSA eligible
- ✗First-month intro pricing resets to full tier rate after 30 days — the $49/$99/$189 numbers are not the ongoing cost
Our Verdict
Enhance MD edges out Fella Health with a higher overall score of 8.6/10 and is particularly strong for lab-monitored compounded GLP-1 with mandatory video visit. Fella Health remains a solid alternative, especially if you're looking for men's weight loss.
Glossary references
Key terms in this article, linked to their canonical definitions.
- 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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Or see the full category ranking.
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