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Harper Meds vs Enhance MD

An in-depth comparison of two leading GLP-1 Providers

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7.6

Harper Meds

Best for flat-rate compounded GLP-1 with everything bundled into one price
★★★3.8

Starting at $149/mo

CompoundedSemaglutideTirzepatideLegitScript Verified
Visit Harper Meds
8.6

Enhance MD

Best for lab-monitored compounded GLP-1 with mandatory video visit
★★★★4.3

Starting at $49/mo

CompoundedSemaglutideTirzepatideVideo Visit
Visit Enhance MD

Side-by-Side Comparison

FeatureHarper MedsEnhance MD
Overall Score7.6/108.6/10
Starting Price$149/mo$49/mo
Editorial Rating3.8 ★ /54.3 ★ /5
Features4 features6 features
States Available039
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

Pros & Cons

Harper Meds

Pros

  • Flat pricing — same cost at every dose, no escalation as you titrate up
  • All-inclusive: doctor consultation, prescription, medication, and free shipping in one price
  • LegitScript-certified; prescriptions reviewed by US-licensed M.D.s
  • Offers both compounded semaglutide ($149/mo) and tirzepatide ($196/mo)

Cons

  • Membership fee is non-refundable once paid
  • Partner pharmacy is not publicly named
  • State availability not published (limited to 'certain states')

Enhance MD

Pros

  • 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
  • Three tiers, including a combined semaglutide + tirzepatide Elite plan ($322/mo) for patients plateaued on one GLP-1
  • Uses LegitScript-certified 503A pharmacies (Tru Meds Rx, Strive Pharmacy, Pharmacy Hub)
  • Low first-month intro pricing: $49 Core, $99 Advanced, $189 Elite
  • Unlimited clinician messaging and dose-adjustment support included

Cons

  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
  • Not available in 10 states: AL, AR, GA, HI, LA, MS, MO, SC, TN, WV
  • Mandatory lab work adds 5–10 days to onboarding vs async-only competitors
  • No insurance accepted — cash pay, HSA/FSA eligible
  • Intro pricing resets to full tier rate after 30 days — the $49/$99/$189 figures aren't ongoing cost

Our Verdict

Winner: Enhance MDScore: 8.6/10

Enhance MD edges out Harper Meds with a higher overall score of 8.6/10 and is particularly strong for lab-monitored compounded GLP-1 with mandatory video visit. Harper Meds remains a solid alternative, especially if you're looking for flat-rate compounded GLP-1 with everything bundled into one price.

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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.