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Knownwell vs Enhance MD

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

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7.8

Knownwell

Best for Patients wanting branded GLP-1s with obesity-medicine oversight and insurance options
★★★3.9

Starting at $349/mo

Branded Wegovy & ZepboundOral GLP-1 FoundayoLillyDirect partnerObesity-medicine led
Visit Knownwell
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

FeatureKnownwellEnhance MD
Overall Score7.8/108.6/10
Starting Price$349/mo$49/mo
Editorial Rating3.9 ★ /54.3 ★ /5
Features8 features6 features
States Available039
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

Pros & Cons

Knownwell

Pros

  • Co-founded by obesity-medicine specialist Dr. Angela Fitch
  • Branded FDA-approved GLP-1s (Wegovy, Zepbound, Ozempic, Saxenda)
  • Official LillyDirect provider and Novo Wegovy-pill telehealth partner
  • Accepts insurance, copays as low as $25 for covered patients
  • Weight-inclusive care with dietitians and health coaches
  • Both virtual (50 states) and in-person clinic options

Cons

  • Specific self-pay monthly medication prices not transparently posted
  • In-person clinics limited to four metro areas
  • Branded-only focus can mean higher cost than compounded routes

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 Knownwell with a higher overall score of 8.6/10 and is particularly strong for lab-monitored compounded GLP-1 with mandatory video visit. Knownwell remains a solid alternative, especially if you're looking for Patients wanting branded GLP-1s with obesity-medicine oversight and insurance options.

Glossary references

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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.