Näky vs Enhance MD
An in-depth comparison of two leading GLP-1 Providers
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Näky
Best for compounded oral semaglutide drops plus a microdose programEnhance MD
Best for lab-monitored compounded GLP-1 with mandatory video visitStarting at $49/mo
Side-by-Side Comparison
| Feature | Näky | Enhance MD |
|---|---|---|
| Overall Score | 7.0/10 | ✓8.6/10 |
| Starting Price | — | $49/mo |
| Editorial Rating | 3.5 ★ /5 | ✓4.3 ★ /5 |
| Features | ✓8 features | 6 features |
| States Available | 0 | ✓39 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
Näky
Pros
- ✓LegitScript Approved (verifiable for benaky.com)
- ✓Oral semaglutide drops as a distinct product line — uncommon among compounded GLP-1 brands
- ✓Separate GLP-1 microdose program offered
- ✓Adds NAD+ and Sermorelin for patients wanting a longevity stack
- ✓3-minute online assessment with a same-day treatment plan
- ✓Promo code NAKY10 for the oral semaglutide line
Cons
- ✗Ongoing monthly pricing for compounded semaglutide and tirzepatide isn't shown until intake
- ✗Oral semaglutide drops and microdose program pricing not disclosed
- ✗Legal entity and state of incorporation not disclosed
- ✗Pharmacy partner not named — only a generic 'USA-based FDA-regulated' claim
- ✗States served not listed; pricing pages return 404s
- ✗Compounded only — no brand-name GLP-1s; lab work and consult fees unclear
- ✗Oral semaglutide drops are not Rybelsus or any FDA-approved oral formulation — ask about dose equivalence at intake
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
Enhance MD edges out Näky with a higher overall score of 8.6/10 and is particularly strong for lab-monitored compounded GLP-1 with mandatory video visit. Näky remains a solid alternative, especially if you're looking for compounded oral semaglutide drops plus a microdose program.
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.
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.