Comparison · updated October 16, 2026

Enhance MD vs TMates: Enhance MD for compounded medication only, TMates for brand-name or compounded options

Enhance MD and TMates differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.

These two prices are different kinds of bill, so read the line under each price before you compare them.

Compare plans and terms

Enhance MD and TMates pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money

Which should you choose, Enhance MD or TMates?

Short answer: Choose TMates if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.

Enhance MD is best for

Cash-pay shoppers who want the monthly price to stay flat as the dose goes up, and who will do a lab draw and a video visit to get it.

Choose TMates if

  • you want brand-name medicine as an option
  • you want a pill or another option without needles
  • you want to use insurance

The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Enhance MD vs TMates side by side

Enhance MD and TMates compared fact by fact
Enhance MDTMates
Price$212/4 weeks equivalentPrepaid 48-week plan; confirm the full upfront chargefrom $158/mo
MedicineCompounded onlyBrand-name and compounded
Needle-free optionNot listedYes, a pill or other oral form
InsuranceNo insurance listedAccepts insurance
ConsultationBothIncluded
ShippingFreeFree (for compounded; brand-name filled at patient's pharmacy)
Where it ships40 states plus DC: AK, AZ, CA, CO, CT, DC, DE, FL, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MT, NC, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SD, TX, UT, VA, VT, WA, WI, WV, WYMost states
Trustpilot4.0 / 5 across 162 reviewsNot tracked
BBB ratingA+ (not accredited)B (not accredited)
Our score9.4/10 Excellent6/10 Fair
Assessment limitsChecked Oct 16, 2026; some details not published.Checked Oct 16, 2026; few independent reviews yet.

What Enhance MD and TMates plans cost

Enhance MD

A compounded GLP-1 program with published lab work and a scheduled video visit before prescribing. Core and Advanced are separate molecule options; Elite combines semaglutide and tirzepatide in one formulation. Four-week billing and prepaid 12-, 24- and 48-week plans are not calendar-month or calendar-year prices.

All 11 Enhance MD plans
How Enhance MD bills

$212 advertised four-week equivalent on the prepaid 48-week plan, not a calendar-year subscription; shortest plan is $249 billed every 4 weeks

We checked Enhance MD's prices on August 28, 2026.

TMates

Two-archetype platform: (1) compounded GLP-1s with medication included and steep multi-month commitment discounts; (2) cheap $99/mo clinical service for brand Wegovy/Zepbound where you fill the prescription at your own pharmacy.

All 11 TMates plans

We checked TMates' prices on September 3, 2026.

What to watch for with Enhance MD and TMates

Enhance MD

  • The $212 headline is a four-week equivalent on a prepaid 48-week plan, not a calendar-year price. The shortest plan costs $249 every four weeks on the GLP-1 Core pricing page (verified 2026-09-03)
  • Compounded only. Every GLP-1 product page states the formulation is not FDA-approved and is compounded under federal Section 503A guidelines, and no brand-name product is sold
Enhance MD's strengths, cautions and terms

Strengths

  • Same price at every dose, so titrating up does not raise the monthly bill. GLP-1 Core is $212 per four-week equivalent on the prepaid 48-week plan and $249 every four weeks on the shortest plan (verified 2026-09-03)
  • The monthly price covers lab work, the video visit with a provider, medication from a partner pharmacy and 2-day shipping, with no separate consultation fee
  • Support is staffed seven days a week, Monday to Friday 8:00 AM to 8:00 PM EDT and Saturday to Sunday 9:00 AM to 5:00 PM EDT, by phone and email
  • Four compounded GLP-1 options including a capped 1 mg microdosing tirzepatide plan from $169 per four weeks on the 48-week plan, plus a full refund of the initial payment if a provider finds you ineligible during onboarding

More to watch for

  • Not nationwide. The FAQ lists 40 states plus DC and leaves out Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina and Tennessee
  • Cash pay with no same-day start: a Quest Diagnostics blood draw and a scheduled video visit both come before a prescription, and no insurance option is shown on the site's pricing, FAQ or terms pages (rendered check 2026-09-03)
Medicines listed
  • Semaglutide (compounded, sold as GLP-1 Core)
  • Tirzepatide (compounded, sold as GLP-1 Advanced)
  • Semaglutide and tirzepatide in one formulation (compounded, sold as GLP-1 Elite)
  • Tirzepatide, 1mg microdosing plan (compounded)
  • NAD+ injections (separate anti-aging product, not a GLP-1)
  • NAD+ wafers (separate anti-aging product, not a GLP-1)
Insurance
No insurance support listed
Consultation
Included
Shipping
Free
States
40 states plus DC: AK, AZ, CA, CO, CT, DC, DE, FL, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MT, NC, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SD, TX, UT, VA, VT, WA, WI, WV, WY. Not available in AL, AR, GA, HI, LA, MO, MS, ND, SC, TN. The FAQ says the company is licensed in all 50 states but that it is launching in the listed states only (verified 2026-09-03)
Cancellation
The FAQ says you can pause or cancel your subscription at any time by contacting support, and that membership otherwise renews every 28 days. The 3, 6 and 12-month plans bill every 12, 24 and 48 weeks rather than monthly. Prescription products cannot be returned, and the only refund promised is 100% of the initial payment if a provider finds you ineligible during onboarding (verified 2026-09-03)

TMates

  • The $99/mo Wegovy or Zepbound tier buys the prescription and provider oversight only. TMates says it does not dispense or ship the drug, and no price for the medication itself appears on its product or category pages, so your own pharmacy bills you separately (checked 2026-09-03).
  • The best compounded rates require prepayment: $1,050 upfront for 6 months, $1,900 for 12. Start at $249 month-to-month if you want to test fit first.
TMates' strengths, cautions and terms

Strengths

  • Clinical-service-only path to brand Wegovy and Zepbound at $99/mo, prescription goes to patient's pharmacy (you fill separately using insurance or cash)
  • Steep multi-month commitment discounts on compounded sema, $158/mo on 12-month plan ($1,900 upfront) vs $249/mo month-to-month
  • Same price at all dose levels for compounded, no cost escalation as you titrate up
  • Phentermine available at $149/mo for patients who benefit from a different appetite-suppressant approach

More to watch for

  • TMates prescribes brand-name but does not dispense it, and is not affiliated with Novo Nordisk (Wegovy) or Eli Lilly (Zepbound). Your own pharmacy fills the Rx.
Medicines listed
  • Semaglutide (compounded, injectable or oral)
  • Tirzepatide (compounded injectable; the product page also shows an Oral format, but every dosing instruction on it describes a weekly injection)
  • Phentermine (oral)
  • Wegovy (brand-name clinical service only, prescription, not dispensing)
  • Zepbound (brand-name clinical service only, prescription, not dispensing)
Insurance
Lists insurance support. Confirm coverage for your plan.
Consultation
Included
Shipping
Free (for compounded; brand-name filled at patient's pharmacy)
States
Most states. TMates advertises all 50 states on its homepage and 50+ states on its about page, while its semaglutide page says it ships to most states based on medical eligibility (checked 2026-09-03)
Cancellation
Product pages say cancel anytime. The terms give a full refund only before the medical review, or after it if you do not qualify. Once a prescription is written and sent to a pharmacy there is no refund, and a denied refund request leaves any payment plan in force (checked 2026-09-03)

Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.

Enhance MD vs TMates: common questions

Is Enhance MD or TMates cheaper?

At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.

  • Enhance MD$212/4 weeks equivalentprepaid 48-week plan; confirm the full upfront charge
  • TMatesfrom $158/mostarting price

Which is better, Enhance MD or TMates?

Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.

Enhance MD lists compounded medication only, and TMates lists brand-name and compounded medication. TMates lists insurance support, and Enhance MD does not.

Do Enhance MD and TMates offer brand-name medication?

Enhance MD lists compounded medication only, and TMates lists brand-name and compounded medication.

Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.

Do Enhance MD and TMates take insurance?

TMates lists insurance support, and Enhance MD does not.

Confirm coverage for your exact plan and prescription before you pay.

Where these facts come from

Enhance MD:prices checked August 28, 2026, score evidence assessed October 16, 2026.Read our Enhance MD review

TMates:prices checked September 3, 2026, score evidence assessed October 16, 2026.Read our TMates review

We score on a published methodology, and partnership never changes a score or a fact here.

What should you compare next?

Both Enhance MD and TMates start above the cheapest complete recurring program we track. Across all 38 providers in our index, the lowest price that includes the medicine, consultation and shipping is Eden Health GLP-1 at $99/mo, checked August 28, 2026. This is a price fact, not a treatment recommendation. Compare every program by its complete price

Before you sign up, read our trust check: is Enhance MD legit.

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