Enhance.MD names three dispensing pharmacies, enumerates the forty-one states it has actually launched in, and buys metabolic lab testing with the monthly fee. On its microdosing tirzepatide product, the one-month tier renders its label and its billing cycle with no figure at all.
What Enhance.MD charges
Semaglutide: $249/mo — per month, "Billed every 4 weeks", the same at every dose; longer terms run $237, $224 and $212 a month
Tirzepatide: $329/mo — per month, "Billed every 4 weeks"; longer terms run $313, $296 and $280 a month
Tirzepatide: $189/mo — per month, "Billed every 12 weeks"; the one-month tier on this product renders no figure at all
NAD+: $199/mo — per month, "Billed every 4 weeks"; longer terms run $189, $179 and $169 a month
NAD+: $99/mo — per month, "Billed every 4 weeks"; longer terms run $94, $89 and $84 a month
Enhance.MD is not a paid partner; this link may earn a commission if that changes. Full disclosure.
By Nora Castellan, Standards EditorUpdated September 2026
It lists the states rather than claiming the count
Its FAQ says "Enhance.MD is licensed in all 50 states. However, based on product availability, we will be launching in select states which currently include:" and then names forty-one.
The list is what is recorded here. The fifty in the sentence before it is a licensure claim the seller itself immediately qualifies, so no fifty-state coverage is credited.
That is the right way round for a reader: an enumeration can be checked against your own state, and a count cannot.
Three pharmacies named, and labs inside the fee
It names three pharmacies outright rather than describing a class of pharmacy, which puts the dispensing chain in the open.
Metabolic lab testing every six months is listed among what the monthly price buys, and its FAQ says the programme includes comprehensive laboratory diagnostics and names where the draw happens.
Its own words on the category: "This compounded formulation is not FDA-approved and is intended solely for patients under active care of a licensed prescriber. It is compounded in accordance with federal Section 503A guidelines." Quoted, not endorsed.
A price that never renders
On the microdosing tirzepatide product, the one-month tier prints its label and the words billed every four weeks, and then no figure.
Every sibling product page prints a one-month figure in exactly that slot, so this is a fault on one page rather than a deliberate omission across the catalogue.
The three-month rate is filed here instead, and the gap is named rather than papered over. A reader who wants a single month of that product will have to ask what it costs.
Two ladders on every page, and a blend that has no price of its own
Each product page carries two price ladders: the product's own, and an NAD+ wafer add-on directly beneath it. Reading the second as the page's headline compound is the easy mistake.
The NAD+ therapy page is what disambiguates them, because there both ladders are NAD+ — the injection on one, the sublingual wafer on the other, each with its own figure.
Its Elite product combines tirzepatide and semaglutide in one preparation. A blend named for two compounds is not a price for either, so it is not filed against either.
Who it's for
Readers who want lab testing inside the monthly fee.
Buyers who want the dispensing pharmacies named on the same site.
Shoppers who want to check a state list rather than trust a count.
Anyone comparing a four-rung ladder with the billing cycle on each rung.
Who should look elsewhere
Buyers who need a one-month price for the microdosing product.
Readers in the nine states the launch list leaves out.
Anyone who wants a single price ladder per page.
Shoppers looking for a standalone price on the two-molecule blend.
Strengths
Names three dispensing pharmacies rather than describing a class
Includes metabolic lab testing in the monthly price and names where the draw happens
Lists the states it has actually launched in rather than only the licence count
Publishes a four-rung ladder on every product with the billing cycle printed on each rung
Trade-offs
Its microdosing product's one-month tier renders no price at all
Its licensed-in-fifty-states sentence is contradicted by its own launch list of forty-one
Its Elite product is a two-molecule blend, so it has no price for either drug alone
Each product page carries a second, unrelated price ladder directly beneath the first
How we verified this
Recorded the enumerated launch list of forty-one states and declined the licensed-in-fifty sentence the seller qualifies in the same breath.
Confirmed the microdosing product's one-month tier renders a label and a billing cycle with no figure, checked sibling pages that do render one, and filed the three-month rate instead.
Separated the two ladders on each product page using the NAD+ therapy page, where both ladders are NAD+, rather than assuming the second belonged to the page's headline compound.
Requested a deliberately meaningless address on this host in the same session and confirmed it returns a not-found response.
Screened the brand under two spellings and all three named pharmacies against the live federal warning-letter table, pulling all 3,677 records in pages and filtering locally because the table's own search parameter is ignored, with a positive and a nonsense control in the same run. No letters for any of them.
A provider to compare Enhance.MD against
Trellis Vitality
Trellis Vitality frames its program around body-composition tracking rather than scale weight, pairing NAD+, glutathione and tesamorelin with at-home biomarker panels and a 90-day re-test, and names its dispensing pharmacy, VialsRX in Houston, by address.
No. It says it is licensed in all fifty and then qualifies that itself, listing the forty-one states it has launched in. The list is what counts here.
Are lab tests extra?
No. Metabolic lab testing every six months is listed among what the monthly price buys, and the FAQ names where the draw happens.
What does one month of the microdosing product cost?
The site does not render a figure there. The one-month tier prints its label and its billing cycle and nothing else, so the three-month rate is what is recorded.
Why are there two price ladders on one page?
The second is an NAD+ wafer add-on offered alongside every product. Only the first belongs to the compound the page is about.
Enhance.MD is not a paid partner; this link may earn a commission if that changes. Full disclosure.