Enhance MD vs SkinnyRx: Which GLP-1 Program Is Better? (2026)

We put Enhance MD and SkinnyRx head-to-head — what you actually pay each month, which GLP-1 medications you can get, the level of clinician support, and where each one wins — so you can pick the cheaper, better-fit weight loss program in minutes.

Julian Caraulani
Julian Caraulani
Dr. A. Goher, MD
Medically reviewed by Dr. A. Goher, MD
Published:

Quick Verdict

We recommend SkinnyRx

Between these two providers, SkinnyRx is our pick for most users. It offers a higher overall rating (9.1 vs 8.3), more affordable pricing. That said, Enhance MD may be the better fit if you are looking for cost-minded patients curious about stacking combination therapies.

SkinnyRx scores 9.1/10 in our independent evaluation at $199/month, while Enhance MD scores 8.3/10 at $249/month. Both programs connect you with a licensed physician and deliver medication straight to your door. SkinnyRx also offers oral GLP-1 options for patients who prefer pills over injections. Each score weighs five things: safety and medical oversight (30%), pricing transparency (25%), value for money (20%), quality of clinical support (15%), and how fast you can get started (10%). We build these comparisons ourselves — no provider buys a better rating or a higher spot. Pricing checked April 2026.

Side-by-Side Comparison

Monthly Price
Enhance MD
$249
SkinnyRx
$199
Rating
Enhance MD
8.3 / 10
SkinnyRx
9.1 / 10
Medication Type
Enhance MD
Brand & Compounded
SkinnyRx
Compounded Only
Insurance Accepted
Enhance MD
No
SkinnyRx
No
States Available
Enhance MD
All 50 states
SkinnyRx
48 states
Consultation Fee
Enhance MD
Included
SkinnyRx
Included
Shipping
Enhance MD
Free Shipping
SkinnyRx
Free Shipping
Cancel Anytime
Enhance MD
Yes
SkinnyRx
Yes
Medical Support
Enhance MD
Board-certified doctors
SkinnyRx
U.S.-licensed doctors who turn around prescription reviews in 24-48 hours

Figures show entry-level cash prices before any insurance. What you ultimately pay can change with your plan and the specific medication. Last checked April 2026.

Enhance MD: Detailed Look

Enhance MD

Doctor-directed weight management that also offers NAD+ add-ons

8.3/10
Good

Pros

  • Wallet-friendly way in, with pricing that begins at $115/month
  • An uncommon NAD+ therapy choice to pair with your GLP-1
  • Every protocol is overseen by board-certified doctors

Cons

  • Claims that NAD+ aids weight loss aren't well supported by trials
  • It's hazy about which drugs are compounded versus brand-name
Best For

Cost-minded patients curious about stacking combination therapies

SkinnyRx: Detailed Look

SkinnyRx

A rapidly scaling GLP-1 service offering pills, sublinguals, and shots with Affirm financing

9.1/10
Excellent

Pros

  • Take it three ways — as a shot, under the tongue, or as a tablet
  • Overnight delivery is free and ships from FDA-regulated U.S. pharmacies
  • Billed month to month, so you're never locked into a contract
  • Thousands of verified Trustpilot reviews average a 4.8 out of 5

Cons

  • You'll pay cash — they don't run anything through insurance
  • Only compounded formulas here; brand-name versions aren't offered
Best For

People who want their GLP-1 in several formats — tablet, sublingual, or injection

How to Decide Between Them

There is no single winner for everyone — it comes down to what matters most to you. Match your priority to the scenarios below to see which provider fits:

You want the lowest monthly cost

Go with SkinnyRx at $199/month. Semaglutide runs $199/mo; tirzepatide climbs as high as $349/mo.

You want the highest-rated program

SkinnyRx has the edge with a 9.1 rating.

You want affordable compounded options

SkinnyRx focuses on compounded medications at a lower price point.

You want comprehensive medical support

Compare their support: Enhance MD offers board-certified doctors, while SkinnyRx provides u.s.-licensed doctors who turn around prescription reviews in 24-48 hours.

You are willing to invest more for premium care

Enhance MD at $249/month may offer features that justify the premium.

Enhance MD

Starting at $249/mo · Good

Visit Enhance MD

SkinnyRx

Starting at $199/mo · Excellent

Visit SkinnyRx

Frequently Asked Questions

Is Enhance MD better than SkinnyRx?

Enhance MD has a 8.3 rating while SkinnyRx has a 9.1 rating. The better choice depends on your priorities — Enhance MD is best for cost-minded patients curious about stacking combination therapies, while SkinnyRx is best for people who want their glp-1 in several formats — tablet, sublingual, or injection.

How much does Enhance MD cost compared to SkinnyRx?

Enhance MD starts at $249/month (semaglutide runs $249/mo and tirzepatide $379/mo, with yearly plans trimming roughly 15%), while SkinnyRx starts at $199/month (semaglutide runs $199/mo; tirzepatide climbs as high as $349/mo).

Do Enhance MD and SkinnyRx accept insurance?

Enhance MD does not accept insurance. SkinnyRx does not accept insurance.

Which GLP-1 medications does Enhance MD offer vs SkinnyRx?

Enhance MD offers Semaglutide, Tirzepatide, NAD+. SkinnyRx offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets).

Can I cancel Enhance MD or SkinnyRx at any time?

Enhance MD allows cancel anytime. SkinnyRx also allows cancel anytime.

Are Enhance MD and SkinnyRx available in my state?

Enhance MD is available in all 50 states. SkinnyRx is available in 48 states.

Not sure Enhance MD or SkinnyRx is right for you?

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