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Head-to-head dispatch

Enhance MD vs FMmeds

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #17Desk pick
Enhance MD

The clearest tiered compounded pricing in the ranking — separate lines for sema, tirzepatide, a microdose tier, and a sema+tirz combo — with lab testing built in.

Marked down on: Compounded only — not FDA-approved

vs
Dispatch #48
FMmeds

FMmeds is a Manhattan Beach-based DTC telehealth platform selling compounded semaglutide and tirzepatide co-formulated with vitamin B12, with no membership fee and a free initial visit billed only on approval.

Marked down on: Compounded only — no FDA-approved Wegovy, Ozempic, Mounjaro, or Zepbound

Enhance MD takes this head-to-head with the higher Desk Score, 85/100 (B) against 81/100 (B−) for FMmeds. FMmeds still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Enhance MD

85/100

B

Overall

FMmeds

81/100

B−

Price transparency

82
84

State access

60
86

Molecule range

78
66

Onboarding speed

82
84

Support responsiveness

86
78

Licensing & trust

84
85

The spec sheet

FieldEnhance MDFMmeds
Semaglutide$249 every 4 weeks month-to-month (13 charges a year); $212/mo only on the 12-month prepay$225/mo (all doses, compounded)
Tirzepatide$329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay$265/mo (all doses, compounded)
CoverageNot publicly listedAll 50 states
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forPatients who want fully itemized compounded options and ongoing metabolic oversight, and don't need brand-name or oral routes.Readers who want flat-rate compounded GLP-1 co-formulated with vitamin B12, from $95/mo.
Desk Score85/100B81/100B−

The verdict

Desk pick — Enhance MD

Enhance MD takes this head-to-head with the higher Desk Score, 85/100 (B) against 81/100 (B−) for FMmeds. FMmeds still holds its ground where its strengths line up with yours.

Choose Enhance MD if…

Patients who want fully itemized compounded options and ongoing metabolic oversight, and don't need brand-name or oral routes.

$249 every 4 weeks month-to-month (13 charges a year); $212/mo only on the 12-month prepay sema · $329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay tirz · Not publicly listed

Choose FMmeds if…

Readers who want flat-rate compounded GLP-1 co-formulated with vitamin B12, from $95/mo.

$225/mo (all doses, compounded) sema · $265/mo (all doses, compounded) tirz · All 50 states

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Enhance MD · FMmeds.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.