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Head-to-head · Cost-Efficiency Index

Welling Health vs Enhance MD

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #40

Welling Health

Patients willing to log meals daily in exchange for a lower effective GLP-1 price.

Visit Welling Health
VS
Grade C · #43

Enhance MD

Shoppers who want to see every price on the ladder before they commit, value dose-flat billing and routine lab monitoring, and don't need a brand-name or oral route.

Visit Enhance MD

The verdict

Winner · Welling HealthGrade C vs C

Welling Health takes it, leading the Cost-Efficiency Index 78 to 75. Welling Health is a clinician-led metabolic telehealth platform charging a flat $190/month for compounded semaglutide and $275/month for compounded tirzepatide, all doses, with no setup or consultation fees. Enhance MD still earns a CShoppers who want to see every price on the ladder before they commit, value dose-flat billing and routine lab monitoring, and don't need a brand-name or oral route.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Welling Health.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

70
65

Price Transparency

94
88

Nationwide Access

86
62

Formulation Options

66
74

Clinical Oversight

89
85

Contract Flexibility

55
82

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecWelling HealthEnhance MD
Cost-Efficiency Index78/10075/100
Semaglutide / mo$190/mo (all doses, promotional rate, compounded)$212/mo (first month $112)
Tirzepatide / mo$275/mo (all doses, compounded)$280/mo (first month $180)
Semaglutide / yr (modeled)$2,280$2,544
Tirzepatide / yr (modeled)$3,300$3,360
CoverageAll 50 statesNot disclosed
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#40#43

Welling Health

78/100

Where the value is

  • Flat, dose-independent base pricing with no setup or consultation fees disclosed
  • Licensed in all 50 states
  • Named pharmacy tier (LegitScript-certified 503A, USP <797>) even though the specific pharmacy isn't named

The tradeoffs

  • The eye-catching ~30%-off streak price is not the standing rate — it requires 30 unbroken consecutive days of in-app meal logging and resets if a day is missed, so $190/$275 is the realistic price for most patients most of the time
  • Tirzepatide's $275 base rate is on the higher end of compounded competitors in this batch
Visit Welling Health

Full Welling Health review →

Enhance MD

75/100

Where the value is

  • Fully published, dose-flat tiered pricing — sema $212/mo, tirz $280/mo, microdose $169/mo, sema+tirz combo $322/mo — no quiz or quote wall
  • The rate does not climb as your dose is titrated up, unlike per-mg pricing elsewhere in this ranking
  • Routine lab work at the 6-month mark plus ongoing provider messaging is bundled into the price, not sold separately

The tradeoffs

  • Compounded only — no FDA-approved brand-name route (no Wegovy, Ozempic, Mounjaro or Zepbound)
  • No oral or sublingual GLP-1 option (injection only)
Visit Enhance MD

Full Enhance MD review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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