COST INDEX
Tirz yr-one floor $139✓ audSema yr-one floor $119✓ audAbsolute floor · micro $110✓ audFifty 410 prepay ~$133on recHims: exited tirz 3/26 sema $175on recHenry M2M (8/26) $297on recMochi $79+medon recAltRx promo door ~$89on recRemedy promo door $99→on recShedRx entry ~$199on recZepbound vial $299+shelfWegovy self-pay $499shelf
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Provider file · rigor-forward model · on-record

Enhance MD: the file as of August 17, 2026

THE SHORT ANSWER

Enhance MD sells a rigor-forward architecture: mandatory baseline metabolic labs (CMP, lipids, TSH, HbA1c at a national lab chain) and a synchronous video visit with a board-certified clinician before any prescription — a heavier onboarding than the async norm — across three tiers (semaglutide, tirzepatide, combined). The pricing shape demands the annualization reflex: intro offers from ~$112–$169 first month; ongoing rates $212–$322/month on twelve-month plans or $249–$379 month-to-month. Captured 2026-08-17.

How to read it

The labs-and-video layer is a real service — it is, in effect, the lab panel and a slice of the oversight file bundled into intake — and the honest comparison prices it against assembling the same stack à la carte (an audited $139 plan plus a covered E&M visit plus direct-pay labs often totals less). The intro-versus-ongoing gap is the file’s caution: judge the $212–$322, never the door.

Open files

Dose-scaling behavior within tiers · pharmacy identity · exit terms · independent walk.

Standing rules apply: compounded products are not FDA-approved; trial certificates belong to the brands; tier upgrades require the same audit the anchor passed, and corrections@ outranks this page with dated evidence. Field context: the cost index · tirzepatide value board · semaglutide value board.

Outbound link withheld pending direct capture of pricing pages (figures via independent comparison coverage, 2026-08-17).

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