Enhance MD vs. Found (2026): Prices, Insurance, Labs and Refund Rules Compared

How we compared them: We didn’t enroll with either company or test any medication. This comparison uses each company’s pricing, product, FAQ and offer-terms pages (checked October 19, 2026, unless a source says otherwise), FDA’s warning-letter database, and dated third-party reports, all cited below. Both are Featured in our rankings: Enhance MD is #1 at 8.6 and Found scores 8.3.

The short answer

• Choose Enhance MD if you want a month-to-month plan with no long commitment, lab work built into the program, one flat price at every dose, and a provider that names its pharmacies. It’s cash-pay only and serves 40 states plus DC.
• Choose Found if it’s in-network with your health insurance (its insurance track is the cheapest option here), if you can prepay a 12-month cash plan, if you want to pay with an HSA/FSA card, or if you might want brand-name Wegovy or Zepbound later.
• Either way, plan around the recurring price, not the first-month discount, and confirm which pharmacy will fill your prescription.

Side by side

	Enhance MD	Found
Our score	8.6 (#1, Featured)	8.3 (Featured)
Compounded semaglutide	$212/mo, all doses ($112 first month)	$169 per cycle on a 12-month cash plan; $289 month-to-month ($179 first month)
Compounded tirzepatide	$280/mo, all doses ($180 first month)	$239 per cycle on a 12-month cash plan; $359 month-to-month ($219 first month)
Insurance track	None described	Semaglutide from $99, tirzepatide from $179 per cycle (12 months), plus visit copays
Commitment	Renews every 28 days; pause or cancel any time	1, 3, 6 or 12-month terms; 12-month prices assume paying up front
Labs	Quest labs before you start, then every 6 months, included	Not included in plan price (where applicable)
Visits	Video consultation after labs; ongoing provider care	Insurance: video visit before each refill; cash: mostly text-based
Other options	Semaglutide + tirzepatide “Elite” plan ($322/mo), lower-dose tirzepatide ($169/mo), NAD+	Brand-name Wegovy, Zepbound and others; generics plan
Pharmacies	Named in its FAQ: Tru Meds Rx, Strive Pharmacy, Pharmacy Hub	“Licensed 503A compounding pharmacies” (not named)
HSA/FSA	Not accepted, per its FAQ	Listed as HSA/FSA eligible
Refunds	100% of initial payment if found ineligible during onboarding	Membership refunded within 3 days or before your first consult
States	40 + DC (Utah included)	Insurance accepted in 41 states (Oct 7 check); compounded “not available in all states”
FDA warning letter	None found	None found

Compounded semaglutide and tirzepatide are not FDA-approved. FDA does not review compounded drugs for safety, effectiveness, or quality.

Price: what a year actually costs

Both companies bill every 28 days, so a year is 13 charges, not 12. All prices were on each company’s pages on October 19, 2026.

Compounded semaglutide.

Plan	Enhance MD	Found (cash)	Found (insurance)
Month-to-month	$212 ($112 first month)	$289 ($179 first month)	$199 ($99 first month) + copays
3-month plan	n/a	$249/cycle	$159/cycle + copays
6-month plan	n/a	$219/cycle	$129/cycle + copays
12-month plan	n/a	$169/cycle, about $2,197/year	$99/cycle, about $1,287/year + copays
First year, staying on the cheapest option	about $2,656 (one $112 charge + 12 at $212)	about $2,197	about $1,287 + copays

Compounded tirzepatide.

Plan	Enhance MD	Found (cash)	Found (insurance)
Month-to-month	$280 ($180 first month)	$359 ($219 first month)	$289 ($149 first month) + copays
3-month plan	n/a	$309/cycle	$239/cycle + copays
6-month plan	n/a	$289/cycle	$209/cycle + copays
12-month plan	n/a	$239/cycle, about $3,107/year	$179/cycle, about $2,327/year + copays
First year, staying on the cheapest option	about $3,540 (one $180 charge + 12 at $280)	about $3,107	about $2,327 + copays

What that means:

• Month to month, Enhance MD is cheaper than Found’s cash price for both medications ($212 vs. $289 for semaglutide, $280 vs. $359 for tirzepatide), and its price includes labs.
• If you’ll commit to Found for 6 or 12 months, Found’s cash price drops below Enhance MD’s. The 12-month prices assume paying up front, so you’re committing a larger amount at once.
• If Found is in-network for you, its insurance track is the cheapest option here even after copays: 13 visits at about $30 adds roughly $390 a year.

Found’s first-checkout discounts and Enhance MD’s first-month promo can change. Treat the checkout price as the real one. For other providers, see our cheapest compounded semaglutide and cheapest compounded tirzepatide lists.

Insurance and HSA/FSA

This is the clearest difference between the two.

Found takes insurance for clinical care. On its insurance track, a video visit is required, and each visit is billed through your insurance at your copay, typically about $30 according to Found. Compounded medication is included in the plan price either way; insurance doesn’t pay for it. Found’s offer terms say the insurance pricing isn’t available to people on Medicare, Medicaid, TRICARE, Medi-Cal or similar government plans. On October 7, 2026, Found’s homepage listed 41 states where it accepts insurance and advertised help for eligible Medicare Part D members to get brand-name medication through Medicare’s GLP-1 Bridge program, which it says isn’t a guarantee of coverage. Its product pages list HSA/FSA eligibility.

Enhance MD is cash-pay. Its pages don’t describe billing insurance, and its FAQ says it doesn’t accept FSA or HSA cards. Its listed price covers lab work, provider visits, medication through its partner pharmacies, and shipping, and the FAQ says there are no hidden fees.

For a deeper look at how Found’s insurance track works, see our Found vs. Fridays comparison.

Care model: labs and visits

Enhance MD runs a more lab-driven process. After you complete the intake and pay, its FAQ says you get labs drawn at a Quest Diagnostics location (it lists a comprehensive metabolic panel, lipids, TSH and HbA1c), then schedule a video consultation with a provider, who decides whether a prescription is appropriate. Labs are repeated every 6 months while you’re enrolled. Its FAQ says new patients need a BMI of 25 or higher (20 or higher for people already on a GLP-1), and that its providers are U.S.-licensed physicians and nurse practitioners. It names a medical director on its pricing page.

Found starts with an online assessment reviewed by a board-certified clinician (Found says within 1–2 days). How you meet with clinicians depends on how you pay: video visits on the insurance track, mostly text-based care on cash plans. Either way, Found says you check in each month for your refill. Its terms name the medical groups it contracts with, including Pippen Health, Cloud Health Medical Group and OpenLoop Healthcare Partners.

Pharmacies and transparency

• Enhance MD names its pharmacies. On October 19, 2026, its FAQ listed Tru Meds Rx, Strive Pharmacy and Pharmacy Hub as current partners. Earlier third-party reports listed a somewhat different set, so ask which pharmacy will fill your prescription. Its pricing page says its compounded medication is not FDA-approved and that FDA hasn’t verified its safety or effectiveness.
• Found doesn’t name its pharmacies. Its product pages say it works only with licensed U.S. 503A compounding pharmacies and that every batch is third-party tested for potency, purity and sterility. Its compounded medications include B12/glycine, and its pages say compounded GLP-1s aren’t FDA-approved or evaluated for safety or efficacy.

Neither company had an FDA warning letter in our October 2026 checks. Our guide to 503A vs. 503B pharmacies explains what the pharmacy type means, and our checklist for choosing a safe compounded GLP-1 provider works for both.

Refunds and cancellation

Enhance MD (FAQ and pricing page, checked October 19, 2026):

• If you’re found ineligible at any point during onboarding, Enhance MD says it refunds 100% of your initial payment.
• Membership renews every 28 days. Its FAQ says you can pause or cancel at any time, and that doing so affects your prescription refills. It doesn’t state a notice period, so cancel well before your renewal date and keep confirmation.
• “Same price at every dose”: the price shouldn’t change as your clinician adjusts your dose.

Found (offer terms and refund policy, last updated August 26, 2025):

• The membership fee is fully refundable if you cancel within 3 days of purchase or before your first medical consultation. After that, it isn’t.
• If you’re medically disqualified from all treatment options, the membership fee is refunded. Being ruled out for one medication doesn’t qualify.
• Medication and lab kits are non-refundable once dispensed or shipped, copays are non-refundable, and renewal payments are non-refundable. Found recommends canceling or pausing at least 48 hours before renewal.

Brand-name and other options

• Found lists brand-name medication on its pricing page: Wegovy and Zepbound “from $650/mo+,” Ozempic at $1,100/mo and Mounjaro at about $1,100/mo, with brand-name medication billed separately from the plan. It also offers insurance navigation for brand-name coverage.
• Enhance MD doesn’t offer brand-name medication. Beyond its two main plans, it lists a semaglutide + tirzepatide “Elite” plan ($322/mo), a lower-dose tirzepatide plan ($169/mo, medication shipped every 12 weeks, which it describes as longevity-focused rather than primarily for weight loss), and NAD+ injections ($169/mo).

If you and your clinician decide a brand-name drug is the better fit, see our compounded vs. brand-name guide and brand-name provider list.

Bottom line

Enhance MD is the better fit if you want to pay month to month, value labs and a more clinical intake, and want to know which pharmacies it uses. It’s also cheaper than Found’s month-to-month cash price for both medications. Found wins on price if it’s in-network with your insurance or if you’ll prepay a longer cash plan, and it’s the one to choose if you want HSA/FSA payment or a path to brand-name medication. Read our full Enhance MD review, see Enhance MD vs. Gala, and compare both with Fridays and Gala. Whether any medication is right for you is a decision for you and a licensed clinician.