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Head-to-head for women

Enhance MD vs Goldspan Health

Enhance MD and Goldspan Health both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.

Enhance MD

Higher score

Ranked #2 for women · Grade A−

Best for: Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes.

Visit Enhance MD
vs

Goldspan Health

Ranked #48 for women · Grade B−

Best for: Women in the menopause transition who want one catalog to carry estradiol, progesterone and a GLP-1, and who do not mind that the checkout sits on another company's domain.

Visit Goldspan Health

The verdict for women

Higher Luna Fit Score: Enhance MD

Enhance MD edges out Goldspan Health on the Luna Fit Score, 92 to 80 (A− vs B−). Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes. The reasoning behind that number is in the Enhance MD scorecard.

Goldspan Health is still a genuine option — the only provider here whose named clinical advisors include an OB-GYN and menopause specialist alongside a medical director credentialed in bioidentical hormone therapy — with estradiol and progesterone priced in the same catalog as the GLP-1s. Weigh the six women's-health factors below against your own priorities; what we found reviewing Goldspan Health goes through each of them, and if neither of these two is the one, the full field we rank against Goldspan Health widens the field.

Side-by-side on the six factors

Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.

Enhance MD Goldspan Health
PCOS & hormonal suitability9288
Enhance
Goldspan
Clinical oversight & labs9478
Enhance
Goldspan
Price transparency9472
Enhance
Goldspan
Nationwide access9588
Enhance
Goldspan
Ongoing support8880
Enhance
Goldspan
Cancellation fairness8568
Enhance
Goldspan

Price, access & features

DetailEnhance MDGoldspan Health
Luna Fit Score92/100 · A−80/100 · B−
Overall rank#2#48
Semaglutide$249 every 4 weeks month-to-month (13 charges a year); $212/mo only on the 12-month prepay$229 per 28 days month-to-month, injection (13 charges a year); $149 for the sublingual microdose, on the storefront it sells through
Tirzepatide$329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay$299 per 28 days month-to-month, injection; $199 for the sublingual microdose
CoverageAll 50 states50 states and DC per its storefront; its own terms say some therapies are unavailable in certain states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes

Enhance MD

Ranked #2 · Grade A−

What we like

  • Unusually transparent tiered pricing — semaglutide $212/mo (first month $112), tirzepatide $280/mo, microdose $169/mo, and a combo option at $322/mo
  • Dose-flat billing, so a titration up doesn't quietly raise your monthly cost
  • Six-month metabolic lab testing with provider oversight — a real clinical loop, not a prescription-only handoff

The caveats

  • Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
  • No brand-name path and no oral or sublingual route for the needle-averse
  • Licensed in all 50 states, though their own FAQ lists product as launched in 40 plus DC so far — worth confirming your state before you start

Goldspan Health

Ranked #48 · Grade B−

What we like

  • Names three clinical advisors with credentials, including an OB-GYN and menopause specialist and a medical director carrying obesity-medicine and bioidentical hormone certifications
  • Prices estradiol cream, progesterone and a women's testosterone option in the same catalog as the GLP-1s, so hormone care is not a second purchase somewhere else
  • Requires a lab panel sixty to ninety days after starting and annually after that, drawn through Quest — a written monitoring commitment most of this ranking never makes

The caveats

  • Goldspan's own site publishes no price on any page — every figure lives on a storefront run by a different company
  • Billing is every 28 days while the headline reads per month: thirteen charges a year, not twelve
  • No legal entity, address or governing law is published for Goldspan anywhere; the only company named on the paperwork is the storefront operator

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Neither Enhance MD nor Goldspan Health is only worth comparing with the other. Enhance MD is also written up against CoreAge Rx, 1 point apart on the Luna Fit Score — see the Enhance MD–CoreAge Rx head-to-head. Goldspan Health is also written up against CoreAge Rx, 13 points apart — see Goldspan Health vs CoreAge Rx for women.

Or browse the full comparison hub.