Head-to-head · WeighScore
Enara Health vs Nirwana Health
The verdict
Nirwana Health takes it — 66.4/100 to 65.3/100, but only just.
Nirwana Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Nirwana Health (nirwanahealth.com) is a telehealth service offering compounded GLP-1 weight loss plus hair, sexual-wellness, and longevity care through licensed providers. Enara Health is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Enara Health | Nirwana Health |
|---|---|---|
| WeighScore | 65.3/100 | 66.4/100 |
| Grade | C | C |
| Scorecard rank | #221 | #186 |
| Semaglutide | Not disclosed | $149/mo (compounded) |
| Tirzepatide | Not disclosed | $229/mo (compounded) |
| Coverage | 6 states | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #221 · C
Strengths
- Prescribes FDA-approved branded GLP-1s (Wegovy, Zepbound) not compounded
- Insurance-based with prior-auth coverage for over 65% of members
- Board-certified obesity-medicine physicians
- Comprehensive program: dietitian, coaching, metabolic and genetic testing
- Established since 2015 with clinical track record
Where it loses points
- Available in only six states via partner clinics
- Requires in-network insurance; not a flat cash-pay option
- Not a pure-telehealth nationwide service
- Out-of-pocket cost varies by insurance coverage
- No compounded budget alternative for the uninsured
Graded #186 · C
Strengths
- Offers compounded semaglutide and tirzepatide as both weekly injections and oral tablets
- Transparent, published pricing with month-to-month, quarterly, and 6-month plans and no membership fee
- Multi-month plans cut the per-month cost sharply (semaglutide as low as $99/mo, tirzepatide as low as $133/mo)
- Advertises a $50-off code (LOOSE50) and covers weight loss plus hair, sexual-wellness, and longevity care
- Also lists a retatrutide option and custom dosing plans for higher needs
Where it loses points
- Prescribing medical group and compounding pharmacy are not named on the site
- States of operation are not published; confirm eligibility during intake
- Says it is 'LegitScript certified' but no verifiable seal is shown, so the claim is unconfirmed
- Compounded semaglutide and tirzepatide are not FDA-approved finished products
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.