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Collective review

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Collective separates low monthly medication charges from an annual membership; include both when comparing its cost.

Brief Score79/100Grade CNo. 44 in our directory
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Semaglutide

From $59/mo (all doses, plus a separate fee, compounded)

Tirzepatide

From $69/mo (all doses, plus a separate fee, compounded)

Coverage
44 states; excludes AL, CA, LA, MA, MS and WA per provider, checked October 6, 2026
Brand-name
Not confirmed

Prices checked against Collective's published terms in . Providers change pricing without notice — check the current figure before you buy.

On the trackerNewnew to the tracker, no prior reading— Medication costs $59 per month for semaglutide or $69 for tirzepatide, plus a required $199 annual membership. The 21-day membership trial does not make medication free.

Collective in depth

Collective publishes compounded semaglutide at $59 a month and tirzepatide at $69, plus a required $199 annual membership. For twelve medication months and one annual fee, that is $907 or $1,027 respectively—about $75.58 or $85.58 per month averaged across the year, not the bill charged each month.

The membership trial lasts 21 days; medication is still paid during that period. The advertised support includes clinician messaging and cold shipping. Its homepage currently excludes Alabama, California, Louisiana, Massachusetts, Mississippi and Washington.

The annual membership renews automatically unless canceled. The terms generally exclude membership refunds or partial-period refunds, so stopping medication early can make the effective cost per treatment month higher than the annual average. Canceling before the trial ends avoids the membership charge under the published trial terms.

This structure may suit someone who has confirmed eligibility and expects to stay with the program, but it needs a different comparison from a simple cancel-any-month service. Ask which pharmacy and formulation will be used and confirm the renewal charge. Our cost illustration is arithmetic on posted prices, not an enrollment test or a guarantee of treatment.

Sources we checked

Public program pages and terms, checked October 2026. We have not enrolled in treatment or independently tested the medication.

This source update covers the review text and stated program terms. The existing numerical score has not been recalculated from this check; it should not be read as a new validation of every score factor.

The scorecard

Collective scored on our six Brief Score factors. See the methodology.

Price Stability64/100
Supply Reliability82/100
Transparency80/100
Access Breadth90/100
Clinical Oversight91/100
Track Record76/100

What we like

  • The homepage lists medication starting prices and the separate $199 annual membership.
  • The medication price is described as unchanged across doses.
  • Clinician messaging and cold shipping are included in the advertised program.
  • A 21-day membership trial is offered.

The caveats

  • The membership trial does not make medication free.
  • The annual membership renews automatically and is generally nonrefundable without prorating, subject to applicable law.
  • The homepage excludes six states: Alabama, California, Louisiana, Massachusetts, Mississippi and Washington.
  • Medication starting prices alone understate the cost of the required annual membership.

The brief

Best for: Readers comfortable paying an annual membership in addition to the medication charge who confirm their state is served. Collective separates low monthly medication charges from an annual membership; include both when comparing its cost.

Ranked #44 of 546 providers we reviewed — compare with CoreAge Rx, for comparison.

Before you decide

The questions readers ask next after reading about Collective.

Closest here

The providers scoring nearest Collective — read each current assessment before choosing care.

Weighing Collective against one provider in particular? There is a full head-to-head with our top-ranked pick in CoreAge Rx vs Collective, and every provider that outranks it is listed on the Collective alternatives ranking.

More providers we track (24)

514 more are filed too — see every provider we track, ranked.

Pricing, states and verification reflect Collective's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on Collective's site. Not medical advice; see our disclosure.

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