altRX vs Collective
In our scoring, Collective edges ahead overall (8.3 vs 7.4 out of 10).
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Key differences
- Price
- altRX $89/mo no prepay listed; Collective $59/mo plus a separate membership (compounded semaglutide · not like-for-like, so neither is marked cheaper)
- Coverage
- Collective 44 states (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; Collective: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: altRX 1, Collective none
altRX
Affiliate partnerBest for low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options
semaglutide
$89
Our score 7.4/10
Collective
Affiliate partnerBest for the lowest flat medication price if you can absorb an annual membership fee
semaglutide
$59
+ separate membership
Our score 8.3/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
altRX
Collective
Price
Semaglutide / month
$89/mo
$59/mo
+ separate membership
Semaglutide / year (modeled)
$1,068
$708
excludes the membership
Tirzepatide / month
$149/mo
$69/mo
+ separate membership
Tirzepatide / year (modeled)
$1,788
$828
excludes the membership
Brand Wegovy / Ozempic / month
$1,149/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,249/mo
Not listed
Separate membership required
Not stated
Yes — not in the listed price
Coverage
State availability
List not published
44 states
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
Single-month and multi-month plans; multi-month plans are a single, non-refundable purchase for the full term
Medication is month-to-month; the membership is billed annually
Refunds
Refund policy (Aug 25, 2026): 'ALL PAYMENTS FOR THE SUBSCRIPTION SERVICES ARE FINAL AND NON-REFUNDABLE AT THE TIME OF PURCHASE.' A medical disqualification refunds the unused portion minus consultations, provider review and other services already rendered.
'All membership fees are non-refundable, and partial-period refunds are not provided.'
Early-cancellation fee
Not disclosed
None
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
October 2026
October 2026
Every dose and plan: altRX · Collective
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose altRX if…
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Collective doesn't price
- Brand-name Zepbound, Wegovy and Ozempic available alongside compounded options
- Names its four partner compounding pharmacies, with addresses and phone numbers
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Choose Collective if…
- Publishes its full state list (44 states)
- No FDA warning letters on record (altRX has 1)
- Flat pricing at every dose, so titrating up does not raise the bill
What to weigh up
- Listed compounded semaglutide price excludes a required membership
- The advertised $59 and $69 exclude a mandatory $199 annual membership — the real first-year cost is $907 and $1,027
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
altRX
7.4/10
Collective
8.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →altRX vs Collective: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.