Collective vs MDLive
An in-depth comparison of two leading GLP-1 Providers
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Collective
Best for: the lowest flat medication price if you can absorb an annual membership fee
Visit Collective →
Collective and MDLive are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Collective starts at $59/mo, and Collective edges ahead overall (8.3 vs 7.0 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.
Pricing
Collective
Verbatim: 'Compounded Semaglutide: $59/month. Same price, every dose. Cancel anytime.' ⛔ EXCLUDES the required membership — the site states 'What does it cost? $59/month + $199 annual membership.' First-year total is $907 ($75.58/mo equivalent).
Verbatim: 'Compounded Tirzepatide: $69/month. Same price, any dose.' ⛔ EXCLUDES the required membership — 'The cost is $69/month + $199 annual membership.' First-year total is $1,027 ($85.58/mo equivalent).
Verbatim: 'Requires Collective membership: 21 day free trial, then a low annual $199 membership fee. No recurring monthly membership charges.' Charged yearly, not monthly. Terms of Use: 'all membership fees are non-refundable, and partial-period refunds are not provided.'
MDLive
Pricing not publicly listed.
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What’s included
Collective
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
MDLive
What the monthly price covers
Medication
Billed separately
Provider visits
Not disclosed
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Collective
8.3/10
MDLive
7.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Collective | MDLive |
|---|---|---|
| Starting Price | $59/mo | — |
| Features | 3 features | ✓8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Collective
Collective (collective.org) is a membership-based telehealth platform from the founder of Thrive Market, selling compounded semaglutide and tirzepatide at a flat price on every dose. Medication is billed separately from a required annual membership, and the program bundles unlimited clinician messaging, dietitian access and express cold shipping.
Read our full Collective review →About MDLive
MDLive (an Evernorth/Cigna company) is a large telehealth provider offering urgent care, primary care, dermatology and behavioral health. Anti-obesity GLP-1 medications such as Wegovy and Zepbound can be prescribed at the clinician's discretion during a Primary Care routine visit, not urgent care, and are excluded in Florida, Louisiana, Mississippi and New Jersey. MDLive reaches over 50 million people through health insurance and employer benefits but also allows out-of-pocket direct visits, so cost depends heavily on coverage rather than a single published cash price.
Read our full MDLive review →Pros & Cons
Collective
What we like
- The lowest published compounded GLP-1 medication prices we track — $59/month semaglutide and $69/month tirzepatide
- Flat pricing at every dose, so titrating up does not raise the bill
- Unlimited clinician messaging and registered-dietitian access are included rather than upsold
- 21-day free trial on the membership before the annual fee is charged
Watch-outs
- The advertised $59 and $69 exclude a mandatory $199 annual membership — the real first-year cost is $907 and $1,027
- Membership fees are non-refundable and no partial-period refunds are given
- Compounding pharmacies are described only as 'independent, third-party licensed pharmacies' and are never named
- State availability is not published on the marketing site
MDLive
What we like
- Prescribes FDA-approved branded GLP-1s including Wegovy and Zepbound
- Covered through insurance and employer benefits for 50M-plus people
- Board-certified physicians averaging about 15 years of experience
- Part of Evernorth/Cigna, a large established healthcare organization
- Offers full primary care, not just a single weight-loss funnel
Watch-outs
- GLP-1s only at clinician discretion in a Primary Care routine visit
- Anti-obesity meds not available in FL, LA, MS or NJ
- Distributed mainly via insurers and employers; cost varies by plan
- No transparent published monthly cash price for GLP-1 care
Our Verdict
Collective edges out MDLive with a higher overall score of 8.3/10 and is particularly strong for the lowest flat medication price if you can absorb an annual membership fee. MDLive remains a solid alternative, especially if you're looking for GLP-1s within full primary care.
Choose Collective if…
You want the lowest flat medication price if you can absorb an annual membership fee and a starting price around $59/mo.
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Get started →Collective vs MDLive: 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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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.