Collective vs MEDGm
In our scoring, Collective edges ahead overall (8.3 vs 7.3 out of 10).
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Key differences
- Price
- Collective $59/mo plus a separate membership; MEDGm $299/mo no prepay listed (compounded semaglutide · not like-for-like, so neither is marked cheaper)
- Coverage
- Collective 44 states; MEDGm 50 states + DC (only MEDGm: Alabama, California, District of Columbia and 4 more)
- Included
- Collective: medication, clinician visits, shipping; MEDGm: medication, clinician visits, shipping

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

MEDGm
Affiliate partnerBest for brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1
semaglutide
$299
$179 first month
Our score 7.3/10
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.
Collective
MEDGm
Price
Semaglutide / month
$59/mo
+ separate membership
$299/mo
$179 first month
Semaglutide / year (modeled)
$708
excludes the membership
$3,588
Tirzepatide / month
$69/mo
+ separate membership
$399/mo
$279 first month
Tirzepatide / year (modeled)
$828
excludes the membership
$4,788
Oral semaglutide / month
Not listed
$369/mo
$249 first month
Separate membership required
Yes — not in the listed price
Not stated
Coverage
State availability
44 states
50 states + DC
Oral option listed
Not listed
Yes
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
Medication is month-to-month; the membership is billed annually
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
Refunds
'All membership fees are non-refundable, and partial-period refunds are not provided.'
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
Early-cancellation fee
None
None
FDA warning letters
None on record
None on record
Provider facts checked
October 2026
September 2026
Show where they differ by stateHide state lists
Only MEDGm (6 states + DC)
- Alabama
- California
- District of Columbia
- Louisiana
- Massachusetts
- Mississippi
- Washington
Every dose and plan: Collective · MEDGm
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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 Collective if…
- Flat pricing at every dose, so titrating up does not raise the bill
- Unlimited doctor messaging, quarterly check-ins and registered-dietitian access are included rather than upsold
- An optional twice-a-week dosing schedule and anti-nausea prescriptions when needed, aimed at the side effects that make people quit
What to weigh up
- Listed compounded semaglutide price excludes a required membership
- Not available in 6 states + DC that MEDGm serves

Choose MEDGm if…
- Lists oral compounded semaglutide, which Collective doesn't price
- Serves 6 states + DC that Collective doesn't
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
What to weigh up
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
- You pay before a clinician reviews you — the Terms say the consult happens after the fee is charged
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Collective
8.3/10
MEDGm
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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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 →From $219/mo
Get started →Collective vs MEDGm: 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.
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