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Collective vs MEDGm

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Collective logo

Collective

8.3
★★★★4.2/5

Best for: the lowest flat medication price if you can absorb an annual membership fee

Visit Collective
VS
MEDGm logo

MEDGm

7.3
★★★3.7/5

Best for: brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1

Visit MEDGm

Collective and MEDGm 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 lower at $59/mo versus $179/mo, and MEDGm is the option we'd start with for most patients. Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

Collective

Any dose (flat price)Compounded
$59/mo
semaglutide

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).

Any dose (flat price)Compounded
$69/mo
tirzepatide

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).

Required annual membership (subscription, medication billed separately)membership subscription
$199/mo

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.'

MEDGm

Compounded GLP-1 injection (weekly), monthly planCompounded
$179/mo

'Starting at $179' on medgm.org/glp-1. MEDGm never names the molecule for its compounded products on the public site. 3-, 6- and 12-month bundles exist but are priced only at checkout, behind a name/email/phone gate.

Compounded GLP-1 oral tablet (one dissolvable tablet daily)Compounded
$249/mo

'Starting at $249' on medgm.org/glp-1, verified 2026-09-01. Molecule not published.

Program membership fee (brand Zepbound billed separately)Brand-name
$99/mo
tirzepatide

'$99 Membership + Cost' — the medication cost is not published. 'Availability is subject to change.'

Program membership fee (brand Wegovy pill or pen billed separately)Brand-name
$99/mo
semaglutide

'$99 Membership + Cost' — the medication cost is not published. 'Availability is subject to change.'

Program membership fee (brand Ozempic billed separately)Brand-name
$171/mo
semaglutide

'$171 Membership + Cost' — the medication cost is not published. Ozempic is FDA-approved for type 2 diabetes and prescribed off-label here.

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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

MEDGm

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

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

Overall

MEDGm

7.3/10

Value25%

9.4A
vs
B
7.5

Effectiveness25%

8.2A
vs
B
7.5

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

7.2A
vs
B
6.5

Accessibility10%

7.4A
vs
B
7.5

Support10%

8.4A
vs
B
7.5

Features & Coverage

FeatureCollectiveMEDGm
Starting Price$59/mo$179/mo
Features3 features8 features
States AvailableNot disclosed51
Compounded✓ Yes✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

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 MEDGm

MEDGm is a Delaware telehealth platform selling compounded GLP-1 injections from $179/mo and a daily dissolvable GLP-1 tablet from $249/mo, with clinical care delivered by OpenLoop Health providers and four named US compounding pharmacies. Brand Wegovy, Zepbound and Ozempic are offered as a membership fee ($99-$171/mo) plus the drug's own cost. Cash-pay only; the plan fee is billed upfront for the term you pick and is non-refundable.

Read our full MEDGm 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

MEDGm

What we like

  • Compounded GLP-1 injections from $179/mo with medication, clinician access and shipping in one price
  • A daily dissolvable tablet for people who do not want to inject, at $249/mo
  • Brand Wegovy, Zepbound and Ozempic available on a membership-plus-medication basis
  • Four named US pharmacy partners with addresses (RedRock, Health Warehouse, Precision Medicine, Triad Rx)
  • Clinical care through the OpenLoop Health provider network; service listed in all 50 states and DC
  • Published support line and email, with a 24/7 patient support line described in the refund policy

Watch-outs

  • The molecule behind the compounded injection and tablet is never named on the public site
  • You pay before a clinician reviews you — the Terms say the consult happens after the fee is charged
  • The plan fee is billed upfront for the whole term and is non-refundable, except for a documented medical disqualification
  • Canceling a 3-, 6- or 12-month bundle mid-term refunds nothing; you must give notice 72 hours before renewal
  • Bundle prices are not shown until you hand over your name, email and phone
  • A Trustpilot five-star badge runs in the quiz, but the Trustpilot profile showed 0 reviews and a 0.0 rating on 2026-09-01
  • Site disclaimers state that images and other content may be AI-generated and that people in ads may be actors or AI
  • Compounded GLP-1s are not FDA-approved

Our Verdict

Winner: MEDGm

MEDGm is our recommended choice here, particularly for brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1. Collective is a solid alternative, especially if you want the lowest flat medication price if you can absorb an annual membership fee — compare the six-dimension breakdown and pricing below to weigh them for your situation.

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.

Choose MEDGm if…

You want brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1 and a starting price around $179/mo.

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6.4

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Listed for disclosure only — see its FDA warning and BBB complaints first

7.8

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LGBTQ+-inclusive compounded GLP-1 telehealth

8.2

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Collective vs MEDGm: FAQ

Collective is cheaper. Its lowest ongoing monthly cash price is $59/mo, compared with $179/mo for MEDGm. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
For most people we'd start with MEDGm, especially if you want brand Wegovy, Zepbound or Ozempic access alongside cheaper compounded GLP-1. Collective is a strong alternative and may suit you better for the lowest flat medication price if you can absorb an annual membership fee — weigh the six-dimension breakdown above to decide which fits your priorities.
MEDGm lists availability in 51 states, while Collective's state list is not publicly listed.
MEDGm is an affiliate partner (we may earn a commission on sign-ups through our links); Collective is not. Either way, we rank providers editorially with the same scoring framework and disclose every partnership — being a partner does not buy a higher score.
For Semaglutide, Collective is cheaper at $59/mo versus $99/mo at MEDGm.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Continue exploring Collective and MEDGm head-to-heads in the same category.

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.