Collective vs Prescriva
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 →
Prescriva
Best for: people who want compounded semaglutide or tirzepatide with the pharmacy names published up front
Visit Prescriva →Collective and Prescriva 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 $249/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.'
Prescriva
Charged every 28 days (13 charges a year). 12, 24 and 48-week supplies cost $657, $1,194 and $2,327, each paid upfront
Charged every 28 days. 12, 24 and 48-week supplies cost $777, $1,434 and $2,717, each paid upfront
Charged every 28 days (13 charges a year). 12, 24 and 48-week supplies cost $927, $1,734 and $3,497, each paid upfront
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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
Prescriva
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
Prescriva
7.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Collective | Prescriva |
|---|---|---|
| Starting Price | ✓$59/mo | $249/mo |
| Features | 3 features | ✓6 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| 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 Prescriva
Prescriva is a Sacramento telehealth platform that sells compounded semaglutide and tirzepatide, with prescribing by OpenLoop Health clinicians and three named compounding pharmacies. Plans cost $249 for semaglutide injections, $279 for semaglutide tablets and $339 for tirzepatide, charged every 4 weeks rather than monthly.
Read our full Prescriva 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
Prescriva
What we like
- Names its medical group, OpenLoop Health, and all three dispensing pharmacies with addresses in its terms
- Injection plan prices are listed on the site before you start the assessment
- The price covers the clinician visit, the medication and free priority shipping, with no separate membership fee
- Offers semaglutide as a weekly injection or a daily dissolving tablet, plus tirzepatide injections
- You get a full refund of the current charge if the clinician decides treatment is not right for you
- You can cancel or pause from your patient dashboard, with no cancellation fee
- Publishes a support phone number, and HSA or FSA cards are accepted
Watch-outs
- Plans are charged every 4 weeks, so a year brings 13 charges rather than 12, though the site says per month
- The $194 semaglutide figure is a 48-week supply paid upfront at $2,327 and divided by 12, not a monthly price
- The pricing page also shows a $109 starting price and a $289 semaglutide price that match no plan in checkout
- You pay at checkout before a clinician reviews your answers
- Refunds stop once a clinician consultation is completed or medication ships, and partial cycles are not refunded
- The intake requires you to agree to text messages before you can continue
- The intake shows an "Excellent 4.9" rating with no source, while the company's review profile has no reviews yet
- The terms say service is offered in all 50 states, but the FAQ says most states
Our Verdict
Collective edges out Prescriva 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. Prescriva remains a solid alternative, especially if you're looking for people who want compounded semaglutide or tirzepatide with the pharmacy names published up front.
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 Prescriva if…
You want people who want compounded semaglutide or tirzepatide with the pharmacy names published up front and a starting price around $249/mo.
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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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