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Collective vs Rx.com

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
Rx.com logo

Rx.com

7.6
★★★3.8/5

Best for: month-to-month compounded GLP-1s at one flat price per dose, with the pharmacy named

Visit Rx.com

Collective and Rx.com 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 $175/mo, and Collective edges ahead overall (8.3 vs 7.6 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

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.'

Rx.com

Once-weekly compounded injection, 1-month plan (flat at every dose)Compounded
$175/mo
semaglutide

'1 month $175 per month'. Longer plans are one upfront charge: 3 months $495 ($165/mo), 6 months $875 ($146/mo). Checkout fine print says billing continues every 28 days.

Once-weekly compounded injection, 1-month plan (flat at every dose)Compounded
$285/mo
tirzepatide

'1 month $285 per month'. Longer plans are one upfront charge: 3 months $795 ($265/mo), 6 months $1,550 ($259/mo). Checkout fine print says billing continues every 28 days.

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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

Rx.com

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

Rx.com

7.6/10

Value25%

9.4A
vs
B
8.0

Effectiveness25%

8.2A
vs
B
8.0

User Experience15%

8.0A
vs
B
7.5

Trust & Safety15%

7.2A
vs
B
6.8

Accessibility10%

7.4A
vs
B
8.0

Support10%

8.4A
vs
B
6.5

Features & Coverage

FeatureCollectiveRx.com
Starting Price$59/mo$175/mo
Features3 features8 features
States AvailableNot disclosed49
Compounded✓ Yes✓ Yes
Brand Name
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 Rx.com

Rx.com, a San Antonio-based prescription-savings and online-care site, now runs its own GLP-1 program: compounded semaglutide at $175/mo or tirzepatide at $285/mo on a one-month plan, with lower monthly rates on three- and six-month plans paid upfront. One price covers the provider visit, medication at any dose, supplies and shipping. Care comes through the MD Integrations provider network, and Manifest Pharmacy in South Carolina fills prescriptions.

Read our full Rx.com 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

Rx.com

What we like

  • Prices are posted before any intake: semaglutide $175/mo and tirzepatide $285/mo month to month, the same at every dose
  • Names its dispensing pharmacy (Manifest Pharmacy, Greer, SC) and its provider network (MD Integrations)
  • One price covers the provider visit, follow-ups, medication, syringes, alcohol pads and shipping
  • No membership, visit, dose-upcharge or shipping fees
  • Six-month plans lower the rate to $146/mo for semaglutide and $259/mo for tirzepatide, paid as one charge
  • Full refund if the provider decides treatment is not right for you
  • Displays a LegitScript seal served from LegitScript's own servers, not a self-hosted image
  • Serves 49 states; Alaska is the only state turned away

Watch-outs

  • Plan pages promise 'No automatic renewals,' but the checkout fine print says billing continues every 28 days
  • On six-month plans that checkout text reads as if the full $875 or $1,550 repeats monthly, an apparent template error
  • A second program page still lists older prices ($179.99 first month, then $279.99/mo) that don't match the plan picker
  • Medication sales are final once shipped, and no policy covers unshipped months if you cancel a prepaid plan
  • No phone number is published, though checkout promises '24/7 support via email or phone'
  • The refund policy says Rx.com does not ship refrigerated products, while the program promises cold-packed shipping
  • New program with almost no outside review history: its Trustpilot profile has a single review
  • Compounded semaglutide and tirzepatide are not FDA-approved

Our Verdict

Winner: Collective

Collective edges out Rx.com 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. Rx.com remains a solid alternative, especially if you're looking for month-to-month compounded GLP-1s at one flat price per dose, with the pharmacy named.

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 Rx.com if…

You want month-to-month compounded GLP-1s at one flat price per dose, with the pharmacy named and a starting price around $175/mo.

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Collective vs Rx.com: FAQ

Collective is cheaper. Its lowest ongoing monthly cash price is $59/mo, compared with $175/mo for Rx.com. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
Collective scores higher overall at 8.3/10 versus 7.6/10, and is particularly strong for the lowest flat medication price if you can absorb an annual membership fee. That said, Rx.com is a better fit if you want month-to-month compounded GLP-1s at one flat price per dose, with the pharmacy named.
Rx.com lists availability in 49 states, while Collective's state list is not publicly listed.
Neither Collective nor Rx.com is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.
For Semaglutide, Collective is cheaper at $59/mo versus $175/mo at Rx.com.

Key terms, explained

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

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

Or see the full category ranking.

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