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Collective vs Sprout Health

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
Sprout Health logo

Sprout Health

7.6
★★★3.8/5

Best for: LegitScript-verified compounded GLP-1 via named pharmacies

Visit Sprout Health

Collective and Sprout Health 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 $149/mo, and Sprout Health 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.'

Sprout Health

Compounded Semaglutide (Starting at)Compounded
$149/mo
semaglutide

Homepage hero product card, confirmed on two independent surfaces, with no intro or promo qualifier attached.

Compounded Tirzepatide (Starting at)Compounded
$199/mo
tirzepatide

Homepage hero product card. Checkout paths also reference a 'tirzepatide-tablet' SKU (oral form exists in funnel) but its price is quiz-gated = not published.

Wegovy (brand, Starting at)Brand-name
$1799/mo
wegovy (semaglutide, novo nordisk)

Near cash list price; unchanged.

Zepbound (brand, Starting at)Brand-name
$1999/mo
zepbound (tirzepatide, eli lilly)

Near cash list price; unchanged. Exact plan charges at checkout are quiz-gated (empty-cart template) = not published.

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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

Sprout Health

What the monthly price covers

Medication

Included

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

Overall

Sprout Health

7.6/10

Value25%

9.4A
vs
B
8.0

Effectiveness25%

8.2A
vs
B
8.0

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

7.2A
vs
B
7.3

Accessibility10%

7.4A
vs
B
7.5

Support10%

8.4A
vs
B
7.4

Features & Coverage

FeatureCollectiveSprout Health
Starting Price$59/mo$149/mo
Features3 features4 features
States AvailableNot disclosed44
Compounded✓ Yes✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNone1 warning

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 Sprout Health

Sprout Health Partners offers LegitScript-certified compounded semaglutide ($149/mo) and tirzepatide ($199/mo) via a quiz-first telehealth flow with licensed clinician review, shipping compounded medication from Foothills Pharmacy or Promise Pharmacy.

Read our full Sprout Health 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

Sprout Health

What we like

  • LegitScript certification confirmed
  • Both compounded semaglutide and tirzepatide available
  • 44-state coverage via a pre-qualification quiz and licensed clinician review
  • Two named 503A pharmacy partners: Foothills Pharmacy and Promise Pharmacy

Watch-outs

  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
  • Not available in Alabama, Arkansas, California, Louisiana, Mississippi, or North Dakota
  • Pharmacy partner accreditation details (PCAB/ACHC) not independently verified
  • Brand-name Wegovy ($1,799/mo) and Zepbound ($1,999/mo) are priced near cash list price — compounded is the only affordable path here

Our Verdict

Winner: Sprout Health

Sprout Health is our recommended choice here, particularly for LegitScript-verified compounded GLP-1 via named pharmacies. 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 Sprout Health if…

You want LegitScript-verified compounded GLP-1 via named pharmacies and a starting price around $149/mo.

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8.0

Strut Health

Oral-lozenge compounded GLP-1 access

7.8

Yucca Health

Mainstream telehealth GLP-1 access

7.7

TrimRx

Best overall value

Collective vs Sprout Health: FAQ

Collective is cheaper. Its lowest ongoing monthly cash price is $59/mo, compared with $149/mo for Sprout Health. 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 Sprout Health, especially if you want LegitScript-verified compounded GLP-1 via named pharmacies. 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.
Sprout Health lists availability in 44 states, while Collective's state list is not publicly listed.
Sprout Health 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 $149/mo at Sprout Health.

Key terms, explained

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

Continue exploring Collective and Sprout Health 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.