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Collective vs SurpassMD

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
SurpassMD logo

SurpassMD

7.3
★★★3.7/5

Best for: budget-conscious GLP-1 shoppers wanting broad state coverage

Visit SurpassMD

Collective and SurpassMD 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 $124/mo, and Collective edges ahead overall (8.3 vs 7.3 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.'

SurpassMD

Starting price for eligible patients, billed monthlyCompounded
$124/mo
semaglutide

Homepage/FAQ: 'Semaglutide starts as low as $124/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'

Starting price for eligible patients, billed monthlyCompounded
$184/mo
tirzepatide

Homepage/FAQ: 'tirzepatide starts as low as $184/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'

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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

SurpassMD

What the monthly price covers

Medication

Included

Provider visits

Included

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

SurpassMD

7.3/10

Value25%

9.4A
vs
B
8.0

Effectiveness25%

8.2A
vs
B
7.8

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

7.2A
vs
B
6.0

Accessibility10%

7.4A
vs
B
7.3

Support10%

8.4A
vs
B
7.0

Features & Coverage

FeatureCollectiveSurpassMD
Starting Price$59/mo$124/mo
Features3 features8 features
States AvailableNot disclosed51
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
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 SurpassMD

SurpassMD is an online GLP-1 weight loss platform operated by Life Vitality LLC that connects patients with independent licensed providers for compounded semaglutide and tirzepatide, dispensed by 503A pharmacies with cold-chain shipping. Its clinical intake and consent flow runs on OpenLoop's telehealth platform. Pricing starts as low as $124/month for semaglutide and $184/month for tirzepatide for eligible patients, cash-pay only, with HSA/FSA and Klarna-style financing accepted.

Read our full SurpassMD 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

SurpassMD

What we like

  • Transparent starting prices published: $124/mo semaglutide, $184/mo tirzepatide
  • Compounded through 503A pharmacies with cold-chain shipping
  • Broad coverage: licensed to operate in all 50 states plus DC
  • HSA/FSA and Klarna-style buy-now-pay-later accepted
  • Free assessment with no payment required to see if you qualify
  • Full refund if disqualified by the medical provider

Watch-outs

  • Specific compounding pharmacy partner is not named on the site
  • LegitScript Certified badge shown, but no verifiable LegitScript record found
  • Cancellation & Refund Policy page conflicts with the Terms of Use on refund eligibility
  • Billing begins at intake submission, before provider approval
  • Exact per-dose pricing beyond the 'starting at' figures is not published
  • Refund policy requires 72 hours' notice before your next billing date to cancel

Our Verdict

Winner: Collective

Collective edges out SurpassMD 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. SurpassMD remains a solid alternative, especially if you're looking for budget-conscious GLP-1 shoppers wanting broad state coverage.

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 SurpassMD if…

You want budget-conscious GLP-1 shoppers wanting broad state coverage and a starting price around $124/mo.

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Collective vs SurpassMD: FAQ

Collective is cheaper. Its lowest ongoing monthly cash price is $59/mo, compared with $124/mo for SurpassMD. 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 7.3/10, and is particularly strong for the lowest flat medication price if you can absorb an annual membership fee. That said, SurpassMD is a better fit if you want budget-conscious GLP-1 shoppers wanting broad state coverage.
SurpassMD lists availability in 51 states, while Collective's state list is not publicly listed.
Collective is an affiliate partner (we may earn a commission on sign-ups through our links); SurpassMD 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 $124/mo at SurpassMD.

Key terms, explained

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

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