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SexyMD vs Collective

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
SexyMD logo

SexyMD

7.1
★★★3.6/5

Best for: shoppers who want installment financing and can commit to a longer plan

Visit SexyMD
VS
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

SexyMD and Collective 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 $199/mo, and Collective edges ahead overall (8.3 vs 7.1 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

SexyMD

4-week plan (month-to-month)Compounded
$269/mo
semaglutide
12-week planCompounded
$249/mo
semaglutide
24-week plan (delivered every 12 weeks)Compounded
$229/mo
semaglutide
48-week plan (delivered every 12 weeks)Compounded
$199/mo
semaglutide
4-week plan (month-to-month)Compounded
$369/mo
tirzepatide
12-week planCompounded
$349/mo
tirzepatide
24-week plan (delivered every 12 weeks)Compounded
$329/mo
tirzepatide
48-week plan (delivered every 12 weeks)Compounded
$299/mo
tirzepatide

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.'

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What’s included

SexyMD

Inclusions not disclosed.

Collective

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.

SexyMD

7.1/10

Overall

Collective

8.3/10

Value25%

7.0A
vs
B
9.4

Effectiveness25%

7.5A
vs
B
8.2

User Experience15%

7.5A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
7.2

Accessibility10%

7.5A
vs
B
7.4

Support10%

6.5A
vs
B
8.4

Features & Coverage

FeatureSexyMDCollective
Starting Price$199/mo$59/mo
Features6 features3 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About SexyMD

SexyMD is a Nevada telehealth brand better known for sexual-health prescribing that now sells compounded GLP-1 injections alongside it. Both weight-loss products are priced by commitment length rather than by dose: the GLP-1 injection runs $269/month on the 4-week plan down to $199 on a 48-week plan, and the GLP-1/GIP injection $369 down to $299. Financing through Affirm, Klarna and Afterpay is offered at checkout.

Read our full SexyMD review →

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 →

Pros & Cons

SexyMD

What we like

  • All four commitment tiers are published on the product page with the per-month rate for each, before any intake.
  • The terms name the pharmacy types used — U.S.-licensed 503A pharmacies and 503B outsourcing facilities — rather than leaving fulfillment vague.
  • Installment financing is offered through Affirm, Klarna and Afterpay, which is unusual at this price point.
  • The legal entity is stated plainly: SexyMD LLC, a Nevada limited liability company, with a published Las Vegas address.
  • Terms confirm prescriptions may be filled with either FDA-approved brand medication or compounded product, depending on provider determination.

Watch-outs

  • The advertised "from $199 per month" is the 48-week commitment; the month-to-month rate is $269, about 35% higher.
  • Product pages never name the molecule — they say "GLP-1" and "GLP-1 + GIP", and only the terms mention semaglutide and tirzepatide.
  • The same three customer testimonials run on both product pages, including a GLP-1/GIP testimonial displayed on the semaglutide page.
  • "Loved by 800+ women" is repeated across the site with no source or methodology given.
  • No individual compounding pharmacy is named, only the 503A/503B categories.
  • Support is email-only at hello@sexymd.com — no phone number or published hours.
  • State coverage is hedged: available in all 50 states but "some exclusions may apply" depending on pharmacy licensing.

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

Our Verdict

Winner: Collective

Collective edges out SexyMD 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. SexyMD remains a solid alternative, especially if you're looking for shoppers who want installment financing and can commit to a longer plan.

Choose SexyMD if…

You want shoppers who want installment financing and can commit to a longer plan and a starting price around $199/mo.

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.

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7.5

PeterMD

Men wanting flat-priced compounded GLP-1 with TRT or peptides

7.8

Care Bare Rx

LGBTQ+-inclusive compounded GLP-1 telehealth

8.2

Enhance MD

Lab-monitored compounded GLP-1 with mandatory video visit

SexyMD vs Collective: FAQ

Collective is cheaper. Its lowest ongoing monthly cash price is $59/mo, compared with $199/mo for SexyMD. 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 7.1/10, and is particularly strong for the lowest flat medication price if you can absorb an annual membership fee. That said, SexyMD is a better fit if you want shoppers who want installment financing and can commit to a longer plan.
Neither SexyMD nor Collective publicly lists its exact state availability. Most national GLP-1 telehealth providers operate in the majority of states — confirm your state is covered during sign-up.
Neither SexyMD nor Collective 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 $199/mo at SexyMD.

Key terms, explained

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

Or see the full category ranking.

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