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StackMD 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
StackMD logo

StackMD

7.5
★★★3.8/5

Best for: shoppers who want an exact price for their specific dose before committing

Visit StackMD
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

StackMD 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 $125/mo, and Collective edges ahead overall (8.3 vs 7.5 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

StackMD

Starting strength (1mg vial); price rises with doseCompounded
$125/mo
semaglutide

Published per-dose ladder on /product/semaglutide-compounded-glp-1: 1mg $125, 2mg $149, 4mg $175, 6mg $199, 10mg $225 — all 1ml vials of semaglutide with B12 and glycine, billed as a monthly plan ('Plans starting at just $125/month'). No membership or platform fee on top.

Starting strength (5mg vial); price rises with doseCompounded
$199/mo
tirzepatide

Published per-dose ladder on /product/tirzepatide-compounded-glp-1-gip: 5mg $199, 10mg $249, 15mg $299, 20mg $349, 25mg $399, 30mg $449 — all 2ml vials of tirzepatide with B12 and glycine. A patient titrated to a high dose pays more than double the advertised starting price.

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

StackMD

What the monthly price covers

Medication

Included

Provider visits

Not disclosed

Shipping

Included

Lab work

Not disclosed

Coaching

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.

StackMD

7.5/10

Overall

Collective

8.3/10

Value25%

7.5A
vs
B
9.4

Effectiveness25%

7.5A
vs
B
8.2

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

7.0A
vs
B
7.2

Accessibility10%

8.0A
vs
B
7.4

Support10%

7.0A
vs
B
8.4

Features & Coverage

FeatureStackMDCollective
Starting Price$125/mo$59/mo
Features8 features3 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
FDA WarningsNoneNone

About StackMD

StackMD is a New York telehealth platform (Medical 360 HC PLLC) selling compounded semaglutide and tirzepatide, both formulated with B12 and glycine, alongside NAD+, sermorelin and other longevity peptides. It prices every dose strength openly instead of quoting one 'from' number: semaglutide runs $125 to $225 a month across five strengths and tirzepatide $199 to $449 across six. There are no membership fees, and prescribing is handled by its named partner SamaritanMD.

Read our full StackMD 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

StackMD

What we like

  • Publishes an exact price for every dose strength rather than a single 'from' figure — semaglutide $125-$225, tirzepatide $199-$449
  • Names both its legal entity (Medical 360 HC PLLC) and its prescribing telehealth partner, SamaritanMD
  • No membership or platform fee — the medication price is the whole price
  • States plainly that its compounded medications are 'not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality'
  • Telehealth offered in all 50 states per its terms, with free discreet shipping and FSA/HSA eligibility
  • Discloses the full formulation, including the B12 and glycine compounded into both GLP-1s

Watch-outs

  • All sales are final — 'No refunds are issued except as described below', and dispensed medication cannot be returned
  • Compounding pharmacies are never named, only 'a licensed third-party pharmacy'
  • Price rises steeply with dose: tirzepatide runs $199 at 5mg to $449 at 30mg
  • Billing and refunds are handled by SamaritanMD — StackMD 'has no authority to issue refunds' on its behalf
  • Terms impose binding arbitration in New York and waive jury trial and class-action participation
  • Both GLP-1s are compounded with added B12 and glycine rather than the single active ingredient
  • Availability of specific treatments may still vary by state despite the all-50-states claim
  • No LegitScript certification or pharmacy accreditation displayed

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 StackMD 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. StackMD remains a solid alternative, especially if you're looking for shoppers who want an exact price for their specific dose before committing.

Choose StackMD if…

You want shoppers who want an exact price for their specific dose before committing and a starting price around $125/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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StackMD vs Collective: FAQ

Collective is cheaper. Its lowest ongoing monthly cash price is $59/mo, compared with $125/mo for StackMD. 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 7.5/10, and is particularly strong for the lowest flat medication price if you can absorb an annual membership fee. That said, StackMD is a better fit if you want shoppers who want an exact price for their specific dose before committing.
StackMD lists availability in 50 states, while Collective's state list is not publicly listed.
Neither StackMD 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 $125/mo at StackMD.

Key terms, explained

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

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