Steady State Health vs Collective
An in-depth comparison of two leading GLP-1 Providers
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Steady State Health
Best for: GLP-1 within perimenopause and menopause care
Visit Steady State Health →
Collective
Best for: the lowest flat medication price if you can absorb an annual membership fee
Visit Collective →Steady State Health 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 $259/mo, and Collective edges ahead overall (8.3 vs 6.9 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
Steady State Health
The practice's own estimate: a $149 monthly membership plus GLP-1 medication from about $110 a month, which its pharmacy bills on its own. Optional lab panel $190 once.
Collective
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).
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).
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
Steady State Health
What the monthly price covers
Medication
Billed separately
Provider visits
Included
Shipping
Not disclosed
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.
Steady State Health
6.9/10
Collective
8.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Steady State Health | Collective |
|---|---|---|
| Starting Price | $259/mo | ✓$59/mo |
| Features | ✓7 features | 3 features |
| States Available | 2 | ✓44 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Steady State Health
Steady State Health is a women's-health telehealth practice run by nurse practitioner Josie Cowburn, DNP, FNP-C, serving Oregon and Washington. Its Steady Metabolic program prescribes GLP-1 medication inside a perimenopause and menopause hormone-and-metabolic framework rather than as a standalone weight-loss drug. Membership is $149/month, and the medication is billed separately from about $110/month, so most members pay around $259 a month in total.
Read our full Steady State Health review →About Collective
Collective 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
Steady State Health
What we like
- Prescribes semaglutide or tirzepatide within a perimenopause and menopause hormone-and-metabolic care plan
- Care delivered by a named women's-health nurse practitioner (Josie Cowburn, DNP, FNP-C)
- Published pricing: $149/mo membership plus medication from about $110/mo, around $259 all-in
- Membership includes monthly provider visits, weekly live group Zooms, and supplement discounts
Watch-outs
- Available only to Oregon and Washington residents
- GLP-1 medication is billed separately by the pharmacy and not included in the membership
- The site's FAQ contradicts its pricing block on whether medication is included and how often visits happen
- Dispensing pharmacy is not publicly named
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 doctor messaging, quarterly check-ins and registered-dietitian access are included rather than upsold
- An optional twice-a-week dosing schedule and anti-nausea prescriptions when needed, aimed at the side effects that make people quit
- 21-day free membership trial, and a full refund if the doctor decides the medication isn't right for you
Watch-outs
- The advertised $59 and $69 exclude a mandatory $199 annual membership — the real first-year cost is $907 and $1,027
- After the 21-day trial the membership fee is non-refundable and no partial-period refunds are given
- Compounding pharmacies are described only as state-licensed US pharmacies and are never named
- Not available in six states: Alabama, California, Louisiana, Massachusetts, Mississippi and Washington
Our Verdict
Collective edges out Steady State Health 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. Steady State Health remains a solid alternative, especially if you're looking for GLP-1 within perimenopause and menopause care.
Choose Steady State Health if…
You want GLP-1 within perimenopause and menopause care and a starting price around $259/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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Get started →Steady State Health vs Collective: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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