12-month plan · $1,308 up front · checked Oct 18
Check price for BelleOn Belle's site · partner link
Comparison · updated October 18, 2026
Belle vs Collective: Costs, care and treatment fit
Belle and Collective differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.
Plus $199/year membership after 21 days · checked Oct 17
Check price for CollectiveOn Collective's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
Belle and Collective pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money
Which should you choose, Belle or Collective?
Short answer: Belle and Collective differ in what you pay, which medicines they list and their insurance terms, so the plans below decide it.
Belle is best for
Cash-pay patients who want one price at every dose and will prepay or finance a 6- or 12-month plan.
Collective is best for
Cash-pay patients planning to stay in treatment long enough for the low flat medication rate to offset the required annual membership.
The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.
By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
Belle vs Collective side by side
| Belle | Collective | |
|---|---|---|
| Price | $109/mo equivalent$1,308 upfront for 12 months; applicable taxes may add to the bill | from $59/moPlus $199/year membership after 21 days |
| Medicine | BothCompounded only | |
| Needle-free option | BothNot listed | |
| Insurance | Cash-pay only: Belle takes no insurance, Medicare or Medicaid | Cash-pay |
| Consultation | Included; Belle charges no consultation or setup fee | Clinical review and unlimited doctor messaging are included in the required $199/year membership |
| Shipping | Free on every order | Included; two-day express cold shipping is advertised |
| Where it ships | All 50 states and Washington, D.C., for adults 18 and older; no US territories | 44 states: AK, AR, AZ, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, ME, MI, MN, MO, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY |
| Trustpilot | 4.5 / 5 across 1,490 reviews | 4.7 / 5 across 64 reviews |
| BBB rating | B- | Not tracked |
| Our score | 8.7/10 Very good | 7.2/10 Fair |
| Assessment limits | Checked Oct 18, 2026; some details not published. | Checked Sep 15, 2026; some details not published. |
What Belle and Collective plans cost
Belle
One price at every dose, with the monthly rate set by how long a supply you prepay: from $249 for one month of tirzepatide down to $149 on the 12-month offer.
- Compounded Semaglutide, 12-Month Plan$109$1,308 billed up front for 12 months ($109 a month), or financed through Affirm or Klarna if you are approved. Same price at every dose; shipping, supplies and clinician care included.
- Compounded Semaglutide, 6-Month Plan$119$714 billed up front for 6 months ($119 a month). Same price at every dose; shipping, supplies and clinician care included.
- Compounded Semaglutide, 2-Month Plan$135$270 billed every 2 months ($135 a month). Same price at every dose; shipping, supplies and clinician care included.
All 11 Belle plans
- Compounded Semaglutide, 1-Month Supply$199$199 for one month. Ask Belle whether a one-month order renews monthly; its help center describes 2-month, 6-month and 12-month renewals.
- Compounded Tirzepatide, 12-Month Plan (offer page)$149$1,788 billed up front for 12 months ($149 a month) on Belle's offer page, or 12 monthly payments through 0% financing if you are approved. The rate holds for the term; Belle says a plan bought at an introductory price renews at the standard price.
- Compounded Tirzepatide, 6-Month Plan (offer page)$179$1,074 billed up front for 6 months ($179 a month) on Belle's offer page, or 6 monthly payments through 0% financing if you are approved. The rate holds for the term, then renews at the standard price.
- Compounded Tirzepatide, 12-Month Plan$179$2,148 billed up front for 12 months ($179 a month) at the standard price. On Belle's offer page your first 12 months cost $1,788 ($149 a month), then renew at the standard price. Same price at every dose; shipping, supplies and clinician care included.
- Compounded Tirzepatide, 6-Month Plan$199$1,194 billed up front for 6 months ($199 a month) at the standard price. On Belle's offer page your first 6 months cost $1,074 ($179 a month), then renew at the standard price. Same price at every dose; shipping, supplies and clinician care included.
- Compounded Tirzepatide, 2-Month Plan$219$438 billed every 2 months ($219 a month). Same price at every dose; shipping, supplies and clinician care included.
- Compounded Tirzepatide, 1-Month Supply$249$249 for one month. Ask Belle whether a one-month order renews monthly; its help center describes 2-month, 6-month and 12-month renewals.
- Microdose Compounded Tirzepatide, 3-Month Plan$99$297 billed for a 3-month supply ($99 a month). Listed under longevity, not as a weight-loss plan.
How Belle bills
$109/mo is compounded semaglutide on Belle's 12-month supply, charged in full at checkout ($1,308). Compounded tirzepatide is $179/mo on 12 months ($2,148), $199 on 6, $219 on 2 and $249 for one month, and Belle's offer page sells tirzepatide at $149/mo for 12 months or $179/mo for 6. Every dose costs the same; shipping, supplies and clinician care are included. Checked October 18, 2026.
We checked Belle's prices on October 18, 2026.
Collective
Very low month-to-month medication pricing that remains flat across doses, funded through a separately disclosed annual membership.
- Collective Membership$199/yrRequired annual membership, free for the first 21 days and then $199 billed annually. It auto-renews unless cancelled.
- Compounded Semaglutide$59$59 billed monthly for medication at any dose, plus required membership free for 21 days then $199/year. Twelve medication payments plus one membership: $907 before any technology transaction fee, which the terms do not price. Not a verified complete bill.
- Compounded Tirzepatide$69$69 billed monthly for medication at any dose, plus required membership free for 21 days then $199/year. Twelve medication payments plus one membership: $1,027 before any technology transaction fee, which the terms do not price. Not a verified complete bill.
How Collective bills
$59/mo is compounded semaglutide medication only. Required membership is free for 21 days, then $199/year. Twelve medication payments plus one membership total $907 for semaglutide or $1,027 for tirzepatide at $69/mo, before any electronic-prescription technology fee the terms allow, which they do not price. These are medication-and-membership subtotals, not the complete bill.
We checked Collective's prices on October 17, 2026.
What to watch for with Belle and Collective
Belle
- The low monthly rates need a 6- or 12-month supply that Belle charges in full at checkout, and placed orders are not refundable
- Belle's own help center says orders ship 5 to 7 business days after payment, plus 3 to 5 days in transit
Belle's strengths, cautions and terms
Strengths
- One price at every dose, so your bill does not rise as the clinician increases your dose
- Prices for every supply length are on its pricing page before you sign up, with shipping, injection supplies and clinician care included and no consultation fee
- Names its chief medical officer, Dr. Patrick Taylor, MD, with his training and board certification, and lists its clinical team
- Names its compounding pharmacies, including Hillstone Pharmacy and OptioRx (503A) and BPI Labs (an FDA-registered 503B outsourcing facility)
- Publishes a 24-hour reply window for messages on business days and 4.5 out of 5 from 1,490 Trustpilot reviews (October 18, 2026)
More to watch for
- Intake is a written form with no video visit, and ongoing care runs through messages, text and phone
- Its LegitScript badge is an image on Belle's own site; we could not confirm the certification with LegitScript
- BBB rates Belle Health, LLC B- and lists it as not accredited, citing one unanswered complaint (October 18, 2026)
- FDA sent Belle a warning letter on February 20, 2026 because product photos on its site showed a Belle label, suggesting Belle compounds the drugs when it does not; FDA had posted no close-out letter on October 18, 2026
- Medicines listed
- Tirzepatide (compounded injection)
- Semaglutide (compounded injection)
- Microdose tirzepatide (compounded injection)
- Insurance
- Cash-pay only: Belle takes no insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and Affirm or Klarna can split a plan into payments if you are approved.
- Consultation
- Included; Belle charges no consultation or setup fee
- Shipping
- Free on every order
- Prescribers
- Mixed (MD/NP)
- Lab work
- Optional
- States
- All 50 states and Washington, D.C., for adults 18 and older; no US territories. Which treatments are available, and which pharmacy fills them, can vary by state (checked October 18, 2026).
- Cancellation
- Cancel or pause in the patient portal at any time with no fee. Cancelling stops future renewals; anything you already paid for still ships. A placed order cannot be cancelled or refunded, and shipped prescription medication is not returnable. You get a full refund if the clinician does not approve your prescription, and Belle replaces a wrong or damaged product reported within 7 days.
Collective
- The $59 and $69 medication headlines exclude a required $199 annual membership after a 21-day trial
- The terms permit a nominal technology transaction fee for each electronic prescription but publish no amount
Collective's strengths, cautions and terms
Strengths
- $59/mo compounded semaglutide and $69/mo compounded tirzepatide, with the medication price advertised as flat at every dose
- Medication is billed month to month rather than through a required multi-month medication prepayment
- Two-day express cold shipping, clinician review, unlimited doctor messaging, and nutrition and lifestyle support are included
- The public site links certificate 50716874 to LegitScript's verification checker
- The legal entity and MDIntegrations clinician-network relationship are disclosed in the legal pages
More to watch for
- No dispensing pharmacy, individual clinician or medical director is publicly named
- Unavailable in Alabama, California, Louisiana, Massachusetts, Mississippi and Washington, according to its FAQ checked October 17, 2026; ask about Washington, D.C. coverage
- The annual membership auto-renews and is generally non-refundable, with no partial-period refunds
- Its long-term GLP-1 service record is not yet confirmed; customer reviews alone do not establish treatment quality
- Cash-pay compounded medications only; no brand-name Wegovy or Zepbound and no insurance or prior-authorization service
- Medicines listed
- Semaglutide (compounded injection)
- Tirzepatide (compounded injection)
- Insurance
- Cash-pay. Collective says medication and membership are HSA/FSA eligible; eligibility and reimbursement depend on the account and expense.
- Consultation
- Clinical review and unlimited doctor messaging are included in the required $199/year membership. The terms also allow a technology transaction fee for an electronic prescription without publishing its amount.
- Shipping
- Included; two-day express cold shipping is advertised
- Prescribers
- Independent US-licensed providers; the privacy policy identifies MDIntegrations and its independent medical-group network as an example clinical partner
- Lab work
- Not required
- States
- 44 states: AK, AR, AZ, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, ME, MI, MN, MO, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY. Collective doesn't serve Alabama, California, Louisiana, Massachusetts, Mississippi or Washington, and you should ask about Washington, D.C. We built this list from the FAQ's six-state exclusion list, checked October 17, 2026; a clinician decides your eligibility at intake.
- Cancellation
- Cancel online before the 21-day trial ends to avoid the $199 annual charge. A paid membership continues through its current annual period and is generally non-refundable with no partial-period refund. Products and services are otherwise non-refundable except at CollectiveOS's discretion. If no prescription is issued, the medication order is cancelled and the medication is not charged.
Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.
Belle vs Collective: common questions
Is Belle or Collective cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- Belle$109/mo equivalent$1,308 upfront for 12 months; applicable taxes may add to the bill
- Collectivefrom $59/moplus $199/year membership after 21 days
Which is better, Belle or Collective?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
Do Belle and Collective offer brand-name medication?
Belle and Collective both list compounded medication.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do Belle and Collective take insurance?
Coverage depends on your plan and prescription, so read each provider's insurance terms.
Confirm coverage for your exact plan and prescription before you pay.
Where these facts come from
Belle:prices checked October 18, 2026, score evidence assessed October 18, 2026.Read our Belle review
Collective:prices checked October 17, 2026.Read our Collective review
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- Check your GLP-1 insurance pathLook up plan-specific coverage questions before treating a cash price or an insurance route as your final out-of-pocket cost.
- Compare complete recurring program costsSee which prices include medication, clinical care and shipping, and which headline amounts require another fee or commitment.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
Before you sign up, read our trust checks: is Belle legit and is Collective legit.