Comparison · updated October 17, 2026

Collective vs MEDGm: Collective for compounded medication only, MEDGm for brand-name or compounded options

Collective and MEDGm differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.

These two prices are different kinds of bill, so read the line under each price before you compare them.

Compare plans and terms

Collective and MEDGm 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

Our MEDGm referral excludes Louisiana; Nebraska patients must be 19 or older. The provider must confirm your eligibility and medication availability. A prescription is required and is issued only if a licensed clinician finds treatment appropriate.

Which should you choose, Collective or MEDGm?

Short answer: Choose MEDGm if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.

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.

Choose MEDGm if

  • you want brand-name medicine as an option
  • you want a pill or another option without needles

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

Collective vs MEDGm side by side

Collective and MEDGm compared fact by fact
CollectiveMEDGm
Pricefrom $59/moPlus $199/year membership after 21 days$169/mo equivalent$2,028 upfront for 12 months; applicable taxes may add to the bill
MedicineCompounded onlyBrand-name and compounded
Needle-free optionNot listedYes, a pill or other oral form
InsuranceCash-payCash-pay program
ConsultationClinical review and unlimited doctor messaging are included in the required $199/year membershipAdvertised as included in the compounded plans
ShippingIncluded; two-day express cold shipping is advertisedIncluded
Where it ships44 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, WYOur MEDGm referral excludes Louisiana and patients under 19 in Nebraska
Trustpilot4.7 / 5 across 64 reviewsNot tracked
Our score7.2/10 Fair7/10 Good
Assessment limitsChecked Sep 15, 2026; some details not published.Checked Sep 11, 2026.

What Collective and MEDGm plans cost

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.

MEDGm

Publishes compounded starting prices, names its clinical group and pharmacy partners, and advertises included labs.

All 15 MEDGm plans
How MEDGm bills

Compounded semaglutide injection is $169/mo equivalent with $2,028 prepaid for 12 months. Its monthly plan is $179 for the first month with WELCOME120OFF, then $299. Tirzepatide injection and tablets have separate prices: compounded semaglutide tablets are $239/mo equivalent with $2,868 prepaid for 12 months. Brand-name membership and medication charges are separate; applicable taxes may add to the total.

We checked MEDGm's prices on October 9, 2026.

What to watch for with Collective and MEDGm

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.

MEDGm

  • Brand-name cards show membership fees only: $99 for Zepbound or Wegovy and $171 for Ozempic, with medication charged separately
  • The $169 injection headline requires $2,028 prepaid for a year of semaglutide; monthly plans cost more and welcome discounts end after month one
MEDGm's strengths, cautions and terms

Strengths

  • Publishes compounded plan prices before intake, with consultation, labs, medication, support and delivery advertised as included
  • Names OpenLoop Health and four pharmacy partners: RedRock Pharmacy, Health Warehouse, Precision Medicine and Triad Rx
  • Advertises included labs; the specific tests and requirements need confirmation with the provider
  • Displays a linked LegitScript seal and supplied certification documentation
  • Publishes a full current-term refund if the clinician disqualifies you before the first medication shipment

More to watch for

  • The tablet's $239 monthly equivalent requires $2,868 prepaid for 12 months; the monthly welcome discount does not continue at renewal
  • No individual medical director or prescribing clinician is named on the pages checked
  • Cancel at least 72 hours before renewal. Voluntary cancellation does not refund the paid term; dispensed medication is non-refundable
Medicines listed
  • Semaglutide (compounded weekly injection; not FDA-approved)
  • Tirzepatide (compounded weekly injection; not FDA-approved)
  • Semaglutide (compounded dissolvable tablet; not FDA-approved)
  • Zepbound injection (advertised; availability subject to change)
  • Wegovy pill or pen (advertised; availability subject to change)
  • Ozempic injection (advertised; FDA-approved for type 2 diabetes)
Insurance
Cash-pay program. HSA/FSA payments are advertised, but reimbursement depends on your benefit plan.
Consultation
Advertised as included in the compounded plans
Shipping
Included
States
Our MEDGm referral excludes Louisiana and patients under 19 in Nebraska. The provider's broader US service statement remains subject to medication availability and state-specific consultation requirements. Confirm your eligibility before paying; referral restrictions checked October 8, 2026
Cancellation
Give at least 72 hours' notice before renewal. No refund for voluntary cancellation of a paid term. Medical disqualification can qualify for a full or partial refund; dispensed medication is non-refundable.

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.

Collective vs MEDGm: common questions

Is Collective or MEDGm cheaper?

At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.

  • Collectivefrom $59/moplus $199/year membership after 21 days
  • MEDGm$169/mo equivalent$2,028 upfront for 12 months; applicable taxes may add to the bill

Which is better, Collective or MEDGm?

Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.

Collective lists compounded medication only, and MEDGm lists brand-name and compounded medication.

Do Collective and MEDGm offer brand-name medication?

Collective lists compounded medication only, and MEDGm lists brand-name and compounded medication.

Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.

Do Collective and MEDGm 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

Collective:prices checked October 17, 2026.Read our Collective review

MEDGm:prices checked October 9, 2026.Read our MEDGm review

We score on a published methodology, and partnership never changes a score or a fact here.

What should you compare next?

Before you sign up, read our trust check: is Collective legit.

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