Comparison · updated November 3, 2026

Collective vs MEDVi: Costs, care and treatment fit

Collective and MEDVi fit different shopping priorities.

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

Collective and MEDVi pay us a commission through our referral links. This comparison uses public program information checked October 10, 2026, not personal treatment experience. The price tables retain their own verification dates. How we make money

This content was researched and written with AI assistance. MEDVi referral links are affiliate links: we may earn a commission if you sign up. This is independent information, not medical advice or a clinical review.

Who each one suits

Collective lists compounded semaglutide and tirzepatide injections, billed monthly with a separate annual membership. MEDVi lists compounded injection and dissolvable-tablet options, plus separate branded pathways. If you want predictable medication pricing across doses, check Collective's full membership cost. If you want a pill or a branded drug, first identify MEDVi's exact product and recurring bill. Neither the lowest headline price nor a customer rating establishes which treatment is medically right for you.

Recommended fit

Collective

Monthly injections with a separate annual membership

Consider Collective if you want its flat medication pricing across doses and ongoing clinician messaging.

Include the annual membership and confirm any technology fee. The medication headline alone is not your full cost.

Check Collective eligibility Compare Collective plans and care

Sources: Collective reviews: legitimacy, pharmacy and complaints · Collective treatment and membership details · MEDVi's current treatment menu

By Iacob Pastina, Independent Researcher & Publisher
Updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Collective vs MEDVi side by side

Collective and MEDVi compared fact by fact
CollectiveMEDVi
Pricefrom $59/moPlus $199/year membership after 21 days$99(affiliate link)First month, then $199 per refill; confirm the refill interval
MedicineCompounded onlyBrand-name and compounded
Needle-free optionNot listedYes, a pill or other oral form
InsuranceCash-payNo insurance listed
ConsultationClinical review and unlimited doctor messaging are included in the required $199/year membershipIncluded
ShippingIncluded; two-day express cold shipping is advertisedFree
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, WYNot published
Trustpilot4.7 / 5 across 64 reviews4.3 / 5 across 15,014 reviews
BBB ratingNot trackedF (not accredited)
Our score7.2/10 Fair7.2/10 Good
Assessment limitsChecked Sep 15, 2026; some details not published.Checked Oct 16, 2026; a rating claim didn't match Trustpilot.

What Collective and MEDVi 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.

MEDVi(affiliate link)

Compounded semaglutide tablets and injections, a separate compounded tirzepatide injection, and brand-name Wegovy and Zepbound paths with a $99 membership plus medication.

All 5 MEDVi plans
How MEDVi bills

First month: $99 for compounded semaglutide injection with no contract, then $199 per refill. The landing page does not state the refill interval; MEDVi's April to August 2026 replies to BBB complaints described 28-day renewals. Confirm the interval and next charge. No verified annual payment count.

We checked MEDVi's prices on November 3, 2026.

How do Collective and MEDVi charge for treatment?

Collective separates monthly medication payments from an annual membership. Its 21-day free trial covers membership, not medication. If you continue beyond the trial, include the whole annual fee in a short-term budget; the membership is generally non-refundable and unused months are not refunded.

MEDVi's compounded and branded pathways have different billing models. Its weight-loss menu advertises no membership fee for compounded plans, while its branded pathways add a care membership to medication. Ask for the first bill, the renewal bill and the prescribed product before comparing a starter offer with Collective's ongoing rate.

Collective's terms also permit an electronic-prescription technology fee without stating an amount. Our pricing guide calculates medication plus membership separately from that unknown fee. A lower advertised medication price does not establish the lowest complete checkout bill.

Sources:Collective membership and fee terms· MEDVi compounded and branded plan menu· Collective pricing and budget calculations· MEDVi pricing and plan conditions

Does Collective offer pills like MEDVi?

Collective's published GLP-1 menu lists compounded injections, not an oral option. MEDVi lists compounded dissolvable tablets and a separate branded Wegovy pill pathway. Those are different finished products; do not treat all tablets or all semaglutide offers as interchangeable.

Compounded medicines are not FDA-approved finished products. A preference to avoid needles is a useful question for your clinician, not evidence that a compounded tablet has the same approval, dosing or results as an approved pill or injection.

Sources:Collective's published medication options· MEDVi formulation menu· FDA information on unapproved GLP-1 drugs· Approved pills versus compounded oral products

What should you check before switching providers?

Confirm your state, the exact medication and formulation, the dispensing pharmacy, and the amount due at renewal. Ask about clinical review, pharmacy preparation and shipping separately so you can plan the transition.

Collective says existing GLP-1 patients can switch, subject to its clinician's approval. A previous prescription does not guarantee acceptance, the same dose or a particular dispatch date. Ask your prescriber how to manage the transition before stopping medication or changing a dose.

Check eligibility with Collective Check available MEDVi plans (affiliate link)

Sources:Collective switching questions and service context· MEDVi program details and limitations

What to watch for with Collective and MEDVi

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.

MEDVi

  • FDA warning letter #721455, issued February 20, 2026, cites misleading labeling and marketing that implied MEDVi compounded the drugs and that compounded products were equivalent to or FDA-evaluated like approved brands. The letter does not allege unsafe medication
  • Its third-party records conflict: Trustpilot shows 4.3 out of 5 across 15,014 reviews, and MEDVi invited 157 of the 200 newest reviewers, while the BBB grades MEDVi F, lists it as not accredited and counts 763 complaints in three years (we checked on October 15, 2026)
MEDVi's strengths, cautions and terms

Strengths

  • Compounded semaglutide tablets and injections, plus a separately advertised compounded tirzepatide injection
  • The landing page says the program is HSA and FSA eligible and includes dietician visits and care coaching, with a footnote making that subject to insurance and copay eligibility
  • $99 covers the first month of compounded semaglutide on MEDVi's landing page with no contract, and MEDVi says its $199 refills include the same program benefits

More to watch for

  • You pay $99 only for the first semaglutide month; each refill costs you $199, and the landing page does not say how often refills bill. MEDVi's replies to BBB complaints between April and August 2026 described 28-day renewals, so confirm the interval before you pay
  • Brand-name Wegovy and Zepbound paths add a $99 membership plus a medication cost the page does not publish, and the same page's hero says "No membership or hidden fees!" directly above those cards; availability is subject to change
  • No insurance accepted, and oral compounded semaglutide has less clinical data than injectable forms
Medicines listed
  • Semaglutide (compounded injectable)
  • Semaglutide (compounded oral tablets)
  • Tirzepatide (compounded injectable; full billing terms unconfirmed)
  • Wegovy (brand-name pill or injection; availability subject to change)
  • Zepbound (brand-name injection; availability subject to change)
  • Ozempic (brand-name path referenced in MEDVi disclosures)
Insurance
No insurance support listed
Consultation
Included
Shipping
Free
Prescribers
OpenLoop Health and CareGLP Affiliated P.C.s; individual clinician credentials are not disclosed before checkout
States
Not published. MEDVi's terms say "The Services are currently available to individuals located in certain states" and give the list only by emailing customer service. No state count or state list is shown on the site's contact, about, terms or FAQ pages (rendered check 2026-09-03)
Cancellation
Cancel by email or patient-portal chat at least 72 hours before the next billing date. The policy describes initial-no-service and unshipped-prepaid-month refund exceptions, but also says refunds are limited to medical disqualification. Get the applicable plan-specific refund terms in writing; cancelling future billing is not an unconditional refund.

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 MEDVi: common questions

Is Collective cheaper than MEDVi?

Compare the same medication and formulation over the same period.

Collective adds an annual membership to monthly medication and allows a technology fee whose amount it does not publish. MEDVi's compounded and branded pathways have different charges. Compare the complete current quotes, not a medication-only price against a starter or membership-only price.

Does Collective have an oral GLP-1 option?

Collective's published menu lists compounded semaglutide and tirzepatide injections.

MEDVi lists compounded dissolvable tablets and a separate branded Wegovy pill pathway. A compounded tablet is not the same approved product as the branded pill.

Does Collective's free trial include medication?

No. The 21-day trial is for membership.

Medication is billed separately, and the annual membership charge applies if you continue beyond the trial under its terms.

Where these facts come from

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

MEDVi:prices checked November 3, 2026, score evidence assessed October 16, 2026.Read our MEDVi 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 checks: is Collective legit and is MEDVi legit.

Collective reviewMEDVi reviewAll comparisonsFind your match

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Visit Collective from $59/moVisit MEDVi $99(affiliate link)