Plus $199/year membership after 21 days · checked Oct 17
Check price for CollectiveOn Collective's site · partner link
Comparison · updated October 17, 2026
Collective vs SkinnyRx: Collective for compounded medication only, SkinnyRx for brand-name or compounded options
Collective and SkinnyRx differ in what you pay and which medicines they list. Compounded medicines are not FDA-approved.
First month, ask the renewal price · checked Sep 26
Check price for SkinnyRxOn SkinnyRx's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
Collective and SkinnyRx 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, Collective or SkinnyRx?
Short answer: Choose SkinnyRx 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 SkinnyRx 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 SkinnyRx side by side
| Collective | SkinnyRx | |
|---|---|---|
| Price | from $59/moPlus $199/year membership after 21 days | $99First month, ask the renewal price |
| Medicine | Compounded only | Brand-name and compounded |
| Needle-free option | Not listed | Yes, a pill or other oral form |
| Insurance | Cash-pay | No insurance listed |
| Consultation | Clinical review and unlimited doctor messaging are included in the required $199/year membership | Included |
| Shipping | Included; two-day express cold shipping is advertised | Free (overnight on all orders) |
| Where it ships | 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 | 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states |
| Trustpilot | 4.7 / 5 across 64 reviews | 4.8 / 5 across 4,100 reviews |
| Our score | 7.2/10 Fair | 5/10 Mixed |
| Assessment limits | Checked Sep 15, 2026; some details not published. | Checked Oct 16, 2026; a rating claim didn't match Trustpilot. |
What Collective and SkinnyRx 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.
SkinnyRx
A four-product compounded menu with separate injection and dissolving-tablet pages for semaglutide and tirzepatide. Compare the exact formulation, introductory bill and renewal terms; the different routes are not established as clinically equivalent.
- Compounded Semaglutide (injectable)$99Once-weekly injection, quoted at $99 for the first month on its product page. A microdose option is offered.
- Compounded Semaglutide (tablets)$149Oral dissolving tablet, quoted at $149 for the first month. Confirm the exact dispensing directions and later bill; merchant guidance differs on placement.
- Compounded Tirzepatide (injectable)$99Once-weekly tirzepatide injection, a GLP-1 and GIP dual agonist, quoted at $99 for the first month on its product page.
All 4 SkinnyRx plans
- Compounded Tirzepatide (tablets)$199Oral dissolving tablet, quoted at $199 for the first month. Confirm the exact dispensing directions and later bill; this is not an FDA-approved oral tirzepatide product.
How SkinnyRx bills
$99 is a first month rate quoted on the compounded semaglutide and tirzepatide injection product pages. SkinnyRx does not publish a month two price; its terms say the renewal rate is described during checkout.
We checked SkinnyRx's prices on September 26, 2026.
What to watch for with Collective and SkinnyRx
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.
SkinnyRx
- Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
- SkinnyRx names its medical director, Sajad Zalzala, M.D., and names AyaRx as the telemedicine partner behind its medical services, but it does not name the compounding pharmacy that fills prescriptions and it publishes no founders or executive team.
SkinnyRx's strengths, cautions and terms
Strengths
- Four product-specific options to discuss with a clinician: semaglutide or tirzepatide, each as an injection or a dissolving tablet
- $99 for the first month on both the compounded semaglutide and the compounded tirzepatide injection, quoted on each product page, among the lowest entry rates in the compounded segment
- Fast onboarding: a short online intake, a prescription within 24 hours where no video visit is required, and free overnight shipping on all orders with tracking within 2 business days
- A public Trustpilot profile provides service feedback to read alongside the FDA record and the written billing terms; those reviews do not establish tablet effectiveness
More to watch for
- Cash-pay only, does not bill commercial insurance, Medicare, or Medicaid. HSA/FSA payments are accepted, which is the main way to soften the cost.
- Independent reviews flag inconsistent customer-service responsiveness, a real consideration since titration support and dose adjustments run through chat
- FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded GLP-1s. It is a labeling/marketing record, not an unsafe-medication finding
- Medicines listed
- Semaglutide (compounded, injectable)
- Wegovy Pill (brand-name oral semaglutide, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Foundayo Pill (brand-name orforglipron, badged FDA-approved on its product page but shown as Unavailable and offered via SkinnyRx Membership, no price published, verified 2026-09-03)
- Semaglutide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Tirzepatide (compounded, injectable)
- Tirzepatide (compounded, oral dissolving tablets; confirm placement with the dispensing pharmacy)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free (overnight on all orders)
- States
- 47 for compounded medications (its terms exclude Alabama, Louisiana and Mississippi and bar residents of those states from ordering them); branded offerings may be available in all states
- Cancellation
- The September 22 terms allow renewal processing up to five days before the next period and require cancellation at least five days before the applicable renewal-processing date. They include non-refundable fees, return-before-refund conditions and possible reversal of promotional discounts. Product FAQs use simpler cancellation/refund wording. Ask support for the exact deadline, refund eligibility and any return requirement in writing before paying; canceling is not a guaranteed 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 SkinnyRx: common questions
Is Collective or SkinnyRx 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
- SkinnyRx$99first month, ask the renewal price
Which is better, Collective or SkinnyRx?
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 SkinnyRx lists brand-name and compounded medication.
Do Collective and SkinnyRx offer brand-name medication?
Collective lists compounded medication only, and SkinnyRx lists brand-name and compounded medication.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do Collective and SkinnyRx 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
SkinnyRx:prices checked September 26, 2026, score evidence assessed October 16, 2026.Read our SkinnyRx review
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- Compare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
- Compare tirzepatide providers and pricesReview provider options, price units and treatment context across the wider tirzepatide market.
Before you sign up, read our trust checks: is Collective legit and is SkinnyRx legit.
Collective reviewSkinnyRx reviewAll comparisonsFind your match