Plus $199/year membership after 21 days · checked Oct 17
Check price for CollectiveOn Collective's site · partner link
Comparison · updated October 23, 2026
Collective vs Sprout Health: Costs, care and treatment fit
Collective and Sprout Health differ in what you pay. Compounded medicines are not FDA-approved.
Compounded semaglutide · 12-month plan · $1,188 up front · checked Oct 5
Check price for Sprout HealthOn Sprout Health'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 Sprout Health 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 Sprout Health?
Short answer: Collective and Sprout Health differ in what you pay, so the plans below decide it.
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.
Sprout Health is best for
Users who want a low compounded rate with the price locked as the dose rises, and who will judge service quality in month one.
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 Sprout Health side by side
| Collective | Sprout Health | |
|---|---|---|
| Price | from $59/moPlus $199/year membership after 21 days | from $99/mo |
| Medicine | BothCompounded only | |
| Needle-free option | BothNot listed | |
| 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 |
| 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 | 44 states (excludes AL, AR, CA, LA, MS, ND) |
| Trustpilot | 4.7 / 5 across 64 reviews | Not tracked |
| BBB rating | Not tracked | F (not accredited) |
| Our score | 7.2/10 Fair | 7.8/10 Good |
| Assessment limits | Checked Sep 15, 2026; some details not published. | Checked Oct 16, 2026; a rating claim didn't match Trustpilot. |
What Collective and Sprout Health 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.
Sprout Health
Assigned-clinician messaging and advertised dose-flat compounded pricing, with annual prepayment or shorter plans whose billing intervals vary.
- Compounded Semaglutide (12-month plan)$99/mo$99 monthly equivalent; $1,188 billed every 12 months. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate. Checked October 5, 2026.
- Compounded Semaglutide (6-month plan)$110/mo$110 advertised monthly equivalent; $660 billed upfront, renewing every 26 weeks. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate. Checked October 23, 2026.
- Compounded Semaglutide (3-month plan)$125/4 weeks$125 per 4-week equivalent; $375 billed every 12 weeks. Provider review, medication and shipping included. Checked October 5, 2026.
All 8 Sprout Health plans
- Compounded Tirzepatide (12-month plan)$149/mo$149 monthly equivalent; $1,788 billed every 12 months. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate. Checked October 5, 2026.
- Compounded Semaglutide (monthly)$149/4 weeks$149 billed every 4 weeks, not per calendar month. Provider review, medication and shipping included. Checked October 5, 2026.
- Compounded Tirzepatide (6-month plan)$160/4 weeks$160 per 4-week equivalent; $960 billed every 24 weeks. Provider review, medication and shipping included. Checked October 5, 2026.
- Compounded Tirzepatide (3-month plan)$180/4 weeks$180 per 4-week equivalent; $540 billed every 12 weeks. Provider review, medication and shipping included. Checked October 5, 2026.
- Compounded Tirzepatide (monthly)$199/4 weeks$199 billed every 4 weeks, not per calendar month. Provider review, medication and shipping included. Checked October 5, 2026.
How Sprout Health bills
12-month compounded semaglutide plan: $1,188 billed every 12 months. The shortest plan is $149 every 4 weeks; plans renew until cancelled
We checked Sprout Health's prices on October 5, 2026.
What to watch for with Collective and Sprout Health
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.
Sprout Health
- The $99/mo semaglutide rate requires $1,188 upfront for 12 months; the shorter $149 plan bills every 4 weeks, not once per calendar month
- No insurance accepted or billed, and no HSA, FSA or superbill information is shown on the site's product, FAQ, terms or refund pages (rendered check 2026-09-03)
Sprout Health's strengths, cautions and terms
Strengths
- Publishes the upfront amount and renewal interval for annual and shorter compounded plans
- Each patient gets an assigned licensed clinician, with clinical messaging inside the account and a short check in before every refill
- The advertised compounded-plan price does not rise as the prescribed dose does, and provider review, medication, shipping and telehealth support are included
- Medicines listed
- Semaglutide (compounded)
- Tirzepatide (compounded)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free
- States
- 44 states (excludes AL, AR, CA, LA, MS, ND)
- Cancellation
- Give 48 hours' notice before renewal. The website policy offers a full refund before the prescription is sent to the pharmacy, even after clinical review; the official help article instead deducts $50 at that stage (both read October 21, 2026). Processed prescriptions are non-refundable, while Section 7 separately provides proportional refunds for unshipped prepaid months. Confirm which rule and remaining shipments qualify before paying.
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 Sprout Health: common questions
Is Collective or Sprout Health 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
- Sprout Healthfrom $99/mostarting price
Which is better, Collective or Sprout Health?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
Do Collective and Sprout Health offer brand-name medication?
Collective and Sprout Health both list compounded medication.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do Collective and Sprout Health 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
Sprout Health:prices checked October 5, 2026, score evidence assessed October 16, 2026.Read our Sprout Health review
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- 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 check: is Collective legit.
Collective reviewSprout Health reviewAll comparisonsFind your match