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

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.

Strengths

• One intake covers compounded GLP-1 and GLP-1 + GIP injections plus compounded oral versions of both
• The offer page checked September 3 advertised a $149 entry price for GLP-1 and $249 for GLP-1 + GIP, although neither figure matches the medication schedule in the official terms
• Online intake with clinician review; a short telehealth call can be arranged if further consultation is needed. The terms say compounded medication generally ships within 48 business hours of the prescription reaching the pharmacy
• A published shipping policy that gives you the right to request a refund if your medication has not shipped within 14 days of the order, whatever the status of the medical review

More to watch for

• The same paid-but-no-medication, billing, refund and fulfillment themes recur across BBB and Trustpilot, meeting our cross-platform delivery-complaints alert threshold
• TrimRx lists brand Wegovy and Ozempic at $1,149 and brand Zepbound and Mounjaro at $1,249 as in stock, while the footer on those same pages says it does not sell, dispense or ship any branded medication and that you are responsible for filling the prescription at your own pharmacy and cost. Its compounded products are not FDA-approved finished products.
• No insurance billing, so treat the monthly price as a pure cash-pay number. TrimRx does accept HSA and FSA cards among its payment methods
• An offer page checked September 3 promised weight loss or your money back while also disclaiming guaranteed results. The refund policy is conditional: cancellation before pharmacy transmission allows any applicable policy refund, not a guaranteed treatment trial. Refund requests generally must be made within 28 days of payment

Medicines listed

• Semaglutide (compounded, injectable)
• Tirzepatide (compounded, injectable, listed by TrimRx as 'GLP-1 + GIP')
• Oral GLP-1 (compounded, sold as the Oral GLP-1 weight loss package)
• Oral tirzepatide (compounded, sold as the Oral Tirzepatide weight loss package)
• Brand Wegovy, Ozempic, Zepbound and Mounjaro, listed as in stock on TrimRx's own product pages, although its footer says it does not sell, dispense or ship branded medication

Insurance

No insurance support listed

Consultation

Included

Shipping

Free

States

TrimRx does not publish a served-state count or a state list. Its terms say products and services are available only within the 50 states of the United States and that no international orders are shipped (verified 2026-09-03).

Cancellation

Request cancellation through your TrimRx account or support. Before prescription transmission to the pharmacy, the order is cancelled and any applicable refund follows the policy. After transmission, that order continues to fulfillment; cancellation applies to future unfilled orders. A refund request is separate from cancellation and generally must be made within 28 days of payment, except where the policy or law provides otherwise. Medical disqualification and billing errors caused by TrimRx qualify for full refunds. For prepaid multi-month plans, request the unused portion attributable to future unfilled orders within that 28-day window; cancellation alone does not refund it. The shipping policy checked September 3 also allows a refund request if medication has not shipped within 14 days, regardless of medical-review status. Keep written confirmation of both cancellation and any refund request.