Collective GLP-1 (collective.org) vs MEDVi: Which Costs Less?

By WPG Research Team · Last verified November 2, 2026 · Last updated November 2, 2026

Collective costs less for most people. Collective sells compounded semaglutide for $59 a month and compounded tirzepatide for $69 a month, the same at every dose, plus a $199 yearly membership. MEDVi has no membership fee, but its own pages listed compounded semaglutide refills at $199 to $299 a month on November 2, 2026. MEDVi is the one to look at if you want pills or a brand-name drug.

Below: the real year-one cost of each, what Collective's $199 membership buys, the refund fine print on both sides, and who should pick which.

Weight Loss Provider Guide is an independent comparison resource for GLP-1 telehealth providers.

Bottom line: For compounded shots, Collective is far cheaper over a year, even after the $199 membership. MEDVi offers more choices: daily tablets, brand-name drugs, and a much longer track record.

Best for Collective: Cash payers who want compounded semaglutide or tirzepatide, plan to stay a while, and want one price at every dose.

Best for MEDVi: People who want a daily tablet, a brand-name option like the Wegovy pill, or no annual fee.

Not best for either: Anyone pregnant or under 18. GLP-1 safety: do not use if you or a family member has had medullary thyroid cancer (MTC), or if you have MEN 2.

What matters most: Both sell compounded drugs, which are not FDA-approved. If you want an FDA-approved drug or insurance help, see GLP-1 providers that accept insurance.

Collective vs MEDVi at a glance

Prices are what each company's own pages listed on November 2, 2026. Confirm the final price at checkout.

The short version

Both companies sell compounded GLP-1 shots through online doctors. Neither bills insurance. Both ship to your door.

The big differences are how you pay and what else is on the menu:

• Collective charges a low flat price for the drug and makes its money partly on a $199 yearly membership. It sells only two drugs: compounded semaglutide and compounded tirzepatide.
• MEDVi has no membership fee, but the monthly drug price is much higher. It also sells daily tablets and lists brand-name drugs.

If all you want is a compounded weekly shot at the lowest price, the math favors Collective. If you want a pill, a brand-name drug, or a company that has been around longer, MEDVi is the one to look at.

Both sell compounded drugs. Here's what that means.

Compounded semaglutide and tirzepatide are made by pharmacies, not by the drug makers. Compounded drugs are not FDA-approved. The FDA says it does not review them for safety, effectiveness or quality before they are sold.

Doctors can still prescribe them. They might be right if an FDA-approved drug isn't a fit for you. But they are not the same as Wegovy, Ozempic, Mounjaro or Zepbound.

What each company says:

• Collective says every prescription is written by a US-licensed doctor and filled by a "state-licensed US pharmacy," and that "every batch is third-party tested for purity and potency." Collective's site does not name the pharmacy or the testing lab.
• MEDVi says its compounded drugs "are dispensed by state-licensed pharmacies but are not FDA approved." Its terms name three partner pharmacies: Triad Rx, RedRock Pharmacy, and Beaker Pharmacy & Compounding.

That is one real point for MEDVi. You can look up the pharmacies it names. With Collective, you have to ask.

For more on how compounded drugs are made and checked, see Is compounded semaglutide safe?

Is Collective cheaper than MEDVi?

Yes, by a lot, on the prices both companies listed on November 2, 2026.

Collective's prices:

• Compounded semaglutide: $59 a month.
• Compounded tirzepatide: $69 a month.
• Same price at every dose. Collective says it does not raise your price as your dose goes up.
• Plus a $199 membership, billed once a year, after a 21-day free trial.

MEDVi's prices:

• Compounded semaglutide shots: MEDVi's own landing pages showed two price sets on November 2. Some showed $99 for the first month, then $199 a month. Another showed $179 for the first month, then $299 a month.
• Dissolvable tablets: "Starting at $249."
• Wegovy pill: "$99 Membership + Medication Cost."
• No membership fee for its compounded plans, per MEDVi.
• MEDVi's terms say the final charge "may fluctuate" based on the drug prescribed and the pharmacy used.

We could not confirm MEDVi's compounded tirzepatide price on November 2. Its main site did not load for us, and the pages we could open did not list it. Our MEDVi cost guide has more on MEDVi pricing.

Year-one cost, compounded semaglutide

Year-one cost, compounded tirzepatide

Even if you pay MEDVi's lower semaglutide price, Collective comes out about $1,381 cheaper over 12 fills. At MEDVi's higher price, the gap is about $2,561.

Six fills, semaglutide: Collective $553 ($199 + 6 x $59). MEDVi $1,094 to $1,674.

Collective's own comparison: Collective's home page shows a six-month cost chart. It lists Collective at $613 and MEDVi at $2,194, using "standard monthly pricing" and competitor prices "as of August 2026." That is Collective's own comparison, not ours. Its $613 matches six months of tirzepatide plus the membership. We could not check the MEDVi number it used.

What does Collective's $199 membership cover?

This is the part to understand before you sign up.

Collective says the $199 yearly membership covers:

• A doctor-written plan made for you.
• Unlimited messaging with doctors.
• Check-ins and dose changes.
• Nutrition and lifestyle support.
• Express cold shipping.

The medication is billed on top of that, at $59 or $69 a month.

How the trial works:

1. You pay for your first month of medicine. The membership is free for 21 days.
2. If you don't cancel before day 21, the membership becomes $199, billed for the year.
3. It renews every year unless you cancel.

The fine print: Collective's FAQ says you can cancel "right from your account" with "no phone calls." Its terms say "all membership fees are non-refundable, and partial-period refunds are not provided."

So if you want to try one month first, cancel before day 21. If you miss it, plan on that $199 being gone.

Collective's terms also say "Prices are subject to change at any point in our sole discretion." Membership price changes are announced in advance and start at your next membership period. Collective may also charge a "nominal, uniform technology transaction fee" for each e-prescription.

MEDVi says it has no membership fee for its compounded plans. Our page on MEDVi membership fees covers that in more detail.

Refunds and canceling: Collective vs MEDVi

One conflict on Collective's side: Its FAQ promises a full refund if a doctor says the drug isn't right for you. Its terms say membership fees are non-refundable. If you're turned down, Collective says you're never charged for medicine you don't receive. Ask in writing how the membership is handled if you're not approved.

MEDVi's refund rules are in its cancellation and refund policy. Our MEDVi cancellation guide walks through it.

Which has more choices?

MEDVi does. On November 2, MEDVi listed:

• Weekly compounded shots.
• Daily dissolvable tablets (from $249).
• Brand-name drugs: the Wegovy pill, Wegovy shots and Zepbound.

If you want a pill, see our MEDVi pills review. If you want an FDA-approved drug, MEDVi lists them, or see GLP-1 providers that accept insurance.

Collective sells two drugs: compounded semaglutide and compounded tirzepatide. Both come in vials. Collective says your doctor can:

• Pick the drug with you based on your goals and history.
• Use a lower "microdose" if big weight loss isn't the aim.
• Switch you from one drug to the other, with their approval.
• Keep your current dose if you're switching from another company, if the doctor approves.

Side effects and support

GLP-1 side effects are mostly in the gut: nausea, vomiting, diarrhea and constipation. They're most common early on and after a dose goes up.

Collective says its doctors may:

• Offer an optional twice-a-week dosing plan to ease nausea.
• Prescribe an anti-nausea drug "when it helps."
• Message with you as much as you need. Messaging is part of the membership.

MEDVi says it offers "Unlimited 24/7 support" with "unlimited appointments, messaging and support."

We have not tested either company's support. On Trustpilot, the most common complaint about Collective is slow replies to dose questions. MEDVi's most common complaints are damaged or incomplete deliveries and refunds or replacements. More on that below.

How fast do you get your medicine?

Collective says a doctor reviews your intake, "usually within a day or two." It says most orders arrive within 7 days of finishing your medical review, shipped cold by 2-day express. If you're switching from another company, Collective suggests starting "about a week before" your next dose is due.

MEDVi says its providers review your answers after the online visit, and if approved, your medicine ships "right from the pharmacy to your door." We did not find a stated delivery time on the MEDVi pages we opened.

FDA warning letters

MEDVi: The FDA sent MEDVi a warning letter dated February 20, 2026. The FDA said:

• Pictured labels named MEDVi, suggesting MEDVi made the drugs "when in fact it is not."
• Claims like "Same active ingredient as Wegovy® and Ozempic®" implied the drugs were FDA-approved when they're not.

The FDA called those claims false or misleading. A warning letter is not a ban. MEDVi still sells today. Our page Is MEDVi FDA-approved? covers this in more detail.

Collective: We found no FDA warning letter naming Collective, CollectiveOS, or Health for Everyone Inc. as of November 2, 2026. That does not mean the FDA has reviewed Collective's drugs. Compounded drugs are not FDA-approved.

For the bigger picture, see our GLP-1 compounding enforcement tracker.

Who runs each company?

Collective is run by Health for Everyone Inc., doing business as CollectiveOS, based in Houston, Texas. Its CEO, Gunnar Lovelace, founded Thrive Market. Collective is a new company. Its Trustpilot page was claimed in July 2026.

Collective says that for every paid membership, it gives one to someone who otherwise couldn't afford it. We could not check how that works.

MEDVi says it has "500,000+" patients. It lists an office in Newark, Delaware. Its doctors work through OpenLoop Health and CareGLP affiliated medical groups.

Collective's terms say its doctors and pharmacies are independent third parties. Disputes go to binding arbitration.

What do reviewers say?

We checked both companies on Trustpilot on November 2, 2026. We do not publish customer quotes or testimonials.

Collective: Trustpilot's AI summary says reviewers praise the low price, easy sign-up, helpful medical team, and on-time cold shipping. Complaints include slow replies to dose questions and missing items.

MEDVi: Trustpilot's AI summary says reviewers praise staff and support. Complaints include damaged or incomplete deliveries and poorly handled refunds or replacements.

Keep the sample sizes in mind. Collective has far fewer reviews because it is much newer. Both companies ask customers for reviews, which can push scores up.

Want tirzepatide feedback on Collective in detail? See our Collective tirzepatide reviews. For MEDVi, see our MEDVi reviews.

Insurance and HSA/FSA

Neither company bills insurance for its compounded plans.

• Collective says it "doesn't bill insurance." It says your medication and membership "may qualify for HSA/FSA reimbursement," and its HSA/FSA page explains itemized receipts and letters of medical necessity. Your plan decides what it pays back.
• MEDVi says all prescriptions are cash pay and calls itself "HSA/FSA Approved!" See Does MEDVi take HSA or FSA?

Where can you get each one?

Collective serves 44 states. It is not available in Alabama, California, Louisiana, Massachusetts, Mississippi, or Washington.

MEDVi's terms say to contact its customer service for the current list. Our MEDVi states guide has the state-by-state view.

If you live in one of Collective's six excluded states, Collective is not an option yet.

When is MEDVi the better pick?

MEDVi makes more sense if:

• You want a daily tablet instead of a shot.
• You want a brand-name drug like the Wegovy pill.
• You want to see your pharmacy named up front.
• You live in a state Collective doesn't serve.
• You don't want a yearly fee of any kind.

Read our MEDVi review or MEDVi tirzepatide reviews before you sign up.

When is Collective the better pick?

Collective makes more sense if:

• You want compounded semaglutide or tirzepatide at the lowest price we've seen from either company.
• You're on, or heading toward, a higher dose. The price stays the same.
• You plan to stay several months or longer, so the $199 spreads out.
• You don't want to prepay months of medicine. Collective bills monthly.

Try one month during the 21-day trial. If it's not for you, cancel before day 21 and you pay only for the medicine.

How do Collective and MEDVi compare on our ranking criteria?

See how we score in How We Rank.

Who should talk to a doctor first?

See your own doctor before using either service if you:

• Are pregnant, trying to get pregnant, or breastfeeding.
• Are under 18.
• Have had pancreatitis.
• Take insulin or other diabetes drugs.

GLP-1 safety: do not use if you or a family member has had medullary thyroid cancer (MTC), or if you have MEN 2.

A licensed clinician decides if any GLP-1 is right for you. Neither company promises a prescription.

FAQ

Is Collective cheaper than MEDVi?

Yes, for compounded semaglutide. On November 2, 2026, Collective listed $59 a month plus $199 a year: $907 for year one. MEDVi's pages listed $199 to $299 a month after the first month, with no membership: $2,288 to $3,468 over 12 fills.

Is Collective's $199 membership refundable?

Collective's terms say membership fees are non-refundable, with no partial refunds. Its FAQ says you're never charged the membership if you cancel before the 21-day trial ends. Cancel in your account before day 21 if you only want to try it.

Are Collective and MEDVi FDA-approved?

No. Their compounded semaglutide and tirzepatide are not FDA-approved. MEDVi also lists brand-name drugs, like the Wegovy pill, which are FDA-approved.

Does MEDVi have a membership fee?

MEDVi says its compounded plans have "No membership or hidden fees!" Its Wegovy pill plan lists "$99 Membership + Medication Cost."

Which pharmacy does Collective use?

Collective's site does not name it. It says a "state-licensed US pharmacy" fills each prescription and that every batch is third-party tested. MEDVi's terms name three partner pharmacies.

Can I switch from MEDVi to Collective?

Collective says you can switch and keep your current dose if its doctor approves. It suggests starting about a week before your next dose is due. Cancel MEDVi at least 72 hours before your next billing date so you're not charged again.

Your next step

If you want compounded semaglutide or tirzepatide at one flat price, start with Collective. The trial lets you try one month before the $199 membership kicks in.

Not sure a compounded shot is right for you? Find your GLP-1 path in about 2 minutes, no signup.

What we actually verified

We do not accept payment for rankings. How we compare providers is in How We Rank. We may earn a commission if you join through our links. Compare more programs on Best GLP-1 online programs or our GLP-1 cost comparison chart.

Sources

All checked November 2, 2026.

• Collective home page and Collective: tirzepatide
• Collective: terms of use
• Collective: HSA/FSA
• MEDVi home page and MEDVi GLP-1 plans
• MEDVi: terms and conditions
• MEDVi: cancellation and refund policy
• FDA: warning letter to MEDVi (February 20, 2026)
• FDA: concerns with unapproved GLP-1 drugs used for weight loss
• Trustpilot: Collective reviews
• Trustpilot: MEDVi reviews