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Head-to-head for women
Collective vs Enhance MD
Collective and Enhance MD both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.
Collective
Ranked #70 for women · Grade C
Luna Fit
Best for: A woman who will stay on treatment for a full year and can do the arithmetic the headline leaves out: $59 a month plus $199 once is $907 in year one.
Visit CollectiveEnhance MD
Higher scoreRanked #2 for women · Grade A−
Luna Fit
Best for: Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes.
Visit Enhance MDThe verdict for women
Enhance MD edges out Collective on the Luna Fit Score, 92 to 67 (A− vs C). Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes. The reasoning behind that number is in the Enhance MD scorecard.
Collective is still a genuine option — the lowest medication figures reviewed here by a distance — and neither of them is what a year actually costs, because a $199 annual membership is required to buy at all. Weigh the six women's-health factors below against your own priorities; the Collective scorecard goes through each of them, and if neither of these two is the one, the Collective alternatives, scored on the same six factors widens the field.
Side-by-side on the six factors
Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.
Price, access & features
| Detail | Collective | Enhance MD |
|---|---|---|
| Luna Fit Score | 67/100 · C | 92/100 · A− |
| Overall rank | #70 | #2 |
| Semaglutide | $59/mo for the medication, on top of a required $199-a-year membership the headline leaves out | $249 every 4 weeks month-to-month (13 charges a year); $212/mo only on the 12-month prepay |
| Tirzepatide | $69/mo for the medication, on top of the same required $199-a-year membership | $329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay |
| Coverage | All 50 states and DC, per its own intake selector | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Luna Fit
Collective
Ranked #70 · Grade C
What we like
- Both medication figures are published before any intake, and they are the lowest here
- The membership opens with a 21-day trial before the annual charge lands
- Unlimited provider messaging, ongoing check-ins and dose adjustments, plus nutrition and lifestyle support, are inside the membership rather than sold on top
The caveats
- The headline omits the mandatory $199 annual membership; it appears only in a card panel, a small disclaimer and the FAQ
- Membership fees are non-refundable with no partial-period refund, so "cancel anytime" stops the next renewal and returns nothing
- The Terms reserve an unpriced technology fee on every electronic prescription while the homepage promises no hidden costs
Luna Fit
Enhance MD
Ranked #2 · Grade A−
What we like
- Unusually transparent tiered pricing — semaglutide $212/mo (first month $112), tirzepatide $280/mo, microdose $169/mo, and a combo option at $322/mo
- Dose-flat billing, so a titration up doesn't quietly raise your monthly cost
- Six-month metabolic lab testing with provider oversight — a real clinical loop, not a prescription-only handoff
The caveats
- Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
- No brand-name path and no oral or sublingual route for the needle-averse
- Licensed in all 50 states, though their own FAQ lists product as launched in 40 plus DC so far — worth confirming your state before you start
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.
More head-to-heads
Neither Collective nor Enhance MD is only worth comparing with the other. Collective is also written up against CoreAge Rx, 26 points apart on the Luna Fit Score — see the Collective–CoreAge Rx head-to-head. Enhance MD is also written up against CoreAge Rx, 1 point apart — see the Enhance MD–CoreAge Rx head-to-head.
- Collective vs CoreAge Rx
- Collective vs Eden
- Collective vs yourEra
- Enhance MD vs Sesame Care
- Enhance MD vs HealthRX
- Enhance MD vs MadeMed
Or browse the full comparison hub.