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Ranked #70 for women · Grade C

Collective review

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.

Visit Collective Assume any provider we list may compensate us — we may earn a commission, at no cost to you. See our disclosure.
Semaglutide
$59/mo for the medication, on top of a required $199-a-year membership the headline leaves out
Tirzepatide
$69/mo for the medication, on top of the same required $199-a-year membership
Coverage
All 50 states and DC, per its own intake selector
Brand-name
Compounded only

The Luna Fit scorecard

Collective scored on our six women's-health factors. See the methodology.

PCOS & hormonal suitability70/100
Clinical oversight & labs55/100
Price transparency58/100
Nationwide access88/100
Ongoing support86/100
Cancellation fairness45/100

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 intake's own state selector covers all 50 states and the District of Columbia
  • No lab work is required to begin, and the site says so plainly instead of leaving it to the intake

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
  • No pharmacy is named and no 503A or 503B class is stated anywhere
  • No prescribing clinician is named, and nothing on the site addresses PCOS, the perimenopause transition or hormonal metabolic health

The bottom line

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. 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.

Ranked #70 of 80 providers we reviewed for women — see our #1 pick, CoreAge Rx, for comparison. Cancellation fairness is where Collective scores lowest, at 45/100. If that is your sticking point, start with the alternatives to Collective we rank for women.

Others in Collective's score range

The providers scoring closest to Collective on the same six factors. One of those comparisons is written out in full: the Collective–CoreAge Rx head-to-head, 26 points apart on the Luna Fit Score. Directly below Collective sits Fresh Day Meds at #71 with 71/100 — see the Fresh Day Meds alternatives, scored on the same six factors if that is the band you are shopping in.

See all 80 providers we've reviewed for women — ranked on the same rubric, with scores and pricing side by side.

Pricing, states and verification reflect Collective's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on Collective's site. Not medical advice; see our disclosure.

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