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Collective vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Collective and Twentyeight Health based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 68.6/100), leading on trust & safety, experience, product range, reputation. Collective comes out ahead on value.

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Collective is a new GLP-1 weight-loss service from Thrive Market founder Gunnar Lovelace. It sells compounded semaglutide at $59/mo and tirzepatide at $69/mo at every dose, plus a $199 annual membership.

Visit Collective
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Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionCollectiveTwentyeight Health
Overall Score68.6/10075/100 ✓
Trust & Safety30%66/10076/100 ✓
Value25%90/100 ✓80/100
Experience20%70/10072/100 ✓
Product Range15%45/10072/100 ✓
Reputation10%55/10070/100 ✓

At a Glance

Founded—2018
Headquarters—Brooklyn, NY
Publicly tradedNoNo
Treatment categories14
Treatments listed37
Starting price$17/mo$15/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryCollectiveTwentyeight Health
Weight Loss / GLP-1$17
Annual Membership
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Collective

+Lowest all-in compounded GLP-1 pricing we track: $59/mo semaglutide or $69/mo tirzepatide plus $199/yr membership (about $76–86/mo)
+Flat pricing at every dose, so the monthly cost does not climb during titration
+Membership includes unlimited physician messaging, quarterly dose reviews and registered-dietitian access
−Dispensing pharmacies, medical group and headquarters are not disclosed. The site only says 'state-licensed US pharmacies'
−Very short track record: 38 Trustpilot reviews and no independent press coverage beyond the founder's profile
−GLP-1 weight loss only, with no branded Wegovy/Zepbound option for patients who want FDA-approved product
Read the full Collective review →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

Collective vs Twentyeight Health — FAQ

Is Collective better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 68.6/100), leading on trust & safety, experience, product range, reputation. Collective comes out ahead on value.

Is Collective or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $17/mo for Collective). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Collective and Twentyeight Health both offer?

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Both platforms treat Weight Loss / GLP-1. Collective covers 1 treatment category total and Twentyeight Health covers 4.

Still deciding?

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