GLP Watchdog

Sesame Care vs SkinnyRx

SkinnyRx has an open FDA warning letter dated February 20, 2026. Sesame Care has none. No price lines up like for like. They share brand-name semaglutide pen, but Sesame Care's $349 covers the medication only, with a separate care fee on top.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Sesame Care / SkinnyRx

Sesame Care logo

Sesame Care

8.1/10

SkinnyRx logo

SkinnyRx

6.3/10

FDA warning letters
None on record
Pharmacy
None named in our record
None named in our record
Lowest standing price
$149/moBrand-name semaglutide pill, medication only, care fee extra
$248/moBrand-name semaglutide pill
States
No state list published
47 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Sesame Care
Visit SkinnyRx

Both Sesame Care and SkinnyRx are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Sesame Care 8.1, SkinnyRx 6.3). How we are paid

What the record shows

  1. 01

    SkinnyRx has an open FDA warning letter dated February 20, 2026. Sesame Care has none.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    No price lines up like for like. They share brand-name semaglutide pen, but Sesame Care's $349 covers the medication only, with a separate care fee on top.

  4. 04

    Only SkinnyRx lists a price for compounded semaglutide injection, compounded tirzepatide injection and compounded oral semaglutide.

  5. 05

    SkinnyRx lists 47 states. Sesame Care publishes no state list.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Sesame Care

SkinnyRx

Brand-name semaglutide pen

$349/mo

medication only, care fee extra; not compared

$1,400/mo

$16,800 a year

Brand-name tirzepatide pen

$299/mo

medication only, care fee extra; not compared

$1,400/mo

$16,800 a year

Brand-name semaglutide pill

$149/mo

medication only, care fee extra; not compared

$248/mo

$2,976 a year

Foundayo (orforglipron) pill

$149/mo

medication only, care fee extra; not compared

$248/mo

$2,976 a year

Compounded semaglutide injection
Not sold or not priced

$99/mo

first month only; not compared

Compounded tirzepatide injection
Not sold or not priced

$99/mo

first month only; not compared

Compounded oral semaglutide
Not sold or not priced

$149/mo

first month only; not compared

Compounded oral tirzepatide
Not sold or not priced

$199/mo

first month only; not compared

Price includes
Not stated
Medication, clinician visits, shipping
Cancel any time
Yes, stated
Yes, stated
Minimum term
None
None stated; subscriptions auto-renew until canceled at least 5 days before the renewal date
Refunds
Full refund only if you cancel at least 3 hours before the first visit; nothing back once that visit happens
Full refund before a provider completes the prescription review; no refunds for partially used subscription periods
Early-exit fee
None stated
Not stated

Read off each seller’s own pages. Sesame Care: October 30, 2026. SkinnyRx: October 30, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Sesame Care

8.1/10
  • No FDA warning letter on record
  • Names no compounding pharmacy
  • Publishes no state list
  • Lowest price covers the medication only, with a separate care fee on top
Visit Sesame Care

The case for SkinnyRx

6.3/10
  • Sells compounded semaglutide injection and compounded tirzepatide injection, which Sesame Care does not price
  • Open FDA warning letter, February 20, 2026
  • Names no compounding pharmacy
Visit SkinnyRx

Scores

Sesame Care 8.1 · SkinnyRx 6.3 out of 10. Six weighted parts.

Value25%

10.0A
vs
B
5.6

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

7.5A
vs
B
3.0

Trust & Safety15%

6.5A
vs
B
2.0

Accessibility10%

5.0A
vs
B
9.5

Support10%

5.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Sesame Care vs SkinnyRx: questions

SkinnyRx has an open FDA warning letter dated February 20, 2026. Sesame Care has none. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
No price lines up like for like. They share brand-name semaglutide pen, but Sesame Care's $349 covers the medication only, with a separate care fee on top. We only set two prices against each other when they are for the same product and both are standing month-to-month or 4-week rates.
Sesame Care states you can cancel at any time; refunds: full refund only if you cancel at least 3 hours before the first visit; nothing back once that visit happens. SkinnyRx states you can cancel at any time; refunds: full refund before a provider completes the prescription review; no refunds for partially used subscription periods.
Both Sesame Care and SkinnyRx are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Sesame Care 8.1, SkinnyRx 6.3).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register

Brand names on this page are registered marks. Novo Nordisk holds Wegovy®, Ozempic® and Rybelsus®; Eli Lilly holds Zepbound®, Mounjaro® and Foundayo®. Neither company has any tie to GLP Watchdog. Trademarks