Sesame Care Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.1/10
Best for: oral orforglipron alongside the injectables
Sesame Care scores highest on price and lowest on availability. It charges from $149 a month for the medication, plus a required care fee; its brand-name semaglutide, at $349 plus a required care fee, is 73% below the $1,299 median among the sellers we compare.
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medication only; a care fee is required on top
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
Prices checked October 2026
Sesame sells a care subscription, $59 to $99 a month, and nothing in it pays for the drug. Medication is brand-name only and billed at the maker's cash price: Wegovy pill and Foundayo from $149, Zepbound from $299 through LillyDirect, and a $199 Wegovy or Ozempic intro for new self-pay patients. Patients pick an independent provider from a marketplace rather than a house clinic.
Is Sesame Care legit?
Yes. Sesame Care is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 8.1/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a Sesame Care promo or coupon code?
We know of no promo or coupon code for Sesame Care. Its listed price is $149 a month for the medication, plus a required care fee. Coupon sites advertising "Sesame Care discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Sesame Care compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Sesame Care at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Liraglutide, Orforglipron, Wegovy, Ozempic, Zepbound, Mounjaro
- Starting price
- $149/mo + care fee
- Pricing model
- Rises with the dose: higher doses cost more
- FDA status
- No FDA warning letters found
How Sesame Care scores
Six columns, each one computed from something Sesame Care has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
10.0/10$349/month is 73% below the $1,299 median for brand-name semaglutide across the sellers we compare. That figure is the medication only; a care fee is required on top, so the comparison flatters it.
Effectiveness25%
10.0/10Dispenses orforglipron, semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
7.5/10A price is shown before the questionnaire starts. A live video visit is required, which is slower but the more careful intake.
Trust & Safety15%
6.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information.
Accessibility10%
5.0/10No state list is available to check, so this is held at the midpoint rather than scored on reach.
Support10%
5.0/10States too little about what the monthly cost covers to score the bundle. Held at the midpoint rather than assumed.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Sesame Care
Last checked October 2026- Checked the listed price across 10 dose or plan tiers
- Checked FDA warning letters for Sesame Care
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Sesame Care involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Sesame Care shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2The intake requires a live video visit with a clinician before a first prescription, which takes longer than a written form and is the more careful route.
- 3Ask Sesame Care which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- Lowest ongoing monthly price: semaglutide $149, tirzepatide $299, orforglipron $149. That leaves out membership fees, first-month rates and insurance copays.
- Confirm that Sesame Care serves your state before you start.
Cancelling Sesame Care
Taken from the terms Sesame Care publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None
- Refund policy
- Full refund only if you cancel at least 3 hours before the first visit; nothing back once that visit happens
- Early-termination fee
- None
Medications Sesame Care lists
Sesame Care lists Wegovy, Ozempic, Zepbound and Foundayo. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
Success by Sesame care plan. $99 month-to-month (billed every 28 days); the 3-month, 6-month and annual plans save $60, $180 and $480 per term. Annual works out to $59/mo. Covers video visits, messaging and labs.
$199/mo for the first two months at 0.25 or 0.5mg, new self-pay patients only. The offer now runs through December 31, 2026. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
low doses. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
high doses; maintenance dose $50/mo cheaper than Wegovy injection. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
$199/mo for the first two months at 0.25 or 0.5mg, same new self-pay terms as Wegovy; 2mg is $499/mo. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
$399/mo for 5mg; $449/mo for 7.5mg, 10mg, 12.5mg and 15mg. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
$399/mo at 5mg, $499/mo at 7.5mg, $699/mo at 10, 12.5 and 15mg. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
Program page: Zepbound pen at retail, 'Starts at $1,086', outside the LillyDirect self-pay channel. Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
Promo through December 31, 2026: $149 at 0.8 and 2.5mg, $199 at 5.5mg, $299 at 9mg, $349 at 14.5 and 17.2mg ($299 on the Journey Program if refilled within 45 days). Medication only: the Success by Sesame care plan ($59/mo on the annual plan, $99 month to month) is billed on top.
'Price with insurance: as low as $25 per / mo.' — copay varies by plan/PA outcome
Check the price yourself before you pay
Every figure here comes from Sesame Care's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- Semaglutide costs $349 a month for the medication, plus a required care fee, 73% below the $1,299 median for brand-name semaglutide across the sellers we compare
- Tirzepatide costs $299 a month for the medication, plus a required care fee, 77% below the $1,299 median for brand-name tirzepatide across the sellers we compare
- Orforglipron costs $149 a month for the medication, plus a required care fee, 40% below the $248 median for brand orforglipron tablets across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- We found no FDA warning letters issued to Sesame Care
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Against it
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
What Sesame Care charges
Sesame Care lists $149/month for the medication, plus a required care fee.
- Care subscription, annual plan (medication billed separately): $59/month
- Wegovy pen: $199/month for the first two months, then $349/month + care fee
- Wegovy pill (1.5 mg): $149/month + care fee
- Wegovy pill (9 mg): $299/month + care fee
- Ozempic: $199/month for the first two months, then $349/month + care fee
- Brand-name tirzepatide (vial): $299/month + care fee
For brand-name semaglutide, the median across the sellers we compare is $1,299/month, so Sesame Care's $349 is genuinely below the middle, not just advertised that way. Some of Sesame Care's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one.
Found, at about $149/month + membership, is the closest like-for-like alternative we review.
What Sesame Care dispenses
Sesame Care prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. The choice is between an FDA-approved pen and a compounded preparation that costs less. Compounding is lawful and often appropriate, but a compounded product is not an approved one, and the price gap is largely that difference. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy. The Wegovy pill is priced by dose; what it costs each way you can pay compares the routes.
Safety and disclosure
Sesame Care tells you its price before you start the medical questionnaire. We found no FDA warning letters issued to Sesame Care. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If Sesame Care will not tell you, treat that as a warning sign. Once you have the pharmacy's name, 503A vs 503B explains which regulator oversees it and how to check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You need insurance to cover the cost. Check whether Sesame Care bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
Our read
Sesame Care competes on price without an obvious sacrifice elsewhere: $349/month + care fee for brand-name semaglutide, no FDA warning letters.
The Bottom Line
Sesame Care scores highest on price and lowest on availability. It charges from $149 a month for the medication, plus a required care fee; its brand-name semaglutide, at $349 plus a required care fee, is 73% below the $1,299 median among the sellers we compare.
Before you pay Sesame Care
Starting at $149 a month for the medication, plus a required care fee. Check today's price, then start the intake.
Where Sesame Care is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these two counts, another seller does better.
- If the standing monthly cost is what decides it, consider WellMedRx (from $49/mo).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to Sesame Care sets more sellers in the same category beside Sesame Care on price, states and what the price includes.
Alternatives to Sesame Care
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Luvo Health
Best for: moving between compounded and brand without changing seller
Editorial score · methodology
Compare Sesame Care head to head
Our head-to-head pages for Sesame Care are Sesame Care vs Hims, Sesame Care vs SkinnyRx, Sesame Care vs Gala, Sesame Care vs Direct Meds, Sesame Care vs Embody, and Sesame Care vs CoreAge Rx.
Frequently Asked Questions
How to check Sesame Care yourself
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Sesame Care review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See Sesame Care's current pricing
Plans start at $149 a month for the medication, plus a required care fee. Whether you qualify is a clinician's decision, made after your intake.