Verdict84/ 100
Grade B · #20MadeMed
Publishes its price at every single dose, so the cost of the dose you titrate to is knowable on day one rather than a surprise at month four.
Visit MadeMedHead-to-head verdict
MadeMed vs Sesame Care
Two GLP-1 providers, ruled side by side on The Verdict Score — our published six-factor rubric. Same yardstick, and no score is adjusted for payment.
vs
Verdict87/ 100
Grade B+ · #4Sesame Care
An established national telehealth marketplace with the widest real brand-name GLP-1 access on the board — Wegovy (pen and pill), Zepbound, Ozempic and Mounjaro — plus provider-by-provider price transparency.
Visit Sesame CareThe verdict
Winner: Sesame Care
Sesame Care takes it with a higher Verdict Score — 87/100 to 84/100 (grade B+ vs B). Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program. MadeMed still earns its place — anyone who expects to titrate and wants the year-two cost visible before starting, with an oral route available without changing provider.
Neither of these is our overall #1. That title goes to CoreAge Rx (94/100) — the most honest middle of the market: nationwide access, both molecules at one flat, no-surprise price.
Factor by factor
Both scored on the same six factors — see the methodology. The brass bar marks the stronger side on each.
80Real-world results86
80
Real-world results86
95Price honesty80
95
Price honesty80
80Prescriber access92
80
Prescriber access92
88Formulary choice95
88
Formulary choice95
84Cancellation fairness82
84
Cancellation fairness82
79Member support80
79
Member support80
Price, coverage & features
| Metric | MadeMed | Sesame Care |
|---|---|---|
| Verdict Score | 84/100 | 87/100 |
| Grade | B | B+ |
| Semaglutide | $239/mo quarterly (from $199/mo on 6 months) | From $149/mo (brand Wegovy pill) |
| Tirzepatide | $399/mo quarterly (from $369/mo on 6 months) | Brand Zepbound (price varies) |
| Coverage | 40 states | Nationwide marketplace |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
MadeMed
What we like
- One flat price at every dose, published dose by dose — semaglutide 0.25mg to 2.4mg, tirzepatide 2.5mg to 15mg
- LegitScript verified, with board-certified physician review and US compounding pharmacies
- Full refund minus a $39 physician-visit fee if you are not prescribed — stated before checkout, not buried in terms
- Oral semaglutide and oral tirzepatide offered alongside the injections, with free overnight shipping and supplies included
The caveats
- The most expensive tirzepatide on this board at $399/mo quarterly
- Available in 40 states rather than nationwide — check yours before starting
- Compounded only, with no brand-name pathway
- Ships one vial every two months, a less flexible cadence than a monthly refill
Sesame Care
What we like
- Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Rybelsus
- Established platform (operating since 2018) with LegitScript, BBB accreditation and large third-party review volume
- You choose the provider and see the price up front — genuine marketplace transparency
- Oral routes available (Wegovy pill, Rybelsus)
The caveats
- A generalist marketplace, not a dedicated weight-loss program — lighter ongoing hand-holding than a specialist desk
- Two-part cost (a platform subscription plus the medication) makes the true monthly total harder to compare
- Brand-name cash prices can run high without insurance
Also worth a look
Anyone who expects to titrate and wants the year-two cost visible before starting, with an oral route available without changing provider.
Visit MadeMed Read the full MadeMed review →Our pick — visit
Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program.
Visit Sesame Care Read the full Sesame Care review →Keep comparing
Or browse the full comparison hub and the complete rankings.
Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.