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The GLP-1 Verdict
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Ranked #3 · Grade B+

Sesame Care review

By Alyssa Selinger, EditorPricing checked

Sesame Care in brief

Sesame Care suits people who want a brand-name GLP-1, not a compounded one, and a real doctor relationship to go with it. Expect two bills: the Success by Sesame membership ($99 a month, or $59 on the annual plan) plus the drug, which starts at $149 for the Wegovy pill. That stacking is the catch.

  • PriceFrom $149/mo + membership
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Semaglutide
From $149/mo (brand Wegovy pill)
Tirzepatide
From $299/mo (brand Zepbound)
Coverage
Nationwide marketplace
Brand-name
Yes

Sesame Care pricing

As listed on Sesame Care's own site, October 2026.

Sesame Care plans and prices, October 2026
Success by Sesame membershipPrice $99/moBilling Month to month; $59/mo on the annual planIncludes Video visits, unlimited provider messaging, labs at Quest, tracking tools
Wegovy pill (1.5 mg, 4 mg)Price $149/moBilling Medication, on top of membershipIncludes Brand oral semaglutide at starting doses
Wegovy pill (9 mg, 25 mg)Price $299/moBilling Medication, on top of membershipIncludes Brand oral semaglutide at maintenance doses
Wegovy penPrice $199/mo, then $349/moBilling Intro price for new patients' first two monthsIncludes Brand injectable semaglutide
Zepbound KwikPenPrice $299 to $698/moBilling Varies by dose, on top of membershipIncludes Brand injectable tirzepatide
Foundayo (orforglipron)Price $149 to $349/moBilling Varies by dose, on top of membershipIncludes Brand oral GLP-1 tablet
See plans on Sesame Care

Our take on Sesame Care

Sesame began as a cash-price marketplace for doctor visits, and its weight-loss offer still carries that DNA. The program is called Success by Sesame: you pick a provider, meet them over video, and they prescribe from a list made up entirely of FDA-approved brands. On Sesame's own site that list includes the Wegovy pill and pen, Zepbound, Ozempic, Mounjaro and the newer Foundayo tablet. We did not see compounded semaglutide or tirzepatide on the program page in October 2026, which is the single biggest difference from most cash-pay GLP-1 sites.

The pricing is unusually specific for brand-name drugs, but you have to do the addition yourself. Membership is $99 month to month, with savings on 3-, 6- and 12-month terms that bring it down to $59 a month on the annual plan. Medication is billed on top. The Wegovy pill is $149 at the two starting strengths and $299 once you reach the 9 mg and 25 mg maintenance doses. The Wegovy pen is $199 for a new patient's first two months, then $349. Zepbound pens run $299 to $698 depending on dose, Ozempic starts at $199, and Foundayo climbs from $149 to $349 as the dose rises. So a realistic first month on the pill is about $248 before insurance, and a maintenance month on Zepbound can pass $700.

What the membership buys is more than a prescription refill desk. Sesame lists video visits and unlimited messaging with the provider you chose, lab work at Quest Diagnostics, and tracking tools for food, exercise and sleep. Insurance is optional, but Sesame says it will handle prior authorization, and with commercial coverage the drug can drop to as little as $25 a month. Medicare and Medicaid usually will not pay for weight-loss use, and the site says so.

The fit is clearest for someone who has insurance that might cover a brand GLP-1, or who simply refuses a compounded drug and wants the same named clinician each month. Bargain hunters will find lower totals elsewhere, because Sesame's cheapest real month still stacks a membership on top of a brand-name medicine price.

Signing up, paying and canceling

What Sesame Care's own site shows a new patient.

  • Signup is a short questionnaire, then a scheduled video visit with a provider you choose; prescriptions go to a local pharmacy for same-day pickup or ship home.
  • Labs are included only at Quest locations, and Sesame excludes Arizona, Hawaii, North Dakota, New Jersey, New York, Oklahoma, Rhode Island, South Dakota and Wyoming, where you pay for lab work separately.
  • Refunds are tight: cancel at least three hours before your first visit for your money back; once that visit happens, the first month is not refunded.
  • To stop an ongoing membership you must cancel before the next billing cycle starts; the site shows no partial-month credit.

The scorecard

Sesame Care scored on our six published factors. See the methodology.

Real-world results86/100
Price honesty80/100
Prescriber access92/100
Formulary choice95/100
Cancellation fairness82/100
Member support80/100

What we like

  • Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Foundayo
  • 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, Foundayo)

The caveats

  • A generalist marketplace, not a dedicated weight-loss program — lighter ongoing hand-holding than a specialist desk
  • Two-part cost: a $99/mo membership ($59/mo on the annual plan) is billed on top of the medication, so the true monthly total is harder to compare
  • Brand-name cash prices can run high without insurance — a maintenance month of Zepbound can pass $700 with the membership

Sesame Care: common questions

How much does Sesame weight loss cost?

Plan on two charges. The Success by Sesame membership is $99 a month, or $59 a month on an annual plan, and medication is extra. The Wegovy pill starts at $149, the Wegovy pen at $199 for two months then $349, and Zepbound from $299. With commercial insurance the drug can fall to about $25.

Does Sesame prescribe compounded semaglutide?

Not on its current program page. In October 2026 the Success by Sesame list was all FDA-approved brands: Wegovy pill and pen, Zepbound, Ozempic, Mounjaro and Foundayo. If you specifically want a cheaper compounded drug, Sesame is not built for that.

Does Sesame take insurance for GLP-1s?

Yes, for the medication. Sesame says many private plans offer some coverage and that it handles prior authorization, with insured costs as low as $25 a month. Medicare and Medicaid generally do not cover GLP-1s for weight loss, and the membership itself is self-pay, though HSA and FSA funds are eligible.

Can you cancel Sesame anytime?

You can stop the membership before the next billing cycle starts. The first month is only refundable if you cancel at least three hours before your initial video visit; after that visit takes place, the first month's charge stays.

The verdict

Best for: 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. An established national telehealth marketplace carrying real brand-name GLP-1s — Wegovy (pen and pill), Zepbound, Ozempic, Mounjaro and the Foundayo pill — where most programs we rank carry none, plus provider-by-provider price transparency.

Ranked #3 of 548 providers we have reviewed — for comparison, read our CoreAge Rx review, ranked #1. In the ranking it sits between Eden at #2, 91/100 above and Shed at #4, 87/100 below, with the Ondra Health write-up the next one down.

Weighing it against something else? Every provider we would put in front of Sesame Care is ranked on price honesty, prescriber access and cancellation terms. For the wider picture, every review we have published ranks the field on the same six factors. We have also compared it head to head: CoreAge Rx vs Sesame Care goes to CoreAge Rx, 94/100 to 87/100. The other matchup worth reading is Eden against Sesame Care, a 4-point call. We have also compared Sesame Care against Shed, which finishes level at 87/100. We have also compared Sesame Care against Ondra Health, which goes to Ondra Health, 89/100 to 87/100.

Compare with other providers

The closest reviews to Sesame Care by Verdict Score — the realistic shortlist if you are weighing this one up.

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

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