Sesame Care review
Sesame is a transparent-pricing telehealth marketplace that connects patients directly with independent provider practices — distinct from the stocked-formulary model of most weight-loss platforms.
Sesame Care publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
- Semaglutide
- From $149/mo (1.5 mg dose, compounded oral)
- Tirzepatide
- From $299/mo (2.5 mg dose, compounded)
- Coverage
- Coverage not published
- Price visible
- Before intake
The verdict
Sesame Care prints its price before the medical intake, which is the entry condition rather than the finish, and gives some of it back on the rest of the question — what the advertised figure is attached to, or who fills the prescription. It lands at 24 of 35.
The number beside Sesame Care's name answers one question — can you find out what this costs before you hand over your medical history? — and it is dominated by that. A program is credited for naming the pharmacies that compound its medicine and for publishing a certification credential, and docked when the advertised rate needs a commitment, when a second fee sits outside it, when the seller's own terms say the published figure is not what it will charge, and when the FDA has a warning letter on file. What the price turns out to be is not an input at all, which is why a cheaper program can sit below a dearer one here.
Who it is for, and who it is not
A good fit if
You want to compare before you hand anything over
Sesame Care publishes what it charges before the medical intake, so you can weigh it against anything else on this page without first giving a company your health history.
You weigh the operator as well as the price
Its operating record scores 80 out of 100 in the dataset behind this page — reported here, and deliberately kept out of the score beside its name, which is about price transparency and nothing else.
Look elsewhere if
You want to check the pharmacy
Sesame Care does not publicly name the compounding pharmacy that fills its prescriptions. That is common and it is not an accusation, but the one thing you would most want to verify about a compounded medicine is the one thing you cannot.
What it actually costs
Both figures below are reproduced exactly as we recorded them, with every condition attached. They are long on purpose: a monthly rate quoted without the term that buys it, the cadence it is billed on, or the dose it applies to is the single most common way a price on a page like this turns out to be untrue.
From $149/mo (1.5 mg dose, compounded oral)
From $299/mo (2.5 mg dose, compounded)
Coverage not published
Sesame Care pays us a commission if you start care through this link — as does every company with a review here, which is what decides who gets one, so this is not a survey of the market. See our disclosure, and weigh the trade-offs above against the evidence rather than taking our word for it. Sesame Care sells a prescription medicine, not a probiotic; this site's ranked shelf is the metabolic probiotic ranking, and a supplement is a different decision from a drug.
The pharmacy behind the medicine
It does not name its pharmacy. Sesame Care does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.
A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program on this page, including the ones that score highest, and it is the most important sentence on it.
The honest read
What it does well
- Marketplace transparency — pick a named provider with a displayed price before booking, unlike most opaque telehealth intake
- BBB-accredited and LegitScript-verified
- LillyDirect partnership unlocks Zepbound vial and KwikPen cash pricing matching Lilly's lowest direct rates ($299 at lowest dose)
- Wegovy self-pay promo ($199/mo for first two months, lowest dose, new self-pay) — among the lowest brand-Wegovy cash prices
What to check first
- Marketplace model means clinician credentials and quality vary provider to provider
- Statewide availability can't be listed — it depends on which marketplace providers are licensed in your state
- No in-house pharmacy — fulfillment splits across LillyDirect, NovoCare, and your retail pharmacy
- Compounded medications are not FDA-approved finished products
How it compares
Sesame Care sits at 24 of 35 on this page. Every prescription GLP-1 program this site links out to is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.
Because Sesame Care prints a figure before the intake rather than after it, it is also a ranked row on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking. Each is this same question narrowed to the programs that answer it, with every figure printed as we recorded it and its conditions attached rather than trimmed to fit a column.
- Gala review
From $1,299/mo (brand Ozempic)
- Found review
Brand-name Wegovy from $650/mo for the medication ALONE — its Branded plan bills membership separately at $99-$149 per cycle on top, so the real month-to-month floor is nearer $799; compounded semaglutide is $299/mo month-to-month, $199/mo only on a 12-month prepayShow the full pricing note
- SkinnyRx review
"As low as $199/mo" (compounded weekly injection; the asterisk is a plan ladder, so $199 is the bottom rung rather than the price of one month, and a microdose option is sold at the same address)Show the full pricing note
- Strut Health review
From $99/mo (compounded oral)
- Collective review
$59/mo for compounded semaglutide at any dose, plus a required $199 ANNUAL membership. Billed once a year, not monthly — a first year comes to $907Show the full pricing note
Read this before you start
Checked on Sesame Care's own site on . Prices change — confirm on Sesame Care's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.