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Quick verdict
Sesame Care is the better pick for most patients on overall scoring. Sesame is a cash-pay marketplace, not a program. Pay one fee, see one doctor, leave with a script. Cheapest path to a real branded GLP-1 prescription if you can fill it elsewhere. Zero ongoing care. That is the point and the limit.
That said, Hims & Hers wins on specific dimensions. Same-day prescription, no lock-in and brand-name confidence. Hims pivoted to branded-only in March 2026 after settling with Novo Nordisk; compounded semaglutide is closed to new patients. Headline price is $299/mo branded Wegovy injectable (self-pay), plus $149/mo membership.
Side-by-side
| Hims & Hers | Sesame Care | |
|---|---|---|
| Starts from | $299/mo (incl. medication) | $189/mo (+ med separate) |
| Monthly cost gap | Sesame Care is $70/mo cheaper than Hims & Hers | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 1 day | 1 day |
| Consultation type | Asynchronous | Live |
| Affiliate network | Impact | CJ |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Hims & Hers | Sesame Care | |
|---|---|---|
| Pricing transparency | 6/10 | 8/10 |
| Cancellation terms | 9/10 | 10/10 |
| Onboarding experience | 9/10 | 8/10 |
| Medication options | 5/10 | 6/10 |
| Member reviews | 6/10 | 9/10 |
When to choose Hims & Hers
Best for fast async onboarding
Patients who want a fast, low-friction async path to a branded GLP-1 prescription with predictable monthly pricing.
Hims & Hers wins on onboarding experience on the dimensional scoring. The caveat: Patients who wanted Hims's old compounded semaglutide tier or who need insurance-routed branded access. Compounded is closed to new patients. Note also: Settled with Novo Nordisk March 9, 2026 over compounded semaglutide marketing
When to choose Sesame Care
Best for one-off self-directed Rx
Self-directed buyers who want a one-off prescription and will manage refills, sourcing and titration on their own.
Sesame Care wins on pricing transparency, cancellation terms, medication options, member reviews and runs $70/mo cheaper than Hims & Hers at the entry tier ($229 vs $299). Over a year that's $840 you keep. The caveat: Anyone wanting coaching, dietitian access, ongoing accountability or an integrated medication supply chain.
If cost is your main filter
Sesame Care is the cheaper monthly: $229 all-in vs $299 for Hims & Hers. That's $70 a month or $840a year. The 12-month math matters most if you're planning to maintain on GLP-1 long-term. If you're running a 3-month trial, the $210 delta is small against the cost of stopping early on the wrong dose. Insurance changes the picture: if either program runs prior auth and your plan covers Wegovy or Zepbound, branded with copay can beat both cash-pay totals.
If lock-in is your main filter
Hims & Hers (month-to-month) and Sesame Care (month-to-month) sit at the same cancellation tier. Read both cancellation policies directly before signing; the on-page summary covers the headline but not the deletion-of-account or refund-window edge cases.
FAQ
Is Hims & Hers cheaper than Sesame Care?
Can I switch from Hims & Hers to Sesame Care mid-treatment?
Which program has better member feedback?
Read the full reviews
All head-to-head comparisons → · Full chart → · Cost guide · Programs guide
