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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, Noom Med wins on specific dimensions. The behavioral app most people loved is now bundled with a medication tier and a microdose option that no other major program offers. Watch the dual billing.
Side-by-side
| Noom Med | Sesame Care | |
|---|---|---|
| Starts from | $279/mo (+ med separate) | $189/mo (+ med separate) |
| Monthly cost gap | Sesame Care is $50/mo cheaper than Noom Med | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 5 days | 1 day |
| Consultation type | Live | 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.
| Noom Med | Sesame Care | |
|---|---|---|
| Pricing transparency | 6/10 | 8/10 |
| Cancellation terms | 9/10 | 10/10 |
| Onboarding experience | 8/10 | 8/10 |
| Medication options | 8/10 | 6/10 |
| Member reviews | 8.8/10 | 9/10 |
When to choose Noom Med
Best for behavioral coaching plus meds
Patients who want CBT-style behavioral coaching alongside medication, or who specifically want a microdosed GLP-1 protocol.
Noom Med wins on medication options on the dimensional scoring. The caveat: Patients who only want medication and no behavioral content, or who find Noom's app interface annoying.
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, member reviews and runs $50/mo cheaper than Noom Med at the entry tier ($229 vs $279). Over a year that's $600 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 $279 for Noom Med. That's $50 a month or $600a 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 $150 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
Noom Med (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 Noom Med cheaper than Sesame Care?
Can I switch from Noom Med 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
