Verdict
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, which is the point and the limit.
Best for
- Self-directed buyers who want a one-off prescription and will manage refills, sourcing, and titration on their own.
Not for
- Anyone wanting coaching, dietitian access, ongoing accountability, or an integrated medication supply chain.
Pricing
Single-visit pricing typically $30-$80 for a weight-loss consult, then medication filled separately at retail pharmacy on insurance or cash. No subscription. Refill visits priced individually.
Lock-in & cancellation
Month-to-month
Pure pay-per-visit. No membership, no recurring billing, no cancellation needed.
Medication options
Sesame does not dispense medication. Clinicians prescribe to your retail pharmacy of choice; sourcing and pricing happen outside the platform.
FDA-approved branded
- Wegovy
- Zepbound
- Ozempic
- Mounjaro
- Saxenda
503A-compounded
- None offered
Other medications
- Metformin
- Phentermine
- Contrave
- Qsymia
Onboarding experience
Time to first prescription: 1 day.
Consultation type: Synchronous video with marketplace clinician.
Requirements: Pick a clinician, book a visit, complete intake form, attend video call..
Member feedback
Loved by self-directed buyers; criticized by patients who expected a program. Quality of clinician encounter varies more than at integrated providers because each one operates independently.
What works
- Cheapest path to a script
- Same-day visits
- No subscription trap
- Wide clinician selection
What to watch
- Provider quality varies
- No follow-up unless you book again
- Pharmacy cost separate
- Some clinicians refuse to prescribe GLP-1
How we scored Sesame Care
Five dimensions, ten points each, weighted equally. Overall is the simple average.
Transparency
Terms
Experience
Options
Outcomes
Frequently asked questions
Does Sesame include the medication?
Will any Sesame doctor prescribe Wegovy or Zepbound?
Do I need a follow-up?
Alternatives to Sesame Care
If Sesame Care isn't the right fit, here are three programs we'd consider as next options:
