Verdict
Pros
- Cheapest path to a real branded GLP-1 prescription, $30-$99 per visit.
- No subscription and no recurring billing. Nothing to cancel.
- Same-day video visits with marketplace clinicians.
- You pick the pharmacy, no integrated supply chain to lock you in.
- Spanish-speaking clinicians available.
Cons
- Provider quality varies, marketplace model means no editorial vetting.
- Some clinicians on the platform refuse to prescribe GLP-1.
- Zero ongoing care, no follow-up unless you book again.
- Medication cost is separate and not negotiated by Sesame.
- No coaching, dietitian or accountability layer.
Self-directed buyers who want a one-off prescription and will manage refills, sourcing and titration on their own.
Anyone wanting coaching, dietitian access, ongoing accountability or an integrated medication supply chain.
Pricing
$229/mo month-to-month low end ($99 membership + sema at cost from $130). The annual membership plan lowers it to $189/mo. Pay-per-visit one-off prescriptions also available.
| Signup / one-time | None |
| Membership / subscription | $99/mo |
| Medication (varies by dose) | $130–$698/mo |
| All-in, lowest maintenance dose | $229/mo |
Price since we started tracking
$229/mo, held flat across 7 weekly checks since May 2026. See the full price tracker.
See how Sesame Care compares with every path in our GLP-1 cost guide, or check the live price index for the full chart.
Lock-in & cancellation
Month-to-month
Pure pay-per-visit. There's no membership and no recurring billing. Nothing to cancel.
How to cancel: Success by Sesame is $59/mo on annual plan ($99 month-to-month); per-visit route has no recurring billing. Annual plan locks the $59 rate.
Medication options
Sesame does not dispense medication. Clinicians prescribe to your retail pharmacy of choice; sourcing and pricing happen outside the platform.
The FDA officially removed semaglutide from the drug-shortage list in February 2025, which narrowed the legal basis for routine 503A compounding of exact-copy semaglutide. Sesame Care addresses this by using a personalized-formulation model (the compound includes an additional active ingredient like vitamin B12) which is legally distinct from the FDA-approved product. The active GLP-1 molecule is the same; the regulatory framing is different. Some state pharmacy boards have tightened oversight in 2025-2026. For the full background see our compounded vs FDA-approved breakdown.
FDA-approved branded
- Wegovy
- Zepbound
- Ozempic
- Mounjaro
- Saxenda
Compounded
- Compounded semaglutide (at cost, Success by Sesame)
Other medications
- Metformin
- Phentermine
- Contrave
- Qsymia
Read the buyer's guide for the medications Sesame Care covers: Wegovy, Ozempic.
Where it's compounded
| Pharmacy | Medivant (503B outsourcing facility) via Foothills Pharmacy |
| Regulatory model | 503B (FDA-registered outsourcing facility, batch production) |
| Accreditation | Medivant: cGMP-aligned |
| Disclosure | Publicly disclosed |
Sesame named both Medivant and Foothills Pharmacy publicly, making it one of the more transparent programs. However, the FDA 503B semaglutide compounding window closed on 5/22/2025; Sesame's post-shortage compounding model is unconfirmed.
For background on 503A vs 503B regulation and how to vet a compounding pharmacy, see Which pharmacy compounds your GLP-1, and why it matters.
Onboarding experience
Time to first prescription: 1 day.
Consultation type: Live video visit with marketplace clinician.
Requirements: Pick a clinician, book a visit, complete intake form, attend video call..
Sesame Care reviews: what members report
Loved by self-directed buyers; criticized by patients who expected a program. Quality of clinician encounter varies more than at integrated programs 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
Reviews
Member reviews reflects Sesame Care’s Trustpilot rating of 4.5/5. See it on Trustpilot →
Frequently asked questions
Is Sesame Care legit?
Is Sesame Care a scam?
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:
Before committing to a cash-pay path, check whether your insurance covers a GLP-1 at the payer coverage center. On Medicaid, see Medicaid GLP-1 coverage by state first. If you need PA paperwork, the prior authorization letter library has templates for all major plans. Already denied? The appeal letter library has 120 templates by denial reason.
Direct head-to-head comparisons
Learn the category before you commit
Read these before signing up for any GLP-1 telehealth program, Sesame Care included:
Before committing to a cash-pay path, check whether your insurance covers GLP-1s at the payer coverage center. On Medicaid? See Medicaid GLP-1 coverage by stateto confirm your state’s formulary status before choosing a cash-pay program.
Similar programs
The three programs closest to Sesame Care on insurance model, medication supply and overall score, for comparison before you commit.
