Branded Wegovy, care plan only.

Sesame Care costs $398 a month

No insurance needed.

Prices checked September 21, 2026. How we check

7.8
OUT OF 10
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Cash prices by medication, then a short questionnaire

Sesame Care's Wegovy pill is $398 a month all in: the $99 membership plus the medication. Checked September 21. We log every price change on this page.

Verdict

Sesame is a cash-pay marketplace with a care plan on top. Success by Sesame runs $99 a month, billed each month, and its clinicians write to whatever pharmacy you name. You buy the drug on your own and pay for it there. It is a cheap way to a real branded script if you will handle the sourcing and refills yourself.

Pros

  • A low care fee for a real branded GLP-1 script: $99 a month, billed each month.
  • You can cancel month to month. Only the cheaper rates ask you to commit.
  • Same-day video visits with clinicians on the platform.
  • You name the pharmacy, so nothing ties you in.
  • Some clinicians speak Spanish.

Cons

  • Sesame is a marketplace. Each clinician works independently, and the visit varies with who you pick.
  • Some clinicians on the platform will not write for a GLP-1.
  • There is no care after the visit unless you book again.
  • Sesame has no negotiated price on the drug. You pay whatever your pharmacy charges.
Best for

People who want a clinician to write the script and will run their own refills, sourcing and dose changes.

Not for

Anyone who wants coaching, a dietitian, someone checking in, or a program that gets the drug for them.

What you pay

$398/mo is the cheapest cash route at maintenance: the $99/mo Success by Sesame plan, billed each month, plus the $299/mo NovoCare oral Wegovy pill at that dose. Commit and the plan gets cheaper: $79/mo on 3 months, $69/mo on 6 months and $59/mo for the year, which makes it $358 in total. Starter pill doses are $149/mo, so early months cost less.

Estimated cash price: $398/mo The medication is in that price. That is the $99 membership plus the $299 medication.
Signup / one-timeNone
Membership / subscription$99/mo
Medication (varies by drug)$299 to $349/mo
What you pay a month, everything in$398/mo

We read sesamecare.com on September 19, 2026.

Price since we started tracking

$398/mo up $169 since May 25
Sesame Care headline maintenance price by week (USD per month)
WeekPrice
May 25$229/mo
Jun 1$229/mo
Jun 8$229/mo
Jun 15$229/mo
Jun 22$229/mo
Jun 29$358/mo
Jul 6$358/mo
Jul 13$358/mo
Jul 20$398/mo
Jul 27$398/mo
Aug 3$398/mo
Aug 10$398/mo
Aug 17$398/mo
Aug 24$398/mo
Aug 31$358/mo
Sep 7$398/mo
Sep 14$398/mo
Sep 21$398/mo

Headline maintenance price, checked every Monday. Tracking since May 2026, 18 checks so far. See the full price tracker.

Aug 31 reads $358. The checks either side read $398.

The GLP-1 cost guide has what every other path costs.

Lock-in and how to cancel

  • Cancel anytime

The plan is billed each month at $99 and you can cancel it. The cheaper rates buy a commitment: $79/mo on the 3-month plan, $69/mo on the 6-month plan and $59/mo on the annual plan.

How to cancel: Success by Sesame is billed each month at $99 and you can cancel month to month. The $79, $69 and $59 rates need 3, 6 or 12 months. This took the place of the old pay-per-visit model.

Which drugs you can get

Sesame does not dispense medication. Clinicians prescribe to your retail pharmacy of choice; sourcing and pricing happen outside the platform.

About compounded GLP-1 in 2026.

A compounded GLP-1 is made by a licensed compounding pharmacy to a prescription; the FDA does not review it for safety, effectiveness or quality, and its formulation, including the salt form, can differ from the approved drug. Confirm the active ingredient and the pharmacy with the prescriber. What compounded means, in full.

FDA-approved branded

  • Wegovy
  • Zepbound
  • Ozempic
  • Mounjaro
  • Saxenda

Compounded

  • Compounded semaglutide (at cost, Success by Sesame)

Other medications

  • Metformin
  • Phentermine
  • Contrave
  • Qsymia

The drug comparison table covers semaglutide vs tirzepatide on cost, side effects, and clinical evidence side by side.

Where it's compounded

PharmacyMedivant (503B outsourcing facility) via Foothills Pharmacy
Regulatory model503B (FDA-registered outsourcing facility, batch production)
AccreditationMedivant: cGMP-aligned
DisclosurePublicly 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.

How long it takes to start

Days to your first prescription: 1 day.
Visit type: Live video visit with marketplace clinician.
What they ask for: Pick a clinician, book a visit, complete intake form, attend video call..

Is Sesame Care legit?

Yes. It is run by a company founded in 2018 and based in New York, NY. Licensed US clinicians write the prescriptions, and its compounded medication comes from Medivant through Foothills Pharmacy.

Sesame Care reviews

Sesame Care holds a 4.5 out of 5 rating on Trustpilot. GLP Chart scores it 7.8 out of 10. How we scored it.

Loved by self-directed buyers. Each clinician operates independently, so the visit varies with who you pick.

What works

  • Cheapest path to a script
  • Same-day visits
  • Wide clinician selection

What to watch

  • No follow-up unless you book again
  • Pharmacy cost separate
  • Some clinicians refuse to prescribe GLP-1

How we scored Sesame Care

Five parts, ten points each. The score is the average.

7
How clear
the price is
9
How easy
it is to cancel
8
How fast
you start
6
What drugs
you can get
9
What members
say

How this score was earned

How clear the price is 7/10
Source: sesamecare.com/service/online-weight-loss-program, opened in a browser. Checked September 21, 2026.
How easy it is to cancel 9/10
Source: the program's published cancellation and refill terms. Checked September 21, 2026.
How fast you start 8/10
Source: the published intake and consultation pages. Checked September 21, 2026.
What drugs you can get 6/10
Source: the program's published medication list and sourcing statement. Checked September 21, 2026.
What members say 9/10
Source: Trustpilot, 4.5 out of 5. See the profile.

Read how we check a price and keep the receipt →

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Frequently asked questions

Is Sesame Care a scam?
No. We found no evidence that Sesame Care is a scam. It is a functioning telehealth program with real medication and a published cancellation policy.
Does Sesame include the medication?
No. Sesame sells the care, not the drug. The $99 a month buys the clinician. You take the script to any pharmacy and pay for the drug there, which usually costs more than at a program that fills it for you.
Will any Sesame doctor prescribe Wegovy or Zepbound?
Most clinicians listed under weight loss will, but it is their call. Filter for GLP-1 or weight loss when you book.
Do I need a follow-up?
A refill usually means a new visit. Some clinicians will renew by message for less, so ask at your first visit.

Three programs to consider next

See the full chart →

Read before you sign up

Why you can trust GLP Chart. Same scoring framework applied to every program. No paid placements. We never remove unfavorable information at an advertiser's request. Pricing is pulled from each program's public-facing page every Monday.