Verdict
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 sets their own standard, and Sesame vets them only for licensing.
- Some clinicians on the platform will not write for a GLP-1.
- There is no care after the visit. You book again or you hear nothing.
- Sesame has no negotiated price on the drug. You pay whatever your pharmacy charges.
- There is no coaching, no dietitian and nobody checking in.
People who want a clinician to write the script and will run their own refills, sourcing and dose changes.
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.
| Signup / one-time | None |
| Membership / subscription | $99/mo |
| Medication (varies by dose) | $299–$349/mo |
| All-in, lowest maintenance dose | $398/mo |
Price since we started tracking
| Week | Price |
|---|---|
| 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 |
Through August 31 we tracked $358/mo, the 12-month plan rate.
From September 4 we publish the month-to-month total, $398/mo. Sesame Care did not change its price. We changed which of its published rates we headline. See the full price tracker.
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.
A licensed US pharmacy makes compounded semaglutide and tirzepatide to a prescription. They are not FDA-approved and they are not Wegovy, Ozempic, Zepbound or Mounjaro. The FDA does not review them for safety, effectiveness or quality, and their formulation, including the salt form, can differ from the approved drug. Confirm the active ingredient and the pharmacy with the prescriber. The FDA 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 uses a personalized-formulation model: the compound adds an active ingredient such as vitamin B12. Some state pharmacy boards tightened oversight through 2025 and 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.
The drug comparison table covers semaglutide vs tirzepatide on cost, side effects, and clinical evidence side by side.
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.
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..
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
- 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 parts, ten points each. The score is the average. Every part names what its number was read from.
Transparency
Terms
Experience
Options
Reviews
How this score was earned
- Pricing transparency 7/10
- Source: sesamecare.com/service/online-weight-loss-program, opened in a browser. Checked August 31, 2026. We kept the page we read it from, dated September 4, 2026.
- Cancellation terms 9/10
- Source: the program's published cancellation and refill terms. Checked August 31, 2026.
- Onboarding experience 8/10
- Source: the published intake and consultation pages. Checked August 31, 2026.
- Medication options 6/10
- Source: the program's published medication list and sourcing statement. Checked August 31, 2026.
- Member reviews 9/10
- Source: Trustpilot, 4.5 out of 5. See the profile.
Read how we check a price and keep the receipt →
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?
Partner programs
If Sesame Care isn't the right fit, here are three programs to consider next:
These programs pay GLP Chart a commission when you join. Disclosure
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.
Learn the category before you commit
Read these before signing up for any GLP-1 telehealth program, Sesame Care included:
