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, so nothing locks 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 a program that handles the medication for them.
Pricing
$358/mo cheapest cash maintenance: the $59/mo Success by Sesame subscription on a 12-month plan plus $299/mo NovoCare oral Wegovy at the maintenance dose. Month-to-month the subscription is $99/mo, which makes it $398. Starter pill doses start at $149/mo, so early months cost less.
| Signup / one-time | None |
| Membership / subscription | $59/mo |
| Medication (varies by dose) | $299–$698/mo |
| All-in, lowest maintenance dose | $358/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 |
Headline maintenance price, read off the program's published pricing every Monday. Tracking since May 2026, 15 checks so far. 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
The subscription is month-to-month at $99/mo and you can cancel it. The cheaper $59/mo rate requires a 12-month commitment, which is why our headline uses the month-to-month price.
How to cancel: Success by Sesame is a monthly subscription, billed every month at $99, cancellable month-to-month. The $59/mo rate is only available on a 12-month commitment. This replaced the older pay-per-visit model.
Medication options
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.
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
The member-reviews pillar 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?
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:
