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bmiMD vs Sesame Care: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
54 providers verified independently·Independent researchHow we rank →

Short answer: bmiMD scores higher on our rubric, 8.0/10 against 7.9/10. Full reasoning, pricing and the cases where the other one wins are below.

bmiMD beats Sesame Care overall, scoring 8/10 vs 7.9/10. Published pricing is not a like-for-like monthly comparison: bmiMD is $289/mo month-to-month; Sesame Care is published $99/mo; total not verified. Choose bmiMD for users who want an established, large-scale platform with same-day consults and strong promo pricing. Choose Sesame Care for users who want cheap fda-approved brand-name glp-1 access ($149-349/mo wegovy and zepbound via success by sesame), or insured patients who just need a prescriber.

A side-by-side look at bmiMD and Sesame Care to help you decide. We compare them on:

  • Starting price per month
  • Our overall score, out of 10
  • Medication type, brand-name or compounded
  • Whether they accept insurance
  • Who each one is best for
Higher Rated

bmiMD

#4 of 54
8/10

Budget-friendly GLP-1 platform offering both medication types at one of the lowest price points in the market.

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Sesame Care

#5 of 54
7.9/10

Telehealth marketplace offering both a low-cost consultation model ($25/visit) and the new Success by Sesame membership program ($59/mo on 3/6/12-month plans), which coordinates access to FDA-approved brand-name GLP-1 medications including Foundayo (orforglipron), Wegovy pen and pill, and Zepbound. Medication is billed separately.

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FeaturebmiMDSesame Care
Why each oneOne of the largest GLP-1 telehealth platforms (80,000+ customers) with same-day physician consults and a money-back eligibility guarantee.The broadest FDA-approved brand-name GLP-1 menu among low-cost telehealth options, Wegovy pen and pill, Zepbound, Ozempic, Mounjaro, Rybelsus, and Foundayo, coordinated through the new Success by Sesame membership at $59/mo plus medication.
Our Score8/107.9/10
Headline Price$289/mo month-to-monthpublished $99/mo; total not verified
Medication TypeBothBoth
Insurance AcceptedNoYes
Best ForUsers who want an established, large-scale platform with same-day consults and strong promo pricingUsers who want cheap FDA-approved brand-name GLP-1 access ($149-349/mo Wegovy and Zepbound via Success by Sesame), or insured patients who just need a prescriber
Watch out forStandard semaglutide pricing is $289/mo, above competitors at $99-199/mo; the TAKEOFF 3-month entry (about $99/mo first month) and annual plans from $99/mo bring the effective rate downTwo distinct products (pay-per-visit vs the Success membership) sit side by side, so decide which you're buying before checkout
Ranking#4#5
Get startedVisit bmiMDVisit Sesame Care

Pros & Cons Compared

bmiMD

Pros

  • +Same-day physician consults, one of the few platforms offering telehealth appointments the same day you apply
  • +80,000+ customer base with a 4.3-star Trustpilot rating (600+ reviews) provides real social proof of reliability
  • +100% money-back guarantee if your consultation determines you don't qualify for GLP-1 treatment
  • +HSA/FSA accepted for all programs

Cons

  • Standard semaglutide pricing is $289/mo, above competitors at $99-199/mo; the TAKEOFF 3-month entry (about $99/mo first month) and annual plans from $99/mo bring the effective rate down
  • $29.99 shipping fee per order where most competitors ship free; factor it into your monthly total
  • A $50 non-refundable cancellation fee applies after intake approval; decide before the consult, and cancel at least 48 hours ahead of your monthly processing date

Sesame Care

Pros

  • +Success by Sesame program launched 2026, $59/mo on a 3/6/12-month plan, includes labs, unlimited messaging, and provider choice; medication is separate
  • +Brand-name cash pricing is competitive, Wegovy pen $199 intro / $349 ongoing, Zepbound vial $299, Wegovy pill $149
  • +Foundayo (Lilly's FDA-approved oral GLP-1) available as of April 2026 at $149/mo
  • +Original pay-per-visit model still available at $25/consultation for users who just need a prescriber

Cons

  • Two distinct products (pay-per-visit vs the Success membership) sit side by side, so decide which you're buying before checkout
  • The $59/mo Success by Sesame rate requires a 3-month minimum commitment; month-to-month is available at $99/mo if you don't want to commit
  • Compounded meds are de-emphasized in the current marketing, the platform now leads with FDA-approved brand-name paths
  • A marketplace rather than a concierge, expect less hand-holding than dedicated subscription platforms

Our Verdict

bmiMD edges out Sesame Care with a score of 8/10 vs 7.9/10. Published pricing is not a like-for-like monthly comparison: bmiMD is $289/mo month-to-month; Sesame Care is published $99/mo; total not verified. Sesame Care accepts insurance, which can significantly reduce your out-of-pocket costs.

Related comparisons

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