Comparison · updated October 17, 2026

Collective vs Sesame Care: Collective for compounded medication, Sesame Care for brand-name medication

Collective and Sesame Care differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.

These two prices are different kinds of bill, so read the line under each price before you compare them.

Compare plans and terms

Collective and Sesame Care pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money

Which should you choose, Collective or Sesame Care?

Short answer: Choose Collective if you want a compounded medicine and accept that it is not FDA-approved. Choose Sesame Care if you want brand-name medicine rather than a compounded version.

Choose Collective if

  • you want a compounded medicine and accept that it is not FDA-approved

Choose Sesame Care if

  • you want brand-name medicine rather than a compounded version
  • you want a pill or another option without needles

The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Collective vs Sesame Care side by side

Collective and Sesame Care compared fact by fact
CollectiveSesame Care
Pricefrom $59/moPlus $199/year membership after 21 days$99/moProgram fee + medication; confirm monthly vs 28-day billing
MedicineCompounded onlyBrand-name only
Needle-free optionNot listedYes, a pill or other oral form
InsuranceCash-payAccepts insurance
ConsultationClinical review and unlimited doctor messaging are included in the required $199/year membershipVisits start at $34 on the homepage, with some services listed from $36; visits are included in the Success by Sesame subscription
ShippingIncluded; two-day express cold shipping is advertisedNot published
Where it ships44 states: AK, AR, AZ, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, ME, MI, MN, MO, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WYAll 50 states
Trustpilot4.7 / 5 across 64 reviews4.6 / 5 across 4,533 reviews
BBB ratingNot trackedA+
Our score7.2/10 Fair6.7/10 Fair
Assessment limitsChecked Sep 15, 2026; some details not published.Checked Oct 16, 2026; a rating claim didn't match Trustpilot.

What Collective and Sesame Care plans cost

Collective

Very low month-to-month medication pricing that remains flat across doses, funded through a separately disclosed annual membership.

  • Collective Membership$199/yrRequired annual membership, free for the first 21 days and then $199 billed annually. It auto-renews unless cancelled.
  • Compounded Semaglutide$59$59 billed monthly for medication at any dose, plus required membership free for 21 days then $199/year. Twelve medication payments plus one membership: $907 before any technology transaction fee, which the terms do not price. Not a verified complete bill.
  • Compounded Tirzepatide$69$69 billed monthly for medication at any dose, plus required membership free for 21 days then $199/year. Twelve medication payments plus one membership: $1,027 before any technology transaction fee, which the terms do not price. Not a verified complete bill.
How Collective bills

$59/mo is compounded semaglutide medication only. Required membership is free for 21 days, then $199/year. Twelve medication payments plus one membership total $907 for semaglutide or $1,027 for tirzepatide at $69/mo, before any electronic-prescription technology fee the terms allow, which they do not price. These are medication-and-membership subtotals, not the complete bill.

We checked Collective's prices on October 17, 2026.

Sesame Care

Provider choice, ongoing video care and medication prior-authorization help, with a separately priced brand-name GLP-1 menu and $59/mo advertised care on an annual commitment.

  • Success by Sesame (12-month plan)$59The $59/mo headline rate. The program page footnote reads "Based on a 12-month Success by Sesame commitment". Bundles provider visits, unlimited messaging and provider choice. Medication is separate.
  • Success by Sesame (6-month plan)$69Billed once every 6 months. The FAQ publishes this as a saving of $180 every 6 months against the $99 monthly rate, which works out near $69/mo. Medication is separate.
  • Success by Sesame (3-month plan)$79Billed once every 3 months. The FAQ publishes this as a saving of $60 every 3 months against the $99 monthly rate, which works out near $79/mo. Medication is separate.
All 9 Sesame Care plans
  • Success by Sesame (month-to-month)$99$99 program fee with no commitment; medication is separate. One program FAQ says billed every month, while another says every 28 days. Confirm the billing interval, your next payment date and how many charges you will pay in a year.
  • Single Consultation (pay-per-visit)$34One-off telehealth visit, no subscription required. The homepage says visits start at $34 and lists some services from $36.
  • Wegovy Pen (brand-name cash)$199Medication only: $199/month for the first two consecutive months at 0.25 or 0.5 mg for eligible new self-pay patients through December 31, 2026, then $349 for listed 0.25–2.4 mg doses. Care fees are separate
  • Wegovy Pill (oral semaglutide)$149Sesame lists $149/mo at 1.5 or 4 mg and $299 at 9 or 25 mg. Medication only; confirm current offer eligibility and add the separate care fee
  • Zepbound KwikPen (brand-name cash)$299The detailed menu lists $299 at 2.5 mg, $398 at 5 mg, $499 at 7.5 mg and $698 at 10–15 mg. A separate vial teaser also says from $299. Confirm the prescribed format and applicable manufacturer offer; care fees are separate
  • Foundayo (orforglipron oral)$149Medication only. Through December 31, 2026, Sesame's offer FAQ lists $149 at 0.8/2.5 mg, $199 at 5.5 mg and $299 at 9 mg. At 14.5/17.2 mg it lists $349, or $299 with Journey Program terms and refills within 45 days. The medication card shows higher non-promotional figures at some doses; confirm the applicable offer and add care fees
How Sesame Care bills

Program fee only. Medication is extra, so confirm the full bill. The program page says monthly in one FAQ and every 28 days in another. Confirm the billing interval and combined bill before paying.

We checked Sesame Care's prices on October 9, 2026.

What to watch for with Collective and Sesame Care

Collective

  • The $59 and $69 medication headlines exclude a required $199 annual membership after a 21-day trial
  • The terms permit a nominal technology transaction fee for each electronic prescription but publish no amount
Collective's strengths, cautions and terms

Strengths

  • $59/mo compounded semaglutide and $69/mo compounded tirzepatide, with the medication price advertised as flat at every dose
  • Medication is billed month to month rather than through a required multi-month medication prepayment
  • Two-day express cold shipping, clinician review, unlimited doctor messaging, and nutrition and lifestyle support are included
  • The public site links certificate 50716874 to LegitScript's verification checker
  • The legal entity and MDIntegrations clinician-network relationship are disclosed in the legal pages

More to watch for

  • No dispensing pharmacy, individual clinician or medical director is publicly named
  • Unavailable in Alabama, California, Louisiana, Massachusetts, Mississippi and Washington, according to its FAQ checked October 17, 2026; ask about Washington, D.C. coverage
  • The annual membership auto-renews and is generally non-refundable, with no partial-period refunds
  • Its long-term GLP-1 service record is not yet confirmed; customer reviews alone do not establish treatment quality
  • Cash-pay compounded medications only; no brand-name Wegovy or Zepbound and no insurance or prior-authorization service
Medicines listed
  • Semaglutide (compounded injection)
  • Tirzepatide (compounded injection)
Insurance
Cash-pay. Collective says medication and membership are HSA/FSA eligible; eligibility and reimbursement depend on the account and expense.
Consultation
Clinical review and unlimited doctor messaging are included in the required $199/year membership. The terms also allow a technology transaction fee for an electronic prescription without publishing its amount.
Shipping
Included; two-day express cold shipping is advertised
Prescribers
Independent US-licensed providers; the privacy policy identifies MDIntegrations and its independent medical-group network as an example clinical partner
Lab work
Not required
States
44 states: AK, AR, AZ, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, ME, MI, MN, MO, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY. Collective doesn't serve Alabama, California, Louisiana, Massachusetts, Mississippi or Washington, and you should ask about Washington, D.C. We built this list from the FAQ's six-state exclusion list, checked October 17, 2026; a clinician decides your eligibility at intake.
Cancellation
Cancel online before the 21-day trial ends to avoid the $199 annual charge. A paid membership continues through its current annual period and is generally non-refundable with no partial-period refund. Products and services are otherwise non-refundable except at CollectiveOS's discretion. If no prescription is issued, the medication order is cancelled and the medication is not charged.

Sesame Care

  • Sesame runs three separate routes under one brand: the Success by Sesame weight loss subscription, EverydayRx for diabetes, and one-off visits from $34. Check which one you are signing up for before you pay.
  • The $59/mo Success by Sesame rate applies only on a 12-month commitment. The 3-month plan works out near $79/mo and the 6-month near $69/mo from the savings the FAQ publishes. For the $99 no-commitment plan, one FAQ says monthly and another says every 28 days. Confirm the interval and number of charges before budgeting for a year.
Sesame Care's strengths, cautions and terms

Strengths

  • Success by Sesame is $59/mo on the 12-month commitment and includes provider visits, unlimited messaging and provider choice; lab work is covered only at Quest Diagnostics and not in AZ, HI, ND, NJ, NY, OK, RI, SD or WY, where lab fees are extra; medication is separate
  • Published medication-only offers include eligible Wegovy pen starter doses at $199 for two months, then $349; the Wegovy pill and Zepbound KwikPen have dose-specific prices
  • Listed oral brands include Wegovy and Foundayo, with medication starting at $149 for eligible doses; the care fee is separate
  • Provider choice, ongoing video visits, messaging and app tools for weight, dose and side-effect tracking are described in the program

More to watch for

  • Sesame says compounded semaglutide is not currently available. Its published GLP-1 menu is brand-name; medication is billed on top of the program or visit fee.
  • Providers can set higher fees than the advertised program rate. Confirm the selected clinician's price and support arrangements before enrolling
Medicines listed
  • Wegovy (brand-name injection pen)
  • Wegovy (brand-name oral pill)
  • Ozempic (brand-name injection)
  • Zepbound (brand-name KwikPen/vial)
  • Mounjaro (brand-name injection)
  • Rybelsus (brand-name oral)
  • Foundayo (brand-name orforglipron oral, FDA-approved April 2026)
Insurance
Lists insurance support. Confirm coverage for your plan.
Consultation
Visits start at $34 on the homepage, with some services listed from $36; visits are included in the Success by Sesame subscription (verified 2026-09-03)
Shipping
Not published. A shipping cost is not shown on the site's weight loss program, medication or FAQ pages (rendered check 2026-09-03). Prescriptions are picked up at a local pharmacy or sent by home delivery, so any delivery charge comes from the pharmacy
States
All
Cancellation
You can self-cancel Success by Sesame at any time, and cancellation must happen before the next billing cycle starts to avoid the next charge. A full refund applies only if you cancel at least 3 hours before the initial visit, no refund is issued for the first month once that visit has happened, and fees for previous months are not refundable (verified 2026-09-03)

Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.

Collective vs Sesame Care: common questions

Is Collective or Sesame Care cheaper?

At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.

  • Collectivefrom $59/moplus $199/year membership after 21 days
  • Sesame Care$99/moprogram fee + medication; confirm monthly vs 28-day billing

Which is better, Collective or Sesame Care?

Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.

Collective lists compounded medication only, and Sesame Care lists brand-name medication only.

Do Collective and Sesame Care offer brand-name medication?

Collective lists compounded medication only, and Sesame Care lists brand-name medication only.

Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.

Do Collective and Sesame Care take insurance?

Coverage depends on your plan and prescription, so read each provider's insurance terms.

Confirm coverage for your exact plan and prescription before you pay.

Where these facts come from

Collective:prices checked October 17, 2026.Read our Collective review

Sesame Care:prices checked October 9, 2026, score evidence assessed October 16, 2026.Read our Sesame Care review

We score on a published methodology, and partnership never changes a score or a fact here.

What should you compare next?

Before you sign up, read our trust checks: is Collective legit and is Sesame Care legit.

Collective reviewSesame Care reviewAll comparisonsFind your match

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