Collective 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
36 providers verified independently·Independent researchHow we rank →

Short answer: Sesame Care scores higher on our rubric, 7.9/10 against 4.6/10. Full reasoning, pricing and the cases where the other one wins are below.

Sesame Care beats Collective overall, scoring 7.9/10 vs 4.6/10. Published pricing is not a like-for-like monthly comparison: Collective is from $59/mo; Sesame Care is published $99/mo; total not verified. Choose Collective for cash-pay patients planning to stay in treatment long enough for the low flat medication rate to offset the required annual membership. 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 Collective and Sesame Care to help you decide. We compare them on:

  • Starting price and billing period
  • Our overall score, out of 10
  • Medication type, brand-name or compounded
  • Whether they accept insurance
  • Who each one is best for

Collective

#32 of 36
4.6/10

CollectiveOS is a membership telehealth platform operated by Health For Everyone Inc. It advertises compounded semaglutide at $59 a month and compounded tirzepatide at $69 a month, with the same medication price at every dose and no multi-month medication commitment. The required membership is free for 21 days and then costs $199 a year. That makes the first-year cash totals $907 for semaglutide and $1,027 for tirzepatide before any technology transaction fee that the terms permit but do not price. Membership includes clinician review, unlimited doctor messaging, nutrition and lifestyle support, and two-day express cold shipping. Collective links to LegitScript's public checker and identifies MDIntegrations as an example clinician network, but it does not publicly name a dispensing pharmacy or list the states it serves.

Visit Collective
Higher Rated

Sesame Care

#3 of 36
7.9/10

Telehealth marketplace with two routes to a GLP-1 prescription: one-off video visits that start at $34 on the homepage, and the Success by Sesame subscription, which the weight loss program page prices at $59/mo on a 12-month commitment or $99 billed every 28 days with no commitment. It coordinates FDA-approved brand-name medication only, including Foundayo (orforglipron), the Wegovy pen and pill, and Zepbound. Medication is billed separately.

Visit Sesame Care
FeatureCollectiveSesame Care
Why each oneVery low month-to-month medication pricing that remains flat across doses, funded through a separately disclosed annual membership.
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 Success by Sesame membership at $59/mo on a 12-month commitment plus medication.
Our Score4.6/107.9/10
Headline Pricefrom $59/mopublished $99/mo; total not verified
Medication TypeCompoundedBrand
Insurance AcceptedCash-pay. Collective says medication and membership are HSA/FSA eligible; eligibility and reimbursement depend on the account and expense.Yes
Best ForCash-pay patients planning to stay in treatment long enough for the low flat medication rate to offset the required annual membership
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
Watch out forThe $59 and $69 medication headlines exclude a required $199 annual membership after a 21-day trial
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.
Ranking#32#3
Get startedVisit CollectiveVisit Sesame Care

Pros & Cons Compared

Collective

Pros

  • +$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

Cons

  • 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
  • No dispensing pharmacy, individual clinician, medical director, or public state-availability list is named
  • The annual membership auto-renews and is generally non-refundable, with no partial-period refunds
  • Only 9 Trustpilot reviews at 4.1/5 when checked September 15, 2026, too few for a mature reputation signal
  • Cash-pay compounded medications only; no brand-name Wegovy or Zepbound and no insurance or prior-authorization service

Sesame Care

Pros

  • +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
  • +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
  • +The pay-per-visit route is still there, with visits starting at $34, for users who just need a prescriber

Cons

  • 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, and the no-commitment plan is $99 billed every 28 days, which is 13 charges a year.
  • There is no compounded option. Sesame states that compounded semaglutide is not currently available through it, so every route here is brand-name and the medication is billed on top of the program fee.
  • A marketplace rather than a concierge, expect less hand-holding than dedicated subscription platforms

Our Verdict

Sesame Care edges out Collective with a score of 7.9/10 vs 4.6/10. Published pricing is not a like-for-like monthly comparison: Collective is from $59/mo; Sesame Care is published $99/mo; total not verified. Sesame Care accepts insurance, which can significantly reduce your out-of-pocket costs.

Try Collective

Headline price: from $59/mo

Visit Collective

Related comparisons

More head-to-head comparisons involving Collective and Sesame Care.

Not comparing, just asking? Quick answers to the most-asked GLP-1 questions →

Not sure which one is right for you?

Answer a few quick questions and we'll match you to the best GLP-1 provider for your needs. Or keep exploring below.

Still working out whether either one is above board? We check that separately: is Collective legit and is Sesame Care legit, with the verification evidence behind each answer.