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Direct Meds GLP-1 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: Direct Meds GLP-1 and Sesame Care tie at 7.9/10 on our rubric, so the decision comes down to price and format rather than overall quality. Full reasoning, pricing and the cases where the other one wins are below.

Direct Meds GLP-1 and Sesame Care are tied at 7.9/10. Published pricing is not a like-for-like monthly comparison: Direct Meds GLP-1 is from $297/mo; Sesame Care is published $99/mo; total not verified. Choose Direct Meds GLP-1 for users who value published format-specific pricing and can independently monitor billing and cancellation. 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 Direct Meds GLP-1 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

Direct Meds GLP-1

#8 of 54
7.9/10

Compounded GLP-1 program with published format-specific prices, offset by a sharply negative BBB complaint record around billing, cancellation, and fulfillment.

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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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FeatureDirect Meds GLP-1Sesame Care
Why each oneThorough clinical consultations focused on medical-grade patient experience rather than quick-turnaround prescribing.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 Score7.9/107.9/10
Headline Pricefrom $297/mopublished $99/mo; total not verified
Medication TypeCompoundedBoth
Insurance AcceptedNoYes
Best ForUsers who value published format-specific pricing and can independently monitor billing and cancellationUsers 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 forCompounded medications only, no brand-name Wegovy, Zepbound, or Ozempic on the menuTwo distinct products (pay-per-visit vs the Success membership) sit side by side, so decide which you're buying before checkout
Ranking#8#5
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Pros & Cons Compared

Direct Meds GLP-1

Pros

  • +The published $297/mo compounded semaglutide injection tier includes medication, consultations, shipping, and pharmacy fees
  • +Format-specific prices are published on the site, which makes the advertised medication and service bundle easier to compare
  • +Fast pharmacy fulfillment: most orders ship within 48 hours of provider approval
  • +Responsive customer support with live chat available during business hours

Cons

  • Compounded medications only, no brand-name Wegovy, Zepbound, or Ozempic on the menu
  • The $297/mo injectable semaglutide rate sits above Henry Meds ($199) and TrimRx (starting at $179); Direct Meds' own sublingual semaglutide drops at $179 are the budget path if the premium stings
  • BBB shows 248 complaints and roughly 1.1/5 customer-review stars, with recurring reports of unauthorized charges, cancellation difficulty, billing confusion, and unfulfilled or delayed orders

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

Direct Meds GLP-1 and Sesame Care are closely matched with identical scores of 7.9/10. Published pricing is not a like-for-like monthly comparison: Direct Meds GLP-1 is from $297/mo; Sesame Care is published $99/mo; total not verified. Sesame Care accepts insurance, which can significantly reduce your out-of-pocket costs. Sesame Care offers both brand-name and compounded medications, giving you more flexibility.

Try Direct Meds GLP-1

Headline price: from $297/mo

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