MEDGm 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: Sesame Care scores higher on our rubric, 7.9/10 against 2.7/10. Full reasoning, pricing and the cases where the other one wins are below.

Sesame Care beats MEDGm overall, scoring 7.9/10 vs 2.7/10. Published pricing is not a like-for-like monthly comparison: MEDGm is $179 first month, rises after; Sesame Care is published $99/mo; total not verified. Choose MEDGm for shoppers who want a compounded glp-1 with the price visible before intake, and who can live with a program that names its pharmacies and its medical group but not a single prescribing clinician. 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 MEDGm 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

MEDGm

#53 of 54
2.7/10

MEDGm is a telehealth company selling compounded GLP-1 injections from $179 a month and dissolvable tablets from $249 a month, with Zepbound, Wegovy and Ozempic advertised on the same page as a $99 or $171 membership plus a medication cost the site never publishes. The compounded prices are readable before intake, the not-FDA-approved disclosure is prominent, the four partner pharmacies are named with street addresses in the terms, and the medical group behind the prescribing is named as OpenLoop Health. The problem is consistency. The site calls $179 all-inclusive of the first month of medication in one place and membership plus cost in another, it advertises HSA and FSA eligibility on the GLP-1 page while its terms disclaim any guarantee of it, and the three brand rows have no product page and no total.

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Higher Rated

Sesame Care

#5 of 54
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.

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FeatureMEDGmSesame Care
Why each onePublishes its compounded prices before intake and names all four of its partner pharmacies with street addresses. Both are low bars that a surprising number of programs fail.
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 Score2.7/107.9/10
Headline Price$179 first month, rises afterpublished $99/mo; total not verified
Medication TypeCompoundedBrand
Insurance AcceptedNoYes
Best ForShoppers who want a compounded GLP-1 with the price visible before intake, and who can live with a program that names its pharmacies and its medical group but not a single prescribing clinician.
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 forMEDGm answers the price question two ways. Its FAQ calls $179 an all-inclusive price covering your first month of medication, while the Zepbound, Wegovy and Ozempic cards on the same page read $99 or $171 membership plus a medication cost the site never publishes.
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#53#5
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Pros & Cons Compared

MEDGm

Pros

  • +Compounded prices visible on the landing page without starting an intake
  • +Prominent, correctly-worded disclosure that compounded GLP-1s are not FDA-approved
  • +Cancel any time, with a published refund policy rather than a buried one
  • +Names its four partner pharmacies in the terms, with street addresses and phone numbers, which most compounded programs never do
  • +Names OpenLoop Health as the medical group behind the prescribing, and includes shipping at every tier

Cons

  • MEDGm answers the price question two ways. Its FAQ calls $179 an all-inclusive price covering your first month of medication, while the Zepbound, Wegovy and Ozempic cards on the same page read $99 or $171 membership plus a medication cost the site never publishes.
  • Zepbound, Wegovy and Ozempic are advertised as three price cards and nothing else: no product page, no total, and a trademark notice in the terms saying MEDGm is not affiliated with, endorsed by or sponsored by any brand-name manufacturer.
  • The GLP-1 page says purchases are eligible for HSA and FSA payments, while the terms say the company is cash-pay only and does not guarantee that any amount paid is eligible for reimbursement by insurance, HSA, FSA or any other benefit account.
  • No lab panel is included or priced at any tier, though the terms and the telehealth consent both allow a provider to require labs or an at-home diagnostic test before enrollment is finalized.
  • The homepage claims 120,000+ patients and the GLP-1 page badges +20k verified reviews, on a domain registered in April 2026. The footer also states that images representing testimonials may use models or artificial intelligence.
  • A prepaid contracted term is non-refundable, and dispensed medication is never refundable
  • The footer shows a LegitScript Certified seal, and the LegitScript registry returned no certification result for medgm.org when checked 2026-09-03. No third-party rating we could locate and verify exists either.

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 MEDGm with a score of 7.9/10 vs 2.7/10. Published pricing is not a like-for-like monthly comparison: MEDGm is $179 first month, rises after; Sesame Care is published $99/mo; total not verified. Sesame Care accepts insurance, which can significantly reduce your out-of-pocket costs.

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