Plus medication · confirm the full bill · checked Oct 9
Check price for Sesame CareOn Sesame Care's site · partner link
Comparison · updated October 16, 2026
Sesame Care vs Sprout Health: Sesame Care for brand-name medication, Sprout Health for compounded medication
Sesame Care and Sprout Health differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.
Compounded semaglutide · 12-month plan · $1,188 up front · checked Oct 5
Check price for Sprout HealthOn Sprout Health's site · partner link
These two prices are different kinds of bill, so read the line under each price before you compare them.
Sesame Care and Sprout Health 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, Sesame Care or Sprout Health?
Short answer: Choose Sesame Care if you want brand-name medicine rather than a compounded version. Choose Sprout Health 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
- you want to use insurance
Choose Sprout Health if
- you want a compounded medicine and accept that it is not FDA-approved
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
Sesame Care vs Sprout Health side by side
| Sesame Care | Sprout Health | |
|---|---|---|
| Price | $99/moProgram fee + medication; confirm monthly vs 28-day billing | from $99/mo |
| Medicine | Brand-name only | Compounded only |
| Needle-free option | Yes, a pill or other oral form | Not listed |
| Insurance | Accepts insurance | No insurance listed |
| Consultation | Visits start at $34 on the homepage, with some services listed from $36; visits are included in the Success by Sesame subscription | Included |
| Shipping | Not published | Free |
| Where it ships | All 50 states | 44 states (excludes AL, AR, CA, LA, MS, ND) |
| Trustpilot | 4.6 / 5 across 4,533 reviews | Not tracked |
| BBB rating | A+ | F (not accredited) |
| Our score | 6.7/10 Fair | 7.1/10 Good |
| Assessment limits | BothChecked Oct 16, 2026; a rating claim didn't match Trustpilot. | |
What Sesame Care and Sprout Health plans cost
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.
Sprout Health
Assigned-clinician messaging and advertised dose-flat compounded pricing, with annual prepayment or shorter plans billed in four-week intervals.
- Compounded Semaglutide (12-month plan)$99/mo$99 monthly equivalent; $1,188 billed every 12 months. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate.
- Compounded Semaglutide (6-month plan)$110/4 weeks$110 per 4-week equivalent; $660 billed every 24 weeks. Provider review, medication and shipping included.
- Compounded Semaglutide (3-month plan)$125/4 weeks$125 per 4-week equivalent; $375 billed every 12 weeks. Provider review, medication and shipping included.
All 8 Sprout Health plans
- Compounded Tirzepatide (12-month plan)$149/mo$149 monthly equivalent; $1,788 billed every 12 months. Provider review, medication and shipping included; prescription required; treatment only if clinically appropriate.
- Compounded Semaglutide (monthly)$149/4 weeks$149 billed every 4 weeks, not per calendar month. Provider review, medication and shipping included.
- Compounded Tirzepatide (6-month plan)$160/4 weeks$160 per 4-week equivalent; $960 billed every 24 weeks. Provider review, medication and shipping included.
- Compounded Tirzepatide (3-month plan)$180/4 weeks$180 per 4-week equivalent; $540 billed every 12 weeks. Provider review, medication and shipping included.
- Compounded Tirzepatide (monthly)$199/4 weeks$199 billed every 4 weeks, not per calendar month. Provider review, medication and shipping included.
Checked October 5, 2026.
How Sprout Health bills
12-month compounded semaglutide plan: $1,188 billed every 12 months. The shortest plan is $149 every 4 weeks; plans renew until cancelled
We checked Sprout Health's prices on October 5, 2026.
What to watch for with Sesame Care and Sprout Health
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)
Sprout Health
- The $99/mo semaglutide rate requires $1,188 upfront for 12 months; the shorter $149 plan bills every 4 weeks, not once per calendar month
- No insurance accepted or billed, and no HSA, FSA or superbill information is shown on the site's product, FAQ, terms or refund pages (rendered check 2026-09-03)
Sprout Health's strengths, cautions and terms
Strengths
- Publishes the upfront amount and renewal interval for annual and shorter compounded plans
- Each patient gets an assigned licensed clinician, with clinical messaging inside the account and a short check in before every refill
- The advertised compounded-plan price does not rise as the prescribed dose does, and provider review, medication, shipping and telehealth support are included
- Medicines listed
- Semaglutide (compounded)
- Tirzepatide (compounded)
- Insurance
- No insurance support listed
- Consultation
- Included
- Shipping
- Free
- States
- 44 states (excludes AL, AR, CA, LA, MS, ND)
- Cancellation
- Give 48 hours' notice before renewal. The July 26, 2026 policy allows a full refund before clinical review, deducts $50 after review but before pharmacy fulfillment, and excludes prescriptions sent to the pharmacy. Section 7 separately provides proportional refunds for unshipped prepaid months. Confirm which remaining shipments qualify.
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.
Sesame Care vs Sprout Health: common questions
Is Sesame Care or Sprout Health cheaper?
At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.
- Sesame Care$99/moprogram fee + medication; confirm monthly vs 28-day billing
- Sprout Healthfrom $99/mostarting price
Which is better, Sesame Care or Sprout Health?
Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.
Sesame Care lists brand-name medication only, and Sprout Health lists compounded medication only. Sesame Care lists insurance support, and Sprout Health does not.
Do Sesame Care and Sprout Health offer brand-name medication?
Sesame Care lists brand-name medication only, and Sprout Health lists compounded medication only.
Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.
Do Sesame Care and Sprout Health take insurance?
Sesame Care lists insurance support, and Sprout Health does not.
Confirm coverage for your exact plan and prescription before you pay.
Where these facts come from
Sesame Care:prices checked October 9, 2026, score evidence assessed October 16, 2026.Read our Sesame Care review
Sprout Health:prices checked October 5, 2026, score evidence assessed October 16, 2026.Read our Sprout Health review
We score on a published methodology, and partnership never changes a score or a fact here.
What should you compare next?
- Compare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.
- Check your GLP-1 insurance pathLook up plan-specific coverage questions before treating a cash price or an insurance route as your final out-of-pocket cost.
- Compare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.
Before you sign up, read our trust check: is Sesame Care legit.
Sesame Care reviewSprout Health reviewAll comparisonsFind your match