Independent provider comparison
Updated October 2, 2026
Sesame Care vs Strut Health: Which GLP-1 provider is better?
A side-by-side look at total cost, medication format, care, commitment and the situations where each option makes more sense.
The decision
Which should you choose, Sesame Care or Strut Health?
Short answer: Sesame Care scores higher on our published rubric, 7.9/10 against 6.2/10. Published pricing is not a like-for-like monthly comparison: Sesame Care is published $99/mo; total not verified; Strut Health is from $99/mo.
Consider Sesame Care if
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.
Consider Strut Health if
Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.
Scores follow our published methodology. Partnership status does not change the score or the factual comparison.
Cost
First charge, renewal and commitment
Treatment
Medication, form and approval status
Care
Clinical review and ongoing support
Terms
Cancellation and material cautions
Sesame Care
#3 of 36Best 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.
Visit Sesame Care
Strut Health
#23 of 36Best for eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge.
Visit Strut HealthSide by side
Sesame Care vs Strut Health at a glance
Compare the price unit as well as the number. A medication-only price, prepaid monthly equivalent and complete recurring program are not the same thing.
| Feature | Sesame Care | Strut Health |
|---|---|---|
| Why each one | 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. | Compounded oral semaglutide buccal lozenge from $99/mo on auto-refill, with separate oral tirzepatide and injection options; each needs clinical approval. |
| Our Score | 7.9/10 | 6.2/10 |
| Headline Price | published $99/mo; total not verified | from $99/mo |
| Medication Type | Brand | Compounded |
| Insurance Accepted | Yes | No |
| Best 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 | Eligible cash-pay patients comparing a compounded, needle-free semaglutide lozenge |
| Watch out for | 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. | Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral lozenges, so their absorption and weight-loss results versus approved injections are unknown. |
| Ranking | #3 | #23 |
| Get started | Visit Sesame Care | Visit Strut Health |
Trade-offs
Strengths and cautions compared
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
1 more documented strengths
- +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.
1 more documented cautions
- −A marketplace rather than a concierge, expect less hand-holding than dedicated subscription platforms
Strut Health
Pros
- +A needle-free compounded semaglutide buccal lozenge is available if a clinician determines it is appropriate
- +Published auto-refill options: oral semaglutide from $99/mo, injectable semaglutide from $129/mo, injectable tirzepatide from $149/mo and oral tirzepatide from $199/mo; confirm the selected plan at checkout
- +Current semaglutide product pages include physician consultations and free shipping in the advertised price
1 more documented strengths
- +Simple enrollment: online questionnaire, async provider review, medication shipped to your door
Cons
- −Compounded only, no brand-name Wegovy or Zepbound. Strut does not publish formulation-specific pharmacokinetic or comparative outcome evidence for its oral lozenges, so their absorption and weight-loss results versus approved injections are unknown.
- −Compounded oral semaglutide is not FDA-approved as a finished product or established as bioequivalent to approved oral or injectable semaglutide; do not infer equivalent dosing or results
Our Verdict
Sesame Care edges out Strut Health with a score of 7.9/10 vs 6.2/10. Published pricing is not a like-for-like monthly comparison: Sesame Care is published $99/mo; total not verified; Strut Health is from $99/mo. Sesame Care accepts insurance, which can significantly reduce your out-of-pocket costs.
Keep narrowing the decision
What should you compare next?
Use the unresolved part of this choice, not a generic related article. These guides own the broader medication, coverage or complete-cost question.
- Pill decisionCompare Wegovy pill prices and accessUse the dedicated guide for dose-specific costs, required memberships and which providers currently list the FDA-approved pill.Continue
- Coverage decisionCheck 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.Continue
- Treatment decisionCompare semaglutide providers and pricesMove from this head-to-head to the broader semaglutide market without confusing compounded products with FDA-approved brands.Continue
Reviews and pricing sources
Related comparisons
More head-to-head comparisons involving Sesame Care and Strut Health.
Not comparing, just asking? Quick answers to the most-asked GLP-1 questions →
- Compare Sesame Care and Willowfrom $299/mo
- Compare Sesame Care and Enhance MDfrom $212/mo
- Compare Sesame Care and MEDVi$179 first month, then $299/mo
- Compare Strut Health and HealthRXfrom $99/mo
- Compare Strut Health and Collectivefrom $59/mo + $199/year membership after 21 days
- Compare Strut Health and Willowfrom $299/mo
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 Sesame Care legit and is Strut Health legit, with the verification evidence behind each answer.
Our pick of these two: Sesame Care · 7.9/10