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Our Score
7.9/10
Headline pricepublished $99/mo; total not verifiedpublished month-to-month program fee; medication is separate, medication-inclusive total not verified
TypeBoth
InsuranceYes
Rank#5 of 54
Brand-nameCompoundedInsurance AcceptedUpdated August 14, 2026
By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Researched against FDA labeling, published clinical-trial data (STEP-1 / SURMOUNT-1), and Sesame Care's live pages, not a paid placement.

Sesame Care logo

Sesame Care GLP-1 Review

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.

Bottom line

Sesame Care is the most cost-effective path to a GLP-1 prescription for insured patients: $25 per consultation, no subscription lock-in, and the broadest FDA-approved brand-name menu in the low-cost tier (Wegovy pen and pill, Zepbound, Foundayo). Full verdict ↓

Independently researched. Every statistic links to a primary source (NEJM, JAMA, FDA, CMS, or the provider's official disclosures). Affiliate status never changes a provider's score; featured picks are affiliate partners, disclosed. Last verified May 17, 2026.

Clinical evidence: 20.9% average body-weight reduction at 72 weeks in SURMOUNT-1 (NEJM, 2022). Individual results vary; compounded GLP-1s are not FDA-approved.

Summarize this article with

Sesame Care scores 7.9/10 in our independent review. Its headline semaglutide offer is published $99/mo; total not verified. 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.

What makes it different: 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.

At a glance

Get Sesame Care if
  • Insured patients who just need a prescriber and will fill at their own pharmacy
  • Users who want flexibility without a monthly subscription
  • Budget-conscious patients who already know what medication they want
Skip if
  • Users who want an all-inclusive program with medication included
  • First-time GLP-1 patients who need guidance on medication selection
  • Those without insurance who need affordable medication access
Sounds like you? Visit Sesame Care

Sesame Care Pros and Cons

What We Like
  • +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
What Could Be Better
  • 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

What it costs

Headline pricing, full-year math, and how Sesame Care compares to the closest alternatives.

Quick facts

Consultation
Included
Availability
All 50 States
Insurance
Accepted
Shipping
Free
Cancellation
Pay-per-visit model has no s...

All pricing tiers

Success by Sesame (3/6/12-mo plan)

$59/mo

New 2026 membership, bundles provider visits, labs, and unlimited messaging at $59/mo on a 3/6/12-month plan. Medication cost is separate.

Success by Sesame (month-to-month)

$99/mo

Same program, no commitment, $99/mo month-to-month

Single Consultation (pay-per-visit)

$25/mo

One-time telehealth visit for a GLP-1 prescription, no subscription required

Wegovy Pen (brand-name cash)

$199/mo

FDA-approved Wegovy intro pricing for first 2 fills, then $349/mo ongoing

Wegovy Pill (oral semaglutide)

$149/mo

FDA-approved oral Wegovy

Zepbound Vial (brand-name cash)

$299/mo

FDA-approved Zepbound vial pricing

Foundayo (orforglipron oral)

$149/mo

FDA-approved Eli Lilly oral GLP-1, available as of April 2026

Cancellation policy: Pay-per-visit model has no subscription; Success by Sesame has 3-month minimum then month-to-month

Sesame Care reviews: what customers say

What third-party review aggregators say about Sesame Care. Cards show the verified primary metric only, “Not found” means no public profile surfaced in our verification pass.

Trustpilot
4.5★
3100 verified reviews
How we verified this →
Reddit
Mixed sentiment
Aggregated from public threads
Provider claim
None disclosed
Our reading

Sesame Care holds a high Trustpilot TrustScore of 4.5/5 across roughly 3,100+ reviews, but the headline number carries caveats: Trustpilot has flagged the profile for a review-solicitation bias that "can compromise reliability," and a hard 12% of reviews are 1-star. The most common complaints across Trustpilot, BBB and Reddit are slow customer service, difficulty cancelling, surprise 28-day billing cycles, and inconsistent provider/dosing quality.

What people actually say

Reddit: Users call Sesame legit and praise transparent pricing and being able to choose your own provider, but recurring gripes are inconsistent/variable dosing, slow customer service, hard cancellations, and the surprise 28-day billing cycle.

Trustpilot: Verified June 19, 2026, external-reviews verification pass.

How Sesame Care works

1

Book a $25 Consultation

Choose a provider and book a telehealth visit for as low as $25. No subscription required, Sesame Care operates on a pay-per-visit model.

2

Get Your Prescription

During your consultation, the provider evaluates your eligibility and writes a GLP-1 prescription. You take the prescription to your pharmacy or use Sesame's pharmacy partner.

3

Fill at Your Pharmacy

Use your insurance to fill brand-name prescriptions at any pharmacy, or use Sesame's compounded pharmacy partner. Medication cost is separate from the consultation fee.

Medications available

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)Semaglutide (compounded, via pharmacy partner)Tirzepatide (compounded, via pharmacy partner)

Ready to check Sesame Care's pricing for yourself?

Visit Sesame Care

Sesame Care pharmacy, prescribers and safety checks

Six trust signals, how we checked them, and what's been updated since the last review.

Is Sesame Care legit? Read the full verification for the Trustpilot record, the named pharmacy, and the specific complaints we could and could not substantiate.

Independent Clinical Perspective

What the doctors say about GLP-1 medications

Independent, sourced clinical context on the medication class, not a comment on this provider.

Patients on both medications experienced substantial weight loss, and we observed no difference in the risk of gastrointestinal adverse events. In addition to effectiveness, factors like medication availability and insurance coverage will likely play a role in deciding which medication to initiate.
Nicholas L. Stucky, MD, PhD, physician; co-author, real-world tirzepatide vs semaglutide study
Truveta Research / Providence Portland Medical Center
On real-world findings that practical factors matter beyond raw efficacy.
For more than a million people at high risk of heart attack and stroke, this treatment on the NHS could be life-changing: offering a powerful new way to protect their hearts and improve their health.
Helen Williams, Consultant pharmacist; National Clinical Director for Cardiovascular Disease Prevention
NHS England
NHS England announcing semaglutide (Wegovy) availability to cut heart attack and stroke risk.
NHS England · Apr 2026

Quotes are general medical commentary about GLP-1 medications, independently sourced and not solicited by GLP-1 Picks. They are not an endorsement of any provider, our provider scores are set solely by our published methodology.

Common questions

Questions readers ask about Sesame Care, similar providers to compare, and quick tools.

Frequently Asked Questions

Does the $25 include medication?+
No. The $25 is for the doctor consultation only. You fill your prescription separately, either through your insurance at a retail pharmacy or through Sesame's compounded pharmacy partner.
Can I use Sesame Care for ongoing refills?+
Yes. Book follow-up consultations as needed for $25 each. There's no monthly subscription, you only pay when you need a visit.
What if I don't have insurance?+
You can still use Sesame Care for the $25 consultation, then fill a compounded prescription through its pharmacy partner for $99-199/mo. If you'd rather have one medication-included bill, compare [all programs by verified price](/cheapest) instead of defaulting to one provider. MEDVi is one option, but its $179 first month rises to $299 for refills and its current record includes a BBB F and FDA warning letter #721455.
How does this compare to subscription platforms?+
Sesame Care is consultation-first: you pay for the visit, then handle medication through insurance or Sesame's pharmacy partner. Subscription platforms bundle the consultation, medication, and shipping into one monthly fee. If you have insurance covering the medication itself, Sesame is the cheapest route.
What do verified reviews say about Sesame Care?+
Sesame Care holds Trustpilot: 4.5 across 3,100 reviews; BBB: A+. We re-check these against the platforms directly rather than taking a provider's own marketing figure, and where the platforms disagree we show all of them. Our own score for Sesame Care is 7.9/10, set by a published methodology that a provider cannot pay to change.
Can I cancel Sesame Care, and what are the terms?+
Sesame Care states: Pay-per-visit model has no subscription; Success by Sesame has 3-month minimum then month-to-month. Cancel before your next billing date rather than on it, and keep written confirmation.

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