Key takeaways
- • **The $59/mo headline is the fee alone.** Realistic all-in cost is about $208/mo — the annual-plan fee plus the cheapest medication (oral Wegovy 1.5 mg at $149).
- • **Brand-name only.** Wegovy pill and pen, Zepbound KwikPen and vial, Ozempic, Mounjaro, Rybelsus, Foundayo, Contrave, metformin. No compounded GLP-1 at all — unusual, and the reason its regulatory standing is the strongest we list.
- • **BBB accredited since 2022, rated A+**; Trustpilot 4.5 from 3,920 reviews with 94% of negative ones answered. The best third-party record of any provider on this site.
- • **One complaint dominates:** the membership keeps billing after people stop using it, and refunds are declined on policy. Multiple BBB complainants describe four or more unused cycles.
- • **Billing is every 28 days**, not monthly — that is 13 charges a year on the month-to-month plan, not 12.
Pricing breakdown
| Item | Cost |
|---|---|
| Membership — annual plan ($708 upfront) | $59/mo |
| Membership — 6-month plan | $79/mo |
| Membership — 3-month plan | $89/mo |
| Membership — month to month, billed every 28 days | $99/cycle |
| Oral Wegovy 1.5 mg or 4 mg (billed separately) | $149/mo |
| Foundayo 0.8 mg (billed separately) | $149/mo |
| Zepbound vial or KwikPen 2.5 mg (billed separately) | from $299/mo |
| Realistic cheapest all-in (annual fee + oral Wegovy) | ~$208/mo |
Prices as published 2026-07-28. Verify directly with provider before deciding.
What Sesame Care does well
FDA-approved brand medication only — no compounded product, so none of the finished-product oversight gap
The widest drug menu we have catalogued: semaglutide and tirzepatide, injection and tablet, plus orforglipron
BBB accredited with an A+ grade — the only provider on this site that is both
You choose your own clinician rather than being assigned one
Membership includes lab work through Quest and unlimited messaging
Providers help with prior-authorisation paperwork, which is where insured patients get to roughly $25/mo
Where Sesame Care falls short
The advertised price excludes the medication, and that is not prominent at the point of sign-up
Recurring charges after people stop using the service is the dominant complaint pattern on BBB, with refunds declined on policy
28-day billing means 13 charges a year on the monthly plan
The annual plan is $708 upfront, not $59 spread out
Membership fees are not billed to insurance — only the medication can be
Nothing is dispensed by Sesame itself, so shipping and cold chain depend on whichever pharmacy fills the script
Who Sesame Care is best for
Best fit: Someone who wants FDA-approved brand medication rather than compounded, has insurance worth fighting for, or wants to pick their own clinician. Also the cheapest realistic route to a brand GLP-1 if you commit to the annual plan and start on a tablet.
Poor fit: Anyone comparing on the headline number alone, anyone who wants a single all-in monthly price, and anyone who will not reliably cancel a subscription they stop using — that last one is where the complaints come from.
Sesame Care vs. other GLP-1 providers — compare
SponsoredSee how Sesame Care stacks up against other telehealth GLP-1 providers, ranked by our editorial score. Visit a partner to check current pricing and eligibility — we compare and link, we never sell medication.
Advertising disclosure: we may earn a commission if you sign up through these links, at no extra cost to you — it never affects our rankings. How we make money
- Sesame Care· from $208/moTop ratedTelehealth · online visit
- SkinnyRx· from $199/moCompounded not offered in AL, LA, MS — check before startingTelehealth · online visitCompounded · not FDA-approved
- Enhance MD· price shown after their intakeNo lab work to startRestricted in AL, AR, GA, HI, LA, MS, MO, ND, SC, TN, WV — check before startingTelehealth · online visitCompounded · not FDA-approved
- HealthRX· from $165/moLowest starting priceon the 12-month plan, $1,188 billed upfrontTelehealth · online visitCompounded · not FDA-approved
FAQ
Does the $59/month include the medication?
No. Sesame states this itself: the fee covers the clinician, video visits, messaging, labs and dose management, and "does not include the cost of medication". The GLP-1 is billed separately, from $149/month for oral Wegovy or Foundayo up to $1,086/month for the Zepbound pen. Budget the two together — around $208/month is the realistic floor.
Does Sesame offer compounded semaglutide or tirzepatide?
No. Its weight-loss programme lists brand-name products only — Wegovy pill and pen, Zepbound KwikPen and vial, Ozempic, Mounjaro, Rybelsus, Foundayo, Contrave and metformin. If you have read elsewhere that Sesame is a cheap route to compounded semaglutide, that is out of date.
What do the complaints against Sesame actually say?
BBB records 113 complaints over three years against an accredited business rated A+. They are strikingly consistent: the membership renews, the person is not using it, and the refund is refused because the policy does not allow prorating. Several describe four or more unused cycles before noticing. The clinical care is rarely the subject. If you enrol, set a calendar reminder before the renewal date.
Is Sesame billed monthly?
The membership runs on a 28-day cycle, which is 13 charges in a year rather than 12 on the month-to-month plan. The published "$99 per month" figure therefore works out closer to $107 a month in practice.
Can Sesame get my GLP-1 covered by insurance?
The membership fee itself is cash-pay and is not billed to insurance. The medication can be, and Sesame clinicians assist with prior-authorisation paperwork. Where a plan covers the drug and a manufacturer savings card applies, brand GLP-1s can fall to roughly $25/month — which is what makes the annual plan plus insurance the cheapest realistic route on this site.
Bottom line
Someone who wants FDA-approved brand medication rather than compounded, has insurance worth fighting for, or wants to pick their own clinician. Also the cheapest realistic route to a brand GLP-1 if you commit to the annual plan and start on a tablet. See full provider ranking for full context across our full provider ranking.
Ready to try Sesame Care?
Get started with Sesame CareSponsored — we may earn a commission if you sign up, at no extra cost to you. It never affects our editorial ranking.
Sources
- Sesame — Success by Sesame weight-loss programme and pricing
- Sesame — Wegovy pricing page
- BBB — Sesame, Inc. business profile (accredited, A+)
- BBB — Sesame, Inc. complaints
- Trustpilot — sesamecare.com
Editorial only — not medical advice. Pricing accurate as of 2026-07-28; verify with Sesame Care before deciding.