Sesame Care semaglutide cost & review
By Sofia Mendez, Patient Education EditorUpdated
Brand-name pens and pills, a provider you pick yourself, and the care price up front.
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Is Sesame Care worth it? The short answer
Our verdict
Sesame suits you if you want the real brand-name drug and a prescriber you chose. You pick a named provider, see the care price first, and fill your Wegovy pen or pill at a local pharmacy or by delivery. Most labs are included. The catch: care and medication are two separate bills. If you want weekly coaching, look elsewhere.
- Good for: You want the FDA-approved pen or pill itself, not a compounded version
- Look elsewhere if: You want one bill: the care subscription and the medication are always charged separately
Sesame Care at a glance
Price, as published
From $149/mo + membership
Brand-name GLP-1s through a pick-your-provider marketplace — Wegovy pill and Wegovy pen from $149/mo self-pay.
Full pricing details
Plus a separate care subscription: $59/mo on a 12-month commitment or $99 month-to-month, billed every 28 days (a two-part cost). Sesame's FAQ lists self-pay Wegovy injections at $199/mo for the first two months, then $349/mo at every dose; the Wegovy pill is $149/mo at the two lowest doses and $299/mo above them
Pricing model
Varies by dose or plan
Consult
Included
Labs
Optional
Dietitian
Not included
Pharmacy
Not named
Who makes your medication
Pharmacy not named
Sesame Care doesn't name the pharmacy that makes its medication, so ask before you pay.
Where this comes from →Thinking about Sesame Care?
See today’s price and whether it serves your state.
What it does well, and what to watch
What we like
- Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Rybelsus
- Established platform (since 2018) with LegitScript, BBB accreditation and large third-party review volume
- You choose the provider and see the price up front; oral routes available (Wegovy pill, Rybelsus)
What to watch
- A generalist marketplace, not a dedicated weight-loss program — lighter ongoing support
- Two-part cost (a platform subscription plus the medication) makes the true monthly total harder to compare
- Brand-name cash prices can run high without insurance
- As a marketplace of independently practicing clinicians, Sesame's public site names no pharmacy or facility class for any medication filled through it
Who Sesame Care suits, and who should look elsewhere
A good fit if
- You want the FDA-approved pen or pill itself, not a compounded version
- You'd like to read a provider's profile and choose who treats you
- You have insurance or self-pay pricing lined up and need a prescriber more than a program
Look elsewhere if
- You want one bill: the care subscription and the medication are always charged separately
- You're paying cash and expect compounded prices; brand-name self-pay costs considerably more
- You want structured coaching and regular check-ins rather than tools you use on your own
How Sesame Care works, start to finish
Sesame is an established national telehealth marketplace (operating since 2018) rather than a single dedicated weight-loss program.
More about how it works
You browse and choose your own licensed provider, see the price up front, and book — with a platform subscription billed on top of the medication, so the true monthly outlay is a two-part figure. Its stand-out is access: it carries the widest real brand-name GLP-1 lineup we log — Wegovy pen and Wegovy pill, Zepbound, Ozempic, Mounjaro and oral Rybelsus — including oral routes, all FDA-approved. It holds LegitScript certification and BBB accreditation and carries a large third-party review volume. The trade-off is that it is a generalist marketplace, not a weight-loss-specialized clinic, so ongoing coaching support is lighter, and brand-name cash prices can run high without insurance.
- Answer a short questionnaire about your goals, then choose a provider from Sesame's list.
- Meet them by video; they build your plan and order labs if needed.
- Pick month-to-month care, or a three-, six- or twelve-month plan for less.
- If prescribed, pick up your medication same-day locally, or have it delivered.
- Keep going with video visits, messaging and in-app dose and weight tracking.
What Sesame Care includes in the price
- Video visits with the provider you chose
- Unlimited messaging with your provider
- Labs at Quest, except in nine states
- Prior-authorization help if you're insured
- App tools for doses, weight, sleep and exercise
- Medication billed separately, not included
If you want to cancel or get a refund
You can cancel yourself at any point, and doing it before the next billing cycle avoids the charge. Cancel at least three hours before your first visit for a full refund, because after that visit the first month isn't refunded and past months never are. Longer plans bill up front, so pick a length you're sure of.
What customers say about Sesame Care
Based on public customer reviews.
Customers praise
- Same-day or next-day appointments
- Caring providers
- Fair prices for people without insurance
Customers complain about
- Double charges
- Fees after canceled appointments
- Slow billing disputes
Questions people ask about Sesame Care
Does Sesame offer compounded semaglutide?
No. Its weight-loss program lists FDA-approved medications only, including the Wegovy pen and pill and Zepbound.
What does brand-name Wegovy cost without insurance?
Sesame's FAQ lists the maker's self-pay pricing: a lower rate for the first two months of the pen, then one rate at every dose. The care subscription comes on top.
Does Sesame bill my insurance?
Not for the program. Your insurance can still cover the medication, and your provider handles the prior-authorization paperwork.
Are labs included?
Yes, at Quest Diagnostics, except in Arizona, Hawaii, North Dakota, New Jersey, New York, Oklahoma, Rhode Island, South Dakota and Wyoming, where lab fees are extra.
Can I use HSA or FSA money?
Sesame says most subscription services may qualify. Support will send an itemized bill you can submit.
If Sesame Care isn't the right fit
Close to Sesame Care, but each does better on the thing Sesame Care does least well.
Steadier pricing
Sprout Health
PartnerSame price at every dose, so your bill doesn't climb as you step up.
$149 per 4 weeks
FDA warning letter · September 2025Clearer pricing
Willow
PartnerIts headline price is closer to what you'll pay each month.
$299/mo
States its pharmacy type
HealthRX
PartnerSays what kind of pharmacy makes it, which Sesame Care doesn't.
$165/mo
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Before you pay for anything
Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as Wegovy or Ozempic. Go into your visit with real numbers and these reads:
How Sesame Care stacks up against the others
Two minutes of comparing could save you money, or confirm Sesame Care is the right pick.
Ready to check Sesame Care?