Ranked above it
Care Bare Rx
Names both compounds directly — but two of its four pharmacies carry FDA letters.
#1 on our semaglutide provider ranking, above Sesame Care at #2.
Read the Care Bare Rx review →Provider review
A flat, medication-included semaglutide plan — but tirzepatide is separate and unpriced.
Sesame Care's "Success by Sesame" compounded-semaglutide subscription is a real, direct, price-inclusive product with a stated 503B pharmacy category. But the identical company's compounded-tirzepatide pathway is structured completely differently — a "book a provider of your choice" marketplace where medication cost is not included — a real, verified split within one brand, not an assumption.
Reviewed by Marcus Webb
Transparency scorecard
4 of 4 disclosed openly
What Sesame Care discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Disclosed
Names its compounding pharmacy and states a federal regulatory category (503A/503B), sourced to its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Disclosed
The advertised price is the ongoing price — no prepay or auto-refill required to unlock it.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit Sesame CareReal monthly cost
$249/month is the standing, disclosed renewal rate
Pharmacy
503B
Labs
"Order for lab(s) relevant to weight loss…
States
All-50
Ranked above it
Care Bare Rx
Names both compounds directly — but two of its four pharmacies carry FDA letters.
#1 on our semaglutide provider ranking, above Sesame Care at #2.
Read the Care Bare Rx review →What they advertise
"Weight loss for $249/mo., medication included" — Sesame's own compounded-semaglutide landing page headline.
What you actually pay, month to month
$249/month is the standing, disclosed renewal rate. A first-month promotional rate may apply at times (e.g., a Cyber Monday $149 first-month offer seen on the live site), but the same disclosure states plainly it "will renew at $249/month thereafter."
Price read from https://www.sesamecare.com/service/online-weight-loss-program.
Sesame Care (sesamecare.com, legal entity Sesame, Inc.) is a large, well-known cash-pay telehealth marketplace. Its "Success by Sesame" plan is a genuine flat $249/month subscription with compounded semaglutide included, dispensed exclusively by 503B compounding pharmacies per its own unhedged claim. Its compounded tirzepatide, by contrast, is sold through a referral marketplace where a reader books an independent provider and pays for medication separately — different enough in structure that this review ranks Sesame Care on the semaglutide board only.
Sesame Care appears on our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
The cheapest headline number in this category is often the one with the least attached to it. Here is what Sesame Care bundles in, and what it does not.
Clinician consult
Included
— "Initial video consult" is itemized directly in Sesame's own included-items list for the compounded-semaglutide plan.
Bloodwork / labs
"Order for lab(s) relevant to weight loss treatment/diagnoses"…
and their cost are itemized as included, with NJ/NY/RI excluded per its own page.
Follow-ups and dose changes
"Ongoing care for weight loss and management" is itemized…
directly in its own included-items list; no specific cadence is stated.
Human support
"Unlimited messaging with provider" is marketed, but no…
dietitian, nurse, or named coaching program is stated.
Injection supplies
Not stated.
Shipping
"Medication delivery to your doorstep + free shipping" is…
stated directly in its own benefit list.
503B. Sesame's own compounded-semaglutide landing page states directly, "The compounded semaglutide available for prescribing on Sesame is prepared exclusively by 503B compounding pharmacies that are FDA-registered," repeated in a separate bullet, "Medication supplied from a registered 503B pharmacy." No specific pharmacy is named, only the regulatory category.
Included — "Initial video consult" is itemized directly in Sesame's own included-items list for the compounded-semaglutide plan. "Ongoing care for weight loss and management" is itemized directly in its own included-items list; no specific cadence is stated.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not.
All-50. Sesame's own compounded-semaglutide landing page states "Available in all 50 states" directly beneath the price, with no contradicting figure found on the same page.
The part they would rather you skipped
Sesame's own Refund Policy, read in full, narrows the refund window sharply for anyone who actually uses the service before deciding to cancel: "Please note that we cannot offer full or partial refunds for our weight loss program if, after your initial visit, you have utilized other features of the service, such as provider messaging." A reader who messages their provider with a follow-up question — the exact behavior the plan's own "unlimited messaging" benefit encourages — forfeits refund eligibility. Separately, this same company's compounded-tirzepatide product is a materially different offering from its compounded-semaglutide one: the tirzepatide flow is a book-a-provider marketplace ("Book with a top-rated provider of your choice through Sesame's weight loss program") where the page states plainly "Cost of medication not included" and a prescription may be picked up "at a pharmacy near you" — a reader assuming Sesame's semaglutide deal (flat price, medication included, nationwide) also describes its tirzepatide offering would be wrong. No FDA warning letter could be independently confirmed for "Sesame Care" or "Sesame, Inc." this round; noted honestly rather than presented as a clean check.
None of this is unique to Sesame Care — the whole category shares it.
The providers we rank on our semaglutide provider ranking — the most specific board Sesame Care sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.

111 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect Sesame Care's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Sesame Care's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.
Sesame Care
$249/month is the standing, disclosed…