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Amazon One Medical vs Sesame Care

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Amazon One Medical logo

Amazon One Medical

8.5
★★★★4.3/5

Best for: the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings

Visit Amazon One Medical
VS
Sesame Care logo

Sesame Care

8.0
★★★★4/5

Best for: Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding

Visit Sesame Care

Amazon One Medical and Sesame Care are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Sesame Care starts lower at $59/mo versus $149/mo, and Sesame Care is the option we'd start with for most patients. Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

Amazon One Medical

Foundayo (with insurance + Lilly Savings Card)Brand-name
$25/mo
orforglipron
Foundayo (cash pay)Brand-name
$149/mo
orforglipron

Sesame Care

Annual planCompounded
$59/mo
clinical care only — medication billed separately

Month-to-Month $99/mo, 3-Month $39/mo, 6-Month $49/mo, Annual $59/mo; includes video visits, unlimited messaging, follow-ups, labs (savings $60/3mo, $180/6mo, $480/yr)

all doses 0.25-2.4mgCompounded
$349$199/mo
Save 43% right now
semaglutide (wegovy)

$199/mo first two months, new self-pay patients, lowest doses (0.25/0.5mg) only; FAQ terms state offer valid through 2026-06-30 but $199 still advertised on 2026-07-14

1.5mg / 4mgCompounded · oral
$149/mo
semaglutide (wegovy)

low doses

9mg / 25mgCompounded · oral
$299/mo
semaglutide (wegovy)

high doses; maintenance dose $50/mo cheaper than Wegovy injection

0.25mg / 0.5mg / 1mgCompounded
$349$199/mo
Save 43% right now
semaglutide (ozempic)

NEW published pricing: $199 first two months (same new-self-pay intro terms as Wegovy); 2mg is $499/mo

2.5mgCompounded
$299/mo
tirzepatide (zepbound)

$399/mo for 5mg; $449/mo for 7.5mg, 10mg, 12.5mg, 15mg — unchanged vs stored

2.5mgCompounded
$299/mo
tirzepatide (zepbound)

$399/mo 5mg, $499/mo 7.5mg, $699/mo 10-15mg (program page shows $398/$698 — Sesame's own pages disagree by $1)

starts atCompounded
$1086/mo
tirzepatide (zepbound)

NEW row on program page: 'Zepbound® Tirzepatide Starts at $1,086 per / mo' (retail-channel pen, distinct from LillyDirect KwikPen)

0.8mgCompounded · oral
$149/mo
orforglipron (foundayo)

NEW published pricing: $199/mo (2.5mg), $299/mo (5.5mg, 9mg), $349/mo (14.5mg, 17.2mg); previously feature-only with no pricing row

as low asCompounded
$25/mo
semaglutide or tirzepatide (with commercial insurance)

'Price with insurance: as low as $25 per / mo.' — copay varies by plan/PA outcome

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What’s included

Amazon One Medical

What the monthly price covers

Medication

Billed separately

Provider visits

Included

Shipping

Included

Lab work

Billed separately

Coaching

Not disclosed

Sesame Care

Inclusions not disclosed.

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Amazon One Medical

8.5/10

Overall

Sesame Care

8.0/10

Value25%

8.5A
vs
B
7.5

Effectiveness25%

8.5A
vs
B
9.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

8.8A
vs
B
8.0

Accessibility10%

9.5A
vs
B
6.5

Support10%

8.0A
vs
B
8.0

Features & Coverage

FeatureAmazon One MedicalSesame Care
Starting Price$149/mo$59/mo
Features6 features8 features
States Available50Not disclosed
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

About Amazon One Medical

Amazon One Medical is the unified Amazon GLP-1 channel — One Medical clinicians prescribe FDA-approved Wegovy, Zepbound, and Foundayo (no compounded products), and Amazon Pharmacy fulfills with same-day delivery across roughly 3,000 US cities plus pickup kiosks at select One Medical locations. No prior membership required; insurance and cash pay both accepted. Foundayo launched at $25/month with insurance and the Lilly Savings Card, or $149/month cash pay.

Read our full Amazon One Medical review →

About Sesame Care

Sesame is a transparent-pricing telehealth marketplace that connects patients directly with independent provider practices — distinct from the stocked-formulary model of most weight-loss platforms. Its weight-loss vertical is brand-name only (no compounding): a $39–$99/month subscription covers clinical care, while medication is billed separately at cash-pay rates, including Zepbound from $299 via LillyDirect and a Wegovy self-pay promo at $199/month.

Read our full Sesame Care review →

Pros & Cons

Amazon One Medical

What we like

  • As low as $1/day ($25/month) for brand-name Foundayo with insurance and the auto-applied Lilly coupon
  • Same-day delivery in nearly 3,000 US cities at launch, expanding to 4,500 by end of 2026
  • In-office pharmacist kiosks at select One Medical clinics let you walk out with Foundayo in hand
  • Cash-pay $5/day ($149/month) is competitive for the same FDA-approved brand-name product
  • Real-time availability, transparent pricing, and automatic manufacturer coupon at checkout
  • Delivering GLP-1 medications since 2021 — track record on cold-chain logistics

Watch-outs

  • Headline $25/month needs both insurance and the Lilly Savings Card — uninsured pay $149/month
  • Same-day delivery is geographically gated; outside major cities it drops to next-day or slower
  • Pricing is set by manufacturer savings programs and can change at any time
  • No compounded options — brand-name only (Foundayo, Wegovy, Zepbound)
  • Wegovy/Zepbound pricing isn't shown upfront — depends on insurance at the prescribing visit
  • Copays and deductibles still apply to the clinical visit

Sesame Care

What we like

  • Marketplace transparency — pick a named provider with a displayed price before booking, unlike most opaque telehealth intake
  • BBB-accredited and LegitScript-verified
  • LillyDirect partnership unlocks Zepbound vial and KwikPen cash pricing matching Lilly's lowest direct rates ($299 at lowest dose)
  • Wegovy self-pay promo ($199/mo for first two months, lowest dose, new self-pay) — among the lowest brand-Wegovy cash prices
  • Honest subscription scope — clinical care only, medication billed separately
  • Stocks both Wegovy pill ($149/mo low doses) and Foundayo orforglipron alongside injectables
  • Lab work included in subscription for 41 states (excludes AZ/HI/ND/NJ/NY/OK/RI/SD/WY)
  • Insurance route ($25/mo possible) is viable — providers assist with prior authorization

Watch-outs

  • Marketplace model means clinician credentials and quality vary provider to provider
  • Statewide availability can't be listed — it depends on which marketplace providers are licensed in your state
  • No in-house pharmacy — fulfillment splits across LillyDirect, NovoCare, and your retail pharmacy
  • Restrictive refunds — full refund only if you cancel 3+ hours before the first visit; no refund once the visit occurs
  • Subscription commitment required — no genuine pay-per-visit option for weight loss
  • Wegovy $199/mo promo applies only to new self-pay patients at the lowest dose; $349/mo after month 2
  • Wegovy pill high doses ($299/mo for 9mg/25mg) cost about 2x the low-dose price as you titrate up
  • Zepbound KwikPen high doses ($699/mo for 10–15mg) approach Lilly's list price

Our Verdict

Winner: Sesame Care

Sesame Care is our recommended choice here, particularly for Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding. Amazon One Medical is a solid alternative, especially if you want the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings — compare the six-dimension breakdown and pricing below to weigh them for your situation.

Choose Amazon One Medical if…

You want the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings and a starting price around $149/mo.

Choose Sesame Care if…

You want Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding and a starting price around $59/mo.

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Amazon One Medical vs Sesame Care: FAQ

Key terms, explained

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Continue exploring Amazon One Medical and Sesame Care head-to-heads in the same category.

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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.