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Belle Health vs Sesame Care

In our scoring, Sesame Care edges ahead overall (8.0 vs 7.6 out of 10).

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

Key differences

Price
Belle Health $199/mo for compounded semaglutide; Sesame Care $349/mo for brand-name Wegovy / Ozempic (different medications, so not compared on price)
Coverage
Belle Health 50 states (Sesame Care doesn't publish a state list)
Included
Belle Health: medication, clinician visits, shipping, coaching; Sesame Care: not stated
Safety
FDA warning letters on record: Belle Health 1, Sesame Care none

How we compare providers

Belle Health logo

Belle Health

Affiliate partner

Best for flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts

semaglutide

$199/mo

Our score 7.6/10

Sesame Care logo

Sesame Care

Affiliate partner

Best for Brand-name GLP-1s at cash prices, no compounding

Brand-name Wegovy / Ozempic

$349/mo

$199 first month

Our score 8.0/10

We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.

Costs & coverage

Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.

Belle Health

Sesame Care

Price

Semaglutide / month

$199/mo

Not listed

Tirzepatide / month

$249/mo

Not listed

Brand Wegovy / Ozempic / month

Not listed

$349/mo

$199 first month

Brand Zepbound / Mounjaro / month

Not listed

$299/mo

Brand Wegovy pill / Rybelsus / month

Not listed

$149/mo

Brand Foundayo / month

Not listed

$149/mo

Coverage

State availability

50 states

List not published

Oral option listed

Not listed

Yes

Brand-name access listed

Not listed

Wegovy / Ozempic, Zepbound / Mounjaro, Wegovy pill / Rybelsus, Foundayo

Included in the price

Medication, clinician visits, shipping, coaching

Not disclosed

Terms & safety

Price shown

Before intake

Before intake

Video visit

Not disclosed

Required

Cancel anytime

Yes

Yes

Minimum commitment

Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate

None

Refunds

'Federal health and safety regulations don't allow returns or refunds on prescription medications or compounded products once they've shipped.' Wrong or damaged shipments must be reported within 7 days of delivery

Not disclosed

Early-cancellation fee

None

None

FDA warning letters

1 warning letter

Better on this row: None on record

Provider facts checked

October 2026

August 2026

Every dose and plan: Belle Health · Sesame Care

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

Belle Health logo

Choose Belle Health if…

  • Lists compounded semaglutide and compounded tirzepatide, which Sesame Care doesn't price
  • Publishes its full state list (50 states)
  • Flat pricing that doesn't rise as your dose goes up, with no membership or consultation fee

What to weigh up

  • 1 FDA warning letter on record
  • FDA Warning Letter (Feb 2026) for misbranding compounded GLP-1 products
Sesame Care logo

Choose Sesame Care if…

  • Lists brand-name Wegovy / Ozempic, brand-name Zepbound / Mounjaro and brand-name Wegovy pill / Rybelsus, which Belle Health doesn't price
  • No FDA warning letters on record (Belle Health has 1)
  • Marketplace transparency — pick a named provider with a displayed price before booking, unlike most opaque telehealth intake

What to weigh up

  • No published state list; confirm yours at signup
  • Marketplace model means clinician credentials and quality vary provider to provider

Explore the scoring factors

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

Belle Health

7.6/10

Overall

Sesame Care

8.0/10

Value25%

8.5A
vs
B
7.5

Effectiveness25%

7.0A
vs
B
9.0

User Experience15%

7.5A
vs
B
8.0

Trust & Safety15%

6.8A
vs
B
8.0

Accessibility10%

8.0A
vs
B
6.5

Support10%

8.0A
vs
B
8.0

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7.2

Willow

Needle-free compounded semaglutide or tirzepatide tablets

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From $299/mo

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7.6

SkinnyRx

Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price

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From $149.25/mo

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8.3

Collective

The lowest flat medication price if you can absorb an annual membership fee

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From $59/mo + membership

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Belle Health vs Sesame Care: FAQ

Sesame Care scores higher overall at 8.0/10 versus 7.6/10, and is particularly strong for Brand-name GLP-1s at cash prices, no compounding. That said, Belle Health is a better fit if you want flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts.
Both Belle Health and Sesame Care are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
Not at a published price. Belle Health lists compounded semaglutide, compounded tirzepatide; Sesame Care lists brand-name Wegovy / Ozempic, brand-name Wegovy pill / Rybelsus, brand-name Zepbound / Mounjaro, brand-name Foundayo.
Belle Health publishes 50 states. Sesame Care doesn't publish a state list. Where a list isn't published, confirm your state during sign-up before paying.
Belle Health: cancel anytime — yes; minimum commitment — Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate; early-cancellation fee — none. Sesame Care: cancel anytime — yes; minimum commitment — None; early-cancellation fee — none. Check the provider's own terms before you buy.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Continue exploring Belle Health and Sesame Care head-to-heads in the same category.

Or see the full category ranking.

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.