Elara Health and Wellness vs Sesame Care
An in-depth comparison of two leading GLP-1 Providers
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Elara Health and Wellness
Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies
Visit Elara Health and Wellness →
Sesame Care
Best for: Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding
Visit Sesame Care →Elara Health and Wellness 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 $117/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
Elara Health and Wellness
Sesame Care
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)
$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
low doses
high doses; maintenance dose $50/mo cheaper than Wegovy injection
NEW published pricing: $199 first two months (same new-self-pay intro terms as Wegovy); 2mg is $499/mo
$399/mo for 5mg; $449/mo for 7.5mg, 10mg, 12.5mg, 15mg — unchanged vs stored
$399/mo 5mg, $499/mo 7.5mg, $699/mo 10-15mg (program page shows $398/$698 — Sesame's own pages disagree by $1)
NEW row on program page: 'Zepbound® Tirzepatide Starts at $1,086 per / mo' (retail-channel pen, distinct from LillyDirect KwikPen)
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
'Price with insurance: as low as $25 per / mo.' — copay varies by plan/PA outcome
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What’s included
Elara Health and Wellness
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Included
Coaching
Included
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.
Elara Health and Wellness
8.2/10
Sesame Care
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Elara Health and Wellness | Sesame Care |
|---|---|---|
| Starting Price | $117/mo | ✓$59/mo |
| Features | 6 features | ✓8 features |
| States Available | 51 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Elara Health and Wellness
Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.
Read our full Elara Health and Wellness 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
Elara Health and Wellness
What we like
- Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
- Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
- Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
- Publishes the FDA compounded-medication disclaimer
- All 50 states plus DC, with explicit coverage language
- Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
- Self-service cancellation on monthly and quarterly plans
Watch-outs
- LegitScript certification status not disclosed
- No named medical director or physician leadership
- Annual plan requires a 12-month commitment; early-cancellation terms not detailed
- Governing law / arbitration venue not disclosed
- 503A patient-specific compounding only — no 503B option
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
Sesame Care is our recommended choice here, particularly for Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding. Elara Health and Wellness is a solid alternative, especially if you want bundled-care GLP-1 with labs and coaching from four named pharmacies — compare the six-dimension breakdown and pricing below to weigh them for your situation.
Choose Elara Health and Wellness if…
You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/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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Fitness-brand compounded GLP-1 with hormone and performance programs
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Compounded or brand GLP-1 bundled with TRT and peptides for men
From $100/mo
Get started →Direct Meds
Listed for transparent disclosure — see FDA warning and BBB complaint pattern before considering
From $249/mo
Get started →Elara Health and Wellness vs Sesame Care: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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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.