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Sesame Care vs Hims

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
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
VS
Hims logo

Hims

7.5
★★★3.8/5

Best for: mainstream telehealth GLP-1 access

Visit Hims

Sesame Care and Hims 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 $199/mo, and Sesame Care edges ahead overall (8.0 vs 7.5 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

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

Hims

StartingCompounded
$199/mo
semaglutide
StartingBrand-name
$299/mo
tirzepatide

Brand Zepbound from $299/mo medication-only; requires Hims Weight Loss Membership ($149/mo)

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What’s included

Sesame Care

Inclusions not disclosed.

Hims

What the monthly price covers

Medication

Included

Provider visits

Billed separately

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Billed separately

Score breakdown

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

Sesame Care

8.0/10

Overall

Hims

7.5/10

Value25%

7.5A
vs
B
8.0

Effectiveness25%

9.0A
vs
B
7.5

User Experience15%

8.0A
vs
B
7.0

Trust & Safety15%

8.0A
vs
B
7.3

Accessibility10%

6.5A
vs
B
7.5

Support10%

8.0A
vs
B
7.0

Features & Coverage

FeatureSesame CareHims
Starting Price$59/mo$199/mo
Features8 features2 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

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 →

About Hims

Major men's telehealth brand offering compounded semaglutide weight loss on a 6-month plan.

Read our full Hims review →

Pros & Cons

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

Hims

What we like

  • Compounded GLP-1 access

Watch-outs

  • Limited public information on program details

Our Verdict

Winner: Sesame Care

Sesame Care edges out Hims with a higher overall score of 8.0/10 and is particularly strong for Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding. Hims remains a solid alternative, especially if you're looking for mainstream telehealth GLP-1 access.

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.

Choose Hims if…

You want mainstream telehealth GLP-1 access and a starting price around $199/mo.

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Sesame Care vs Hims: FAQ

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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.