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Sesame Care vs NewSelf

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
NewSelf logo

NewSelf

8.3
★★★★4.2/5

Best for: lowest-cost compounded GLP-1 with pharmacy quality transparency

Visit NewSelf

Sesame Care and NewSelf 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 $100/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

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

NewSelf

Semaglutide+ (best price)Compounded
$100/mo
semaglutide

All dosages same price

Semaglutide+ (regular)Compounded
$135/mo
semaglutide
Tirzepatide+ (best price)Compounded
$144/mo
tirzepatide

All dosages same price

Tirzepatide+ (regular)Compounded
$225/mo
tirzepatide

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What’s included

Sesame Care

Inclusions not disclosed.

NewSelf

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

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

NewSelf

8.3/10

Value25%

7.5A
vs
B
9.0

Effectiveness25%

9.0A
vs
B
8.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

8.0A
vs
B
8.3

Accessibility10%

6.5A
vs
B
8.5

Support10%

8.0A
vs
B
7.9

Features & Coverage

FeatureSesame CareNewSelf
Starting Price$59/mo$100/mo
Features8 features6 features
States AvailableNot disclosed49
Compounded✓ Yes✓ Yes
Brand Name
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 NewSelf

NewSelf offers compounded semaglutide+ (with B12/Glycine, from $99.97/mo) and compounded tirzepatide+ (with B6/Glycine, from $144.49/mo). LegitScript certified. Available in 48 states + Puerto Rico. Uses 503A licensed pharmacies with third-party testing.

Read our full NewSelf 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

NewSelf

What we like

  • Semaglutide+ from $99.97/mo — among the lowest prices in the dataset
  • All dosages at the same price — no price escalation as dose increases
  • LegitScript certified with 503A licensed pharmacies
  • Third-party potency, sterility, and endotoxicity testing
  • 48 states + Puerto Rico coverage
  • B12/B6 + Glycine enhanced formulations
  • No membership fees

Watch-outs

  • Not available in Mississippi and Louisiana
  • Compounded only — no brand-name options
  • Site also promotes AI health optimization and longevity (broader platform)

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. NewSelf is a solid alternative, especially if you want lowest-cost compounded GLP-1 with pharmacy quality transparency — compare the six-dimension breakdown and pricing below to weigh them for your situation.

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 NewSelf if…

You want lowest-cost compounded GLP-1 with pharmacy quality transparency and a starting price around $100/mo.

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Sesame Care vs NewSelf: 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.