United States · Clinician marketplace · Brand-name
Sesame review
A clinician marketplace rather than a subscription: you pick the provider, labs are included, and it deliberately does not offer compounded semaglutide.
Overview
Sesame works as a marketplace — you “choose your Sesame provider” and meet with “a dedicated provider who can evaluate you” — rather than being assigned into a subscription funnel. Prescriptions can be picked up same-day at your own pharmacy or delivered.
It is explicit about staying on the approved side of the supply question: “Compounded semaglutide is not currently available through Sesame.” The medications named are brand-name — Ozempic, Wegovy, Rybelsus, Zepbound, Saxenda, Mounjaro, plus Contrave.
Self-pay prices shown are the manufacturer programme prices passed through: the Wegovy pill at $149/month for the 1.5 mg and 4 mg doses or $299/month for higher doses, and the Wegovy pen or Ozempic at $199/month for the first two months for new patients, then $349/month. Sesame also states labs are included to monitor progress, which most of the cheaper compounded services do not mention at all, and that providers can assist with prior authorisation paperwork.
Medications and supply
Brand-name only. Sesame states compounded semaglutide is not currently available through the platform.
- Wegovy (semaglutide) pill and pen
- Ozempic (semaglutide)
- Rybelsus (semaglutide)
- Zepbound (tirzepatide)
- Mounjaro (tirzepatide)
- Saxenda (liraglutide)
- Contrave
How the service works
- Consultation
- You choose a specific provider from the marketplace and book a visit with them.
- Eligibility
- Evaluated by the provider you select.
- Provider involvement
- A dedicated provider you choose, who evaluates you and can assist with prior authorisation paperwork.
- Lab requirements
- Sesame states “labs included to monitor your weight loss progress over time.”
- Pharmacy fulfilment
- Same-day pickup at your own preferred pharmacy, or delivery to your door.
- Shipping
- Delivery available; cadence not stated.
- Support services
- Not stated in the sources we checked.
What it costs
| Item | Published price | Notes |
|---|---|---|
| Wegovy pill, 1.5 mg / 4 mg | $149 / month | — |
| Wegovy pill, higher doses | $299 / month | — |
| Wegovy pen or Ozempic | $199 / month then $349 / month | first two months, new patients only |
- Membership fee
- Not stated in the sources we checked.
- Medication fee
- Medication is priced separately from the visit; the self-pay medication prices above are published.
- Insurance
- Sesame states your plan may cover some or all of the cost, and that your provider can assist with prior authorisation paperwork.
- HSA / FSA
- Not stated in the sources we checked.
- Cancellation
- Not stated in the sources we checked.
- Refunds
- Not stated in the sources we checked.
Pros
- You choose your own clinician rather than being assigned one
- Labs included, which is rare at this price point
- Refuses to sell compounded semaglutide — a real safety position, stated plainly
- Same-day pharmacy pickup is possible, not just mail order
Cons
- The consultation price is not stated on the page we checked
- No membership means no bundled ongoing support either
- The $199 price is first-two-months only, rising to $349
- Cancellation and refund terms are not stated
Who it may suit
Someone who wants brand-name medication, a clinician they picked, and labs — and who is put off by compounded supply.
Limitations
- No compounded option, so no access to the cheapest tier of this market
- Marketplace pricing varies by provider, which makes total cost harder to predict
Questions
Does Sesame sell compounded semaglutide?
No. The page states compounded semaglutide is not currently available through Sesame.
Are labs included?
Sesame states labs are included to monitor weight-loss progress over time.
Can I use my own pharmacy?
Yes — Sesame describes same-day pickup at your preferred pharmacy as an option alongside delivery.
Sources
Everything on this page traces to one of the links below, retrieved on the date shown. Prices and programme terms in this market change without notice — confirm against the provider before you buy.
- 01Sesame — semaglutide (medications, compounded position, self-pay pricing, labs)retrieved 2026-08-14