Verdict: Sesame is a marketplace rather than a programme: you pick the clinician, the subscription buys the care, and the medication is a separate brand-name purchase. It is the only provider in this directory whose published medication price climbs as your dose does, which changes the shape of the decision more than the headline $59 suggests.
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Cheap care and the lowest published insured medication figure in this directory — as long as you stay on a low dose or have coverage. On cash pay the tiers climb hard, and a top-dose Zepbound KwikPen is published at $698 a month before the subscription.
Two separate charges. The subscription buys the care and stays flat; the medication is brand name, billed separately, and priced in explicit dose tiers. Everywhere else in this directory the medication price is stated to hold as you titrate up. Here it climbs.
Doubles between the low and high tier.
The steepest ladder on the page: the top tier is more than double the starting dose.
Four tiers on a once-daily oral tablet.
Not a dose tier but a time-limited rate, and new Wegovy patients only.
Prices verified 28 Jul 2026 from sesamecare.com. Sesame states medication costs are not included in the subscription price and vary with insurance status and pharmacy. Also listed cash pay: Zepbound® vial from $299/mo, Zepbound® from $1,086/mo and Ozempic® from $199/mo.
| Medication | Form | Cost | Qualification |
|---|---|---|---|
| Wegovy pillsemaglutide, brand | Once-daily tablet | $149–$299/mo cash · from $25 insured | FDA approved for adults with obesity, or overweight with weight-related conditions. |
| Zepbound KwikPentirzepatide, brand | Weekly injection | $299–$698/mo cash · from $25 insured | Each pen holds a month's supply. Priced across six dose strengths. |
| Wegovy pensemaglutide, brand | Weekly injection | $199/mo then $349/mo · from $25 insured | The introductory rate is limited to two months and to new Wegovy patients. |
| Foundayoorforglipron, brand | Once-daily tablet | $149–$349/mo cash · from $25 insured | Comes in six strengths from 0.8mg to 17.2mg. |
| Compounded GLP-1snot offered | — | — | Sesame's weight-loss programme is brand name only. For a compounded route see GobyMeds |
Every medication in the Success by Sesame programme is brand name and FDA approved for weight management, which is the trade against the compounded providers in this directory: higher list prices, but a product the FDA has reviewed. The weight-loss percentages Sesame prints on each card come from the manufacturers' trials, not from Sesame's own patients.
A brief questionnaire that estimates potential weight loss and personalises the programme before you choose anyone.
The marketplace step, and the part no other provider in this directory offers: you pick the clinician rather than being assigned one.
You discuss medical history and goals with your provider, who tailors a treatment plan and orders a lab test if metabolic data is needed.
Filled at a pharmacy at the cash tier for your dose, or through your insurance where the plan covers it.
Unlimited messaging and continuing visits with the same provider are inside the subscription; the medication charge repeats on its own.
Sesame publishes no end-to-end timing, so we do not estimate one. The step that varies is the lab test, which the provider orders only where metabolic data is needed rather than as a default.
Being unable to confirm something is not the same as it being untrue, and we do not present it as such. Scoring follows our published methodology.
Unique in this directory. Zepbound KwikPen runs $299 at 2.5mg and $698 at 10mg and above — before the subscription. Titrating up is a budget decision here in a way it is not elsewhere.
Sesame publishes a subscription price and a medication price and never a total. What you actually pay depends on your dose and your coverage.
It applies for two months, to new Wegovy patients only, and then becomes $349/mo — a 75% increase in month three.
"As low as $25/mo" is published without the plan types, formulary placement or prior-authorisation requirements it assumes.
No compounded option in the weight-loss programme, so the cheap cash routes elsewhere in this directory are simply not available here.
The $480 saving requires the annual commitment, and what happens to it if you leave early is not stated on the page we read.
Sesame splits cleanly in two, and which half you land on decides everything. If you have commercial insurance, a $59/mo subscription plus an as-low-as $25/mo medication figure is the cheapest brand-name arrangement in this directory by a wide margin, and you get to pick your own clinician into the bargain.
If you are paying cash, read the tiers before anything else. This is the only provider here whose medication price climbs as the dose does — Zepbound KwikPen from $299 at the starting dose to $698 at 10mg and above. Since almost everyone titrates upward, the number you start on is not the number you stay on, which is the opposite of how every other provider on this site prices.
Start here if you have coverage and want brand-name medication. Look at the flat-rate compounded providers instead if you are paying cash and expect to need a high dose, because the arithmetic reverses somewhere around the middle of the ladder.
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With coverage it is the cheapest brand-name route here; on cash at a high dose it is the most expensive. Prices verified 28 Jul 2026; confirm current pricing on the provider's own site before you pay.
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