MEDGm vs Sesame Care
Recorded prices, access and terms.
The short answer
- Cheapest to start, semaglutide: Neither has a recorded semaglutide monthly-plan rate. The sellers' own lines read MEDGm: "From $169 (seller says GLP-1 injections), term not stated". Those terms differ, so we do not rank them.
- Cheapest to start, tirzepatide: Neither has a recorded tirzepatide monthly-plan rate. The sellers' own lines read MEDGm: "From $169 (seller says GLP-1 injections), term not stated". Those terms differ, so we do not rank them.
- Cheapest over 12 months, semaglutide: Neither record holds a rate and term we can carry to 12 months for semaglutide.
- Cheapest over 12 months, tirzepatide: Neither record holds a rate and term we can carry to 12 months for tirzepatide.
- Broadest availability: Sesame Care is recorded in 50 states, MEDGm in 49.
- Drugs: MEDGm lists brand-name and compounded medication; Sesame Care lists brand-name medication only.
Price lines compare recorded monthly-plan subtotals and term totals, as on our price pages. A lower recorded rate is not a complete cost: labs, dose changes and the amount due today can differ.
Decision table
The entries below are recorded provider statements unless a regulatory source is linked. A provider webpage does not independently verify its licenses or quality. MEDGm source · Sesame Care source.
| Compare | MEDGm | Sesame Care |
|---|---|---|
| Recorded monthly-plan price | Not recorded | Not recorded |
| Recorded medication/program subtotal | Seller's headline: Injections from $169, tablets from $239, plan term not stated. It may require prepayment, a specific dose or introductory terms. The full required cost is not established. | Seller's headline: $59/mo care on a 12-month plan, plus brand medication from $149/mo, billed separately. It may require prepayment, a specific dose or introductory terms. The full required cost is not established. |
| Lowest 12-month total on the record | No rate and term we can carry to 12 months | No rate and term we can carry to 12 months |
| Full required monthly cost | Not established: consultation, labs, membership, dose changes and shipping must be checked | Not established: consultation, labs, membership, dose changes and shipping must be checked |
| Drug type listed | Brand-name and compounded | Brand-name |
| Oral option | Listed | Listed |
| Consultation | Included in the record; current conditions unconfirmed | $59/mo care subscription (12-month commitment) in the record; current conditions unconfirmed |
| Membership or program fee | $99/mo recorded for Wegovy/Zepbound pathway or $171 for Ozempic pathway, plus medication. | From $59 a month on an annual plan, or $99 month to month. It covers telehealth visits, messaging and ongoing care. Medication is paid separately, from $149 a month. (Sesame's page, read Nov 6, 2026) |
| Shipping | Recorded as included; confirm for your address | Charge not recorded |
| Labs | Required tests and any lab charge are not recorded. | Required tests and any lab charge are not recorded. |
| Insurance | Self-pay on the record | Recorded as accepted |
| Pharmacy license | Not independently verified. Obtain the dispensing pharmacy name and verify its state license. | Not independently verified. Obtain the dispensing pharmacy name and verify its state license. |
| Reported states | 49; confirm eligibility and clinician licensing in your state | 50; confirm eligibility and clinician licensing in your state |
| Cancellation | Cancellation reported; notice, minimum term and refund conditions unconfirmed | Cancellation reported; notice, minimum term and refund conditions unconfirmed |
| Clinician/support as reported | US-licensed clinicians via OpenLoop Health; provider-led plans and coaching; some states require a live video or phone consultation before prescribing | Licensed physicians, per-visit model |
| Trustpilot | 3.8/5 from 2 reviews (read Nov 5, 2026) | 4.6/5 from 4,607 reviews (read Nov 5, 2026) |
| Recorded provider check | 2026-11-06 | 2026-11-06 |
Price by plan and term
Each rate is a per-month amount for the plan named, from the seller's own page on the date shown. A term plan's rate needs the full term; the total under it is the rate times the months.
MEDGm
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline | From $169 (seller says GLP-1 injections), term not stated | From $169 (seller says GLP-1 injections), term not stated | MEDGm page, read Nov 6, 2026 |
Plans are monthly or prepaid 3-, 6- or 12-month bundles, and the site does not say which term the $169 headline applies to or show the tirzepatide price before intake, so no standing per-molecule rate is recorded. Brand pathway: Wegovy (pill or pen) and Zepbound at a $99 membership plus the medication cost; Ozempic at $171 plus medication. HSA/FSA accepted. Read September 23, 2026.
Sesame Care
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline$59/mo care on a 12-month plan, plus brand medication from $149/mo, billed separately | See the plan note | See the plan note | Sesame Care page, read Nov 6, 2026 |
Brand-name FDA-approved medication only; Sesame no longer offers a compounded option, so it has no compounded price. Sesame notes medication pricing may vary by treatment, dose, pharmacy and provider, so these are floors rather than guarantees. Read August 31, 2026.
What is included
MEDGm
Visits: consultation recorded as "Included". Care: US-licensed clinicians via OpenLoop Health; provider-led plans and coaching; some states require a live video or phone consultation before prescribing.
Shipping: recorded as included.
Labs: Required tests and any lab charge are not recorded.
Dose increases: A price for each dose step is not recorded.
How it works, per MEDGm's page:
- Fill out a medical questionnaire about your health history and goals.
- Once approved, you receive a prescription and care. Some states require a live video or phone consultation first.
- The medication is delivered to your door.
Sesame Care
Visits: consultation recorded as "$59/mo care subscription (12-month commitment)". Care: Licensed physicians, per-visit model.
Shipping: a shipping charge is not recorded.
Labs: Required tests and any lab charge are not recorded.
Dose increases: A price for each dose step is not recorded.
What Sesame Care lists:
- Prescribes brand-name FDA-approved medications
States served
MEDGm: 49 states
Recorded as available in 49 states.
- The standing month-to-month rate and the tirzepatide price are only shown after the intake quiz; not available in Louisiana
Sesame Care: 50 states
Recorded as available in all 50 states.
- Wide network of licensed physicians across all 50 states
State-by-state costs and Medicaid notes are on the GLP-1 cost by state pages.
Drugs offered
MEDGm: brand-name and compounded medication
- Compounded Semaglutide
- Compounded Semaglutide (oral tablets)
- Compounded Tirzepatide
- Wegovy
- Zepbound
- Ozempic
An oral form is listed.
Sesame Care: brand-name medication only
- Wegovy
- Wegovy HD
- Wegovy (oral)
- Zepbound
- Zepbound KwikPen
- Foundayo
An oral form is listed.
Compounded drugs are made by a pharmacy for a patient and are not the brand products. Compounded vs brand-name GLP-1.
Membership and other fees
- MEDGm: $99/mo recorded for Wegovy/Zepbound pathway or $171 for Ozempic pathway, plus medication.
- Sesame Care: From $59 a month on an annual plan, or $99 month to month. It covers telehealth visits, messaging and ongoing care. Medication is paid separately, from $149 a month. (Sesame's page, read Nov 6, 2026)
A fee missing from the record is unknown, not zero.
Cancellation and refunds
MEDGm
Recorded: 72 hours' notice before next billing; prepaid bundles non-refundable after approval; full refund if not prescribed.
Sesame Care
Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
Which should you choose?
MEDGm
On the record, MEDGm suits a reader who wants compounded medication and shipping recorded as included.
Sesame Care
On the record, Sesame Care suits a reader who wants more states on the record (50 against 49) and insurance use.
Ask each provider for the full cost at your prescribed dose, required labs and visits, the dispensing pharmacy, the clinician's state license, renewal charges and written refund terms. Compare those answers with your clinician.
Compounded drugs are not FDA-approved and do not undergo FDA review for safety, effectiveness or quality before marketing. FDA source and recommendations.
MEDGm: evidence and terms
Sesame Care: evidence and terms
MEDGm vs Sesame Care: questions
Which is cheaper, MEDGm or Sesame Care?
Neither has a recorded semaglutide monthly-plan rate. The sellers' own lines read MEDGm: "From $169 (seller says GLP-1 injections), term not stated". Those terms differ, so we do not rank them. Neither has a recorded tirzepatide monthly-plan rate. The sellers' own lines read MEDGm: "From $169 (seller says GLP-1 injections), term not stated". Those terms differ, so we do not rank them. These are medication and recorded program-fee subtotals; labs, dose changes and other charges may be extra.
Which costs less over a year, MEDGm or Sesame Care?
Neither record holds a rate and term we can carry to 12 months for semaglutide. Neither record holds a rate and term we can carry to 12 months for tirzepatide. A term plan commits you for the full term, so check its refund rules first.
Is MEDGm or Sesame Care available in more states?
Sesame Care is recorded in more states: 50 against 49. MEDGm: The standing month-to-month rate and the tirzepatide price are only shown after the intake quiz; not available in Louisiana. Sesame Care: Wide network of licensed physicians across all 50 states. Confirm your state at intake.
Do MEDGm and Sesame Care offer brand-name or compounded GLP-1?
MEDGm lists brand-name and compounded medication (Compounded Semaglutide, Compounded Semaglutide (oral tablets), Compounded Tirzepatide, Wegovy, Zepbound, Ozempic). Sesame Care lists brand-name medication only (Wegovy, Wegovy HD, Wegovy (oral), Zepbound, Zepbound KwikPen, Foundayo). Compounded drugs are not FDA-approved.
Does MEDGm or Sesame Care charge a membership fee?
MEDGm: $99/mo recorded for Wegovy/Zepbound pathway or $171 for Ozempic pathway, plus medication. Sesame Care: From $59 a month on an annual plan, or $99 month to month. It covers telehealth visits, messaging and ongoing care. Medication is paid separately, from $149 a month. (Sesame's page, read Nov 6, 2026)
Can you cancel MEDGm or Sesame Care at any time?
MEDGm: Recorded: 72 hours' notice before next billing; prepaid bundles non-refundable after approval; full refund if not prescribed. Sesame Care: Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
Are the visit and shipping included with MEDGm and Sesame Care?
MEDGm: consultation recorded as "Included", shipping recorded as included. Sesame Care: consultation recorded as "$59/mo care subscription (12-month commitment)", shipping charge not recorded.
Do MEDGm or Sesame Care take insurance?
Sesame Care is recorded as accepting insurance; MEDGm is self-pay on our record.
Does MEDGm or Sesame Care offer a pill or tablet?
Both list an oral option alongside injections. Check which drug and form each one prescribes for you.
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