MEDVi vs Sesame Care: Which GLP-1 Program Is Better? (2026)
A detailed side-by-side comparison of MEDVi and Sesame Care to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.
Quick Verdict
We recommend MEDVi
Between these two providers, MEDVi is our pick for most users. It offers a higher overall rating (8.9 vs 7.2), both brand-name and compounded medication options. That said, Sesame Care may be the better fit if you are looking for people who specifically want brand-name fda-approved glp-1s and will commit to a year of care — not the cheapest route, and no compounded option.
MEDVi scores 8.9/10 in our evaluation at $299/month, while Sesame Care scores 7.2/10 at $208/month. Both programs include a licensed physician consultation and ship medication directly to your door. MEDVi also offers oral GLP-1 options for patients who prefer pills over injections. Our rating considers five factors: safety and medical oversight (30%), pricing transparency (25%), cost value (20%), clinical support quality (15%), and onboarding speed (10%). We earn affiliate commissions from some providers, disclosed on this page; no provider can pay to fake safety, licensing, or hide the downsides. Prices verified April 2026.
Side-by-Side Comparison
| Feature | MEDVi | Sesame Care |
|---|---|---|
| Monthly Price | $299 | $208 |
| Rating | 8.9 / 10 | 7.2 / 10 |
| Medication Type | Brand & Compounded | Brand-Name Only |
| Insurance Accepted | No | Yes |
| States Available | 49 states | All 50 states |
| Consultation Fee | Included | $59/mo care subscription (12-month commitment) |
| Shipping | Free Shipping | Paid |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed physicians, unlimited visits, 24/7 messaging | Licensed physicians, per-visit model |
Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated April 2026.
MEDVi: Detailed Look
MEDVi
Personalized GLP-1 with injectable and oral options — $179 first month, then $299
Pros
- Low $179 first-month price includes medication and consultation
- Both injectable and oral dissolving tablet options
- Unlimited doctor visits and 24/7 messaging support
- LegitScript certified for transparency and compliance
Cons
- Refill price jumps to $299/month after the first month
- Cash-pay only — no insurance accepted
- Received an FDA warning letter (Feb 2026) over website marketing claims on compounded GLP-1s — part of an industry-wide sweep of 30+ telehealth firms; concerned labeling/claims, not medication safety
Users who want a low entry price with oral and injectable compounded options
Sesame Care: Detailed Look
Sesame Care
Affordable telehealth marketplace connecting patients with doctors from $25
Pros
- Lowest consultation cost — visits from just $25
- Prescribes brand-name FDA-approved medications
- Transparent pricing: a $59/mo care subscription plus the manufacturer's own medication price
- Wide network of licensed physicians across all 50 states
Cons
- Medication cost is separate and not included in visit fee
- No compounded options — brand-name only (higher drug cost)
People who specifically want brand-name FDA-approved GLP-1s and will commit to a year of care — not the cheapest route, and no compounded option
Which Should You Choose?
The right choice depends on your specific needs and priorities. Here is a quick decision framework:
Go with Sesame Care at $208/month. Sesame has moved to a "Success by Sesame" subscription: $59/mo for care (priced on a 12-month commitment) plus medication billed separately — Wegovy from $149/mo brings the all-in to roughly $208/mo, and Zepbound from $299/mo to roughly $358/mo. Brand-name FDA-approved medication only; Sesame no longer offers a compounded option, so it does not appear in our compounded price ladders. Sesame notes medication pricing may vary by treatment, dose, pharmacy and provider, so these are floors rather than guarantees. Verified August 31, 2026..
MEDVi has the edge with a 8.9 rating.
Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.
Choose Sesame Care which exclusively prescribes brand-name medications.
Compare their support: MEDVi offers licensed physicians, unlimited visits, 24/7 messaging, while Sesame Care provides licensed physicians, per-visit model.
MEDVi at $299/month may offer features that justify the premium.
Frequently Asked Questions
Is MEDVi better than Sesame Care?
MEDVi has a 8.9 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — MEDVi is best for users who want a low entry price with oral and injectable compounded options, while Sesame Care is best for people who specifically want brand-name fda-approved glp-1s and will commit to a year of care — not the cheapest route, and no compounded option.
How much does MEDVi cost compared to Sesame Care?
MEDVi starts at $299/month ($179 first month with no contract, refills locked in at $299/mo — 'no membership or hidden fees, everything you need is included' on compounded glp-1 injections (tablets from $249). brand wegovy pill/injection and zepbound are priced as a $99 membership plus the medication cost. standing (refill) price $299 is what we rank on; the $179 first month is a promo (a 'summer sale!' banner on september 26). re-verified on glp1.medvi.org september 26, 2026.), while Sesame Care starts at $208/month (sesame has moved to a "success by sesame" subscription: $59/mo for care (priced on a 12-month commitment) plus medication billed separately — wegovy from $149/mo brings the all-in to roughly $208/mo, and zepbound from $299/mo to roughly $358/mo. brand-name fda-approved medication only; sesame no longer offers a compounded option, so it does not appear in our compounded price ladders. sesame notes medication pricing may vary by treatment, dose, pharmacy and provider, so these are floors rather than guarantees. verified august 31, 2026.).
Do MEDVi and Sesame Care accept insurance?
MEDVi does not accept insurance. Sesame Care accepts insurance.
Which GLP-1 medications does MEDVi offer vs Sesame Care?
MEDVi offers Compounded Semaglutide (Injectable), Compounded Semaglutide (Oral), Brand Wegovy / Zepbound ($99 membership + medication). Sesame Care offers Wegovy, Wegovy HD, Wegovy (oral), Zepbound, Zepbound KwikPen, Foundayo.
Can I cancel MEDVi or Sesame Care at any time?
MEDVi allows cancel anytime. Sesame Care also allows cancel anytime.
Are MEDVi and Sesame Care available in my state?
MEDVi is available in 49 states. Sesame Care is available in all 50 states.
Not sure MEDVi or Sesame Care is right for you?
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