Sesame Care vs SkinnyRx
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 SkinnyRx: "$99 first month, renewal not published". 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 SkinnyRx: "$99 first month, renewal not published". 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, SkinnyRx in 48.
- Drugs: Sesame Care lists brand-name medication only; SkinnyRx lists compounded 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. Sesame Care source · SkinnyRx source.
| Compare | Sesame Care | SkinnyRx |
|---|---|---|
| Recorded monthly-plan price | Not recorded | Not recorded |
| Recorded medication/program subtotal | 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. | Seller's headline: $99 first month for injections, tablets $149 or $199 first month, renewal price not published. 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 | Compounded |
| Oral option | Listed | Listed |
| Consultation | $59/mo care subscription (12-month commitment) in the record; current conditions unconfirmed | Included in the record; current conditions unconfirmed |
| Membership or program fee | 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) | Not separately recorded; do not assume zero. |
| Shipping | Charge not recorded | Recorded as included; confirm for your address |
| Labs | Required tests and any lab charge are not recorded. | Required tests and any lab charge are not recorded. |
| Insurance | Recorded as accepted | Self-pay on the record |
| 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 | 50; confirm eligibility and clinician licensing in your state | 48; 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 | Licensed physicians, per-visit model | Licensed U.S. physicians, 24-48hr prescription review |
| Trustpilot | 4.6/5 from 4,607 reviews (read Nov 5, 2026) | 4.8/5 from 5,401 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.
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.
SkinnyRx
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline | $99 first month, renewal not published | $99 first month, renewal not published | SkinnyRx page, read Nov 6, 2026 |
Last published standing prices were $199/mo injectable semaglutide and $299/mo injectable tirzepatide (seen September 1, 2026). Since September 2 the homepage, both product pages and the FAQ show only a '$99 first month' price for each injectable (tablets $149 / $199 first month) under a '$99 GLP-1 Injections: While Supplies Last' banner, with no renewal rate anywhere, so it has no standing price on record. Plans are subscriptions with no contract, cancel anytime; the refund FAQ notes promotional discounts may be reversed if you cancel before the end of a promotional term. Re-checked September 26, 2026: still only first-month prices ($99 injections 'while supplies last', tablets $149 semaglutide / $199 tirzepatide first month). Re-read November 6, 2026: unchanged.
What is included
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
SkinnyRx
Visits: consultation recorded as "Included". Care: Licensed U.S. physicians, 24-48hr prescription review.
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.
What SkinnyRx lists:
- Three delivery forms: injectable, sublingual, and oral tablets
- Month-to-month billing with no contracts
How it works, per SkinnyRx's page:
- Take an online assessment of your health history, goals and preferences.
- A licensed provider reviews it and decides whether prescription treatment is appropriate.
- If prescribed, fulfillment may be pharmacy pickup or direct delivery where available.
- The care team offers in-app support and progress tracking.
States served
Sesame Care: 50 states
Recorded as available in all 50 states.
- Wide network of licensed physicians across all 50 states
SkinnyRx: 48 states
Recorded as available in 48 states.
The record names no excluded state. Confirm yours at intake.
State-by-state costs and Medicaid notes are on the GLP-1 cost by state pages.
Drugs offered
Sesame Care: brand-name medication only
- Wegovy
- Wegovy HD
- Wegovy (oral)
- Zepbound
- Zepbound KwikPen
- Foundayo
An oral form is listed.
SkinnyRx: compounded medication only
- Compounded Semaglutide (Injectable)
- Compounded Semaglutide (Sublingual)
- Compounded Tirzepatide (Injectable)
- Compounded Tirzepatide (Tablets)
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
- 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)
- SkinnyRx: Not separately recorded; do not assume zero.
A fee missing from the record is unknown, not zero.
Cancellation and refunds
Sesame Care
Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
SkinnyRx
Recorded as cancel anytime, but introductory discounts may be reversed on early cancellation. Confirm notice and refund rules.
- A full refund is available until a licensed provider completes the prescription review.
- Partially used subscription periods are not refunded as a rule, and bundled subscriptions are non-refundable.
Which should you choose?
Sesame Care
On the record, Sesame Care suits a reader who wants more states on the record (50 against 48), brand-name, FDA-approved medication and insurance use.
SkinnyRx
On the record, SkinnyRx suits a reader who wants compounded medication, no separate membership fee on the record and shipping recorded as included.
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.
Sesame Care: evidence and terms
SkinnyRx: evidence and terms
Recorded FDA letter (2026-02-20): FDA found claims on skinnyrx.com for compounded GLP-1 products false or misleading, making the products misbranded under FD&C Act sections 502(a) and 502(bb). FDA letter.
Sesame Care vs SkinnyRx: questions
Which is cheaper, Sesame Care or SkinnyRx?
Neither has a recorded semaglutide monthly-plan rate. The sellers' own lines read SkinnyRx: "$99 first month, renewal not published". Those terms differ, so we do not rank them. Neither has a recorded tirzepatide monthly-plan rate. The sellers' own lines read SkinnyRx: "$99 first month, renewal not published". 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, Sesame Care or SkinnyRx?
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 Sesame Care or SkinnyRx available in more states?
Sesame Care is recorded in more states: 50 against 48. Sesame Care: Wide network of licensed physicians across all 50 states. Confirm your state at intake.
Do Sesame Care and SkinnyRx offer brand-name or compounded GLP-1?
Sesame Care lists brand-name medication only (Wegovy, Wegovy HD, Wegovy (oral), Zepbound, Zepbound KwikPen, Foundayo). SkinnyRx lists compounded medication only (Compounded Semaglutide (Injectable), Compounded Semaglutide (Sublingual), Compounded Tirzepatide (Injectable), Compounded Tirzepatide (Tablets)). Compounded drugs are not FDA-approved.
Does Sesame Care or SkinnyRx charge a membership fee?
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) SkinnyRx: Not separately recorded; do not assume zero.
Can you cancel Sesame Care or SkinnyRx at any time?
Sesame Care: Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded. SkinnyRx: Recorded as cancel anytime, but introductory discounts may be reversed on early cancellation. Confirm notice and refund rules.
Are the visit and shipping included with Sesame Care and SkinnyRx?
Sesame Care: consultation recorded as "$59/mo care subscription (12-month commitment)", shipping charge not recorded. SkinnyRx: consultation recorded as "Included", shipping recorded as included.
Do Sesame Care or SkinnyRx take insurance?
Sesame Care is recorded as accepting insurance; SkinnyRx is self-pay on our record.
Does Sesame Care or SkinnyRx offer a pill or tablet?
Both list an oral option alongside injections. Check which drug and form each one prescribes for you.
Compare the full provider directory · Compare recorded price subtotals