Sesame Care vs Zealthy
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 Zealthy: "As low as $151/mo, term not stated". Those terms differ, so we do not rank them.
- Cheapest to start, tirzepatide: Neither has a tirzepatide monthly-plan rate on our record. Price on seller's site.
- 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: Both are recorded in 50 states.
- Drugs: Sesame Care lists brand-name medication only; Zealthy lists brand-name and compounded medication.
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 · Zealthy source.
| Compare | Sesame Care | Zealthy |
|---|---|---|
| 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: Semaglutide as low as $151/mo, plan term not stated. 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 | Brand-name and compounded |
| Oral option | Listed | Injections only on the record |
| Consultation | $59/mo care subscription (12-month commitment) in the record; current conditions unconfirmed | $135/mo membership 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) | $135/mo recorded membership; inclusion in bundled prices is unconfirmed. |
| 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 | 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 | Licensed physicians, per-visit model | Licensed physicians, ongoing clinical support |
| Trustpilot | 4.6/5 from 4,607 reviews (read Nov 5, 2026) | 3.2/5 from 6,059 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.
Zealthy
| Plan or term | Semaglutide | Tirzepatide | Source and read date |
|---|---|---|---|
| Seller's headline | As low as $151/mo, term not stated | Not listed | Zealthy page, read Nov 6, 2026 |
getzealthy.com/weight-loss says semaglutide 'as low as $151/month' with no term on the page, and brand drugs as low as $25/month where coverage applies (read November 6, 2026). A '$96 off' banner is a first-order promotion.
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
Zealthy
Visits: consultation recorded as "$135/mo membership". Care: Licensed physicians, ongoing clinical support.
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 Zealthy lists:
- Access to both compounded and FDA-approved brand-name medications
- Physician-supervised with ongoing clinical support
- Can facilitate brand-name prescriptions for insured patients
States served
Sesame Care: 50 states
Recorded as available in all 50 states.
- Wide network of licensed physicians across all 50 states
Zealthy: 50 states
Recorded as available in all 50 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.
Zealthy: brand-name and compounded medication
- Compounded Semaglutide
- Compounded Tirzepatide
- Wegovy
- Zepbound
Injections only on the record.
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)
- Zealthy: $135/mo recorded membership; inclusion in bundled prices is unconfirmed.
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.
Zealthy
Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
Which should you choose?
Sesame Care
On the record, Sesame Care suits a reader who wants an oral option and insurance use.
Zealthy
On the record, Zealthy suits a reader who wants compounded medication 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
Zealthy: evidence and terms
Recorded FDA letter (2025-09-09): FDA found claims on getzealthy.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 Zealthy: questions
Which is cheaper, Sesame Care or Zealthy?
Neither has a recorded semaglutide monthly-plan rate. The sellers' own lines read Zealthy: "As low as $151/mo, term not stated". Those terms differ, so we do not rank them. Neither has a tirzepatide monthly-plan rate on our record. Price on seller's site. 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 Zealthy?
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 Zealthy available in more states?
Both are recorded in 50 states. Sesame Care: Wide network of licensed physicians across all 50 states. Confirm your state at intake.
Do Sesame Care and Zealthy offer brand-name or compounded GLP-1?
Sesame Care lists brand-name medication only (Wegovy, Wegovy HD, Wegovy (oral), Zepbound, Zepbound KwikPen, Foundayo). Zealthy lists brand-name and compounded medication (Compounded Semaglutide, Compounded Tirzepatide, Wegovy, Zepbound). Compounded drugs are not FDA-approved.
Does Sesame Care or Zealthy 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) Zealthy: $135/mo recorded membership; inclusion in bundled prices is unconfirmed.
Can you cancel Sesame Care or Zealthy at any time?
Sesame Care: Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded. Zealthy: Recorded as cancel anytime; notice deadlines, prepaid-plan limits and refund rights are not fully recorded.
Are the visit and shipping included with Sesame Care and Zealthy?
Sesame Care: consultation recorded as "$59/mo care subscription (12-month commitment)", shipping charge not recorded. Zealthy: consultation recorded as "$135/mo membership", shipping recorded as included.
Do Sesame Care or Zealthy take insurance?
Sesame Care is recorded as accepting insurance; Zealthy is self-pay on our record.
Does Sesame Care or Zealthy offer a pill or tablet?
Sesame Care lists an oral option; Zealthy lists injections only on our record.
Compare the full provider directory · Compare recorded price subtotals