Sesame

An open marketplace where independent clinicians set their own cash-pay prices and patients browse and pick a provider directly, rather than a single company's standardised programme — pricing and exact offerings vary by the individual clinician you choose.

At a glance

Access model

Marketplace

Medications offered

WegovyZepboundCompounded GLP-1s (offered by some clinicians on the marketplace)

Prescriber

Varies by the independent clinician selected on the marketplace

Insurance

Primarily a cash-pay marketplace; not built around insurance billing

Membership / program fee

No forced membership to book a visit. Its bundled weight-loss programme, 'Success by Sesame', was advertised at $249/month with medication included and, in Sesame's words, 'no price markup' — a figure we could not re-confirm on 10 September 2026, when it appeared nowhere on the homepage and the weight-loss URL returned a 404

Cash-pay from

Visits start at $34. The Wegovy pill is advertised from $149/month, and a Costco-branded weight-loss programme from $49/month; what any individual clinician charges is set by that clinician, not by Sesame

States served

Availability depends on which clinicians are listed in your state

What that adds up to

Adding up what Sesame does publish gives at least $249 a month, but that is a floor rather than a total: medication is not published as a figure, so the real monthly cost is higher.

A membership figure and a medication figure are two different numbers, and the one a provider leads with is usually the smaller of the two. We add both together for every provider in this directory and set the result beside buying direct from the manufacturer, on what the published figures do and don't add up to.

On compounding

Because Sesame is a marketplace, whether a specific listing is brand-name or compounded depends on the individual clinician — check each listing rather than assuming for the platform as a whole.

For the fuller regulatory picture — the pending FDA proposal on 503B compounding and what it does and doesn’t affect — see the compounding explainer that sits above every provider we list, Sesame included.

Questions people ask before signing up

Every answer below states only what Sesame publishes about itself, read on 2026-08-11, plus what is on the public record. We have not used this service and we do not rate it.

Who writes the prescription at Sesame?

Varies by the independent clinician selected on the marketplace. Every GLP-1 receptor agonist is prescription-only in the United States, so a service that supplies one without an assessment is not operating lawfully, whatever it calls itself. This is Sesame's own published description of who evaluates you, read on 2026-08-11.

Does Sesame use compounded medication?

Yes. Its published offer includes Compounded GLP-1s (offered by some clinicians on the marketplace), alongside brand-name Wegovy, Zepbound. A compounded preparation is not a generic and has not been reviewed by the FDA for identity, purity or sterility — that is the difference the price reflects, and it is the reason a compounded price is lower.

What does Sesame actually cost per month?

Adding up what Sesame does publish gives at least $249 a month, but that is a floor rather than a total: medication is not published as a figure, so the real monthly cost is higher. A membership or programme fee and a medication price are two different numbers, and the one a provider leads with is usually the smaller. We add both together for every provider in this directory rather than repeating the advertised figure.

Does Sesame take insurance?

Primarily a cash-pay marketplace; not built around insurance billing. Whether your own plan covers a GLP-1 at all is a separate question from whether a provider will bill it, and it is usually the one that decides the price — many employer plans exclude weight-management medications as a category.

Is Sesame available in my state?

Availability depends on which clinicians are listed in your state. Where a provider does not publish a state list we say so rather than assume nationwide coverage, and this field is read from Sesame's own site on 2026-08-11.

How to reach Sesame

Visit Sesame’s own site to confirm current pricing, state availability, and eligibility — all of the figures above can change without notice, and only the provider itself has the current version.

Disclosure We earn nothing from this link. We hold no referral, affiliate, or advertising arrangement with this provider, and this listing was compiled from their own published terms. How we’re funded.

How this compares

Other providers with a similar access model or worth contrasting against:

This page is general education, not medical advice. Talk to your own healthcare provider about your situation before starting, stopping, or changing any medication.