Sesame Review
Sesame runs its weight program as a monthly subscription called Success by Sesame. The plan starts at $99 per month and covers provider visits, unlimited messaging, and ongoing management. Medication is billed separately.
You can pursue FDA-approved GLP-1 options like Wegovy, Ozempic, and Zepbound. There is also a self-pay Zepbound vial route starting at $349 per month. Insurance may drop brand copays to as low as $25 when benefits apply.
About Sesame
A marketplace model with posted brand pricing and a simple monthly fee. Best for people who want FDA-approved GLP-1 paths and are comfortable paying meds separately.
Why it's for you
- Clear program price. $99 per month includes telehealth visits and ongoing messaging with your chosen provider.
- Brand options in one place. Wegovy and Ozempic list self-pay starting at $499 per month. Zepbound injector pens start at $1,086. Zepbound vials show a self-pay path from $349 per month.
- Insurance can reduce brand GLP-1 costs to as low as $25 per month when benefits apply. The care team helps with prior authorization paperwork.
- Quest lab work is included with the subscription in most states, which lowers total cost.
- You pick your clinician and can switch if availability or style is not a fit.
Why it's not for you
- Medication costs are separate from the $99 fee. Cash prices for brand pens are still high if you lack coverage.
- Labs are not included in nine states. You will pay local lab fees if you live in AZ, HI, ND, NJ, NY, OK, RI, SD, or WY.
- Refunds are strict. You get a full refund only if you cancel at least three hours before the first visit. After that, the first month is not refundable.
- Billing runs every 28 days to match pharmacy supply. You must cancel before the next cycle to stop charges.
- As a platform, Sesame is not a pharmacy. Fulfillment timelines and stock depend on outside pharmacies and your insurance.
Pricing and plans
Success by Sesame is a flat $99 per month. That covers provider visits, unlimited messaging, and care management. The program fee does not include medication.
Brand pricing at a glance. Wegovy and Ozempic list self-pay prices starting at $499 a month. Zepbound injector pens start at $1,086 cash. There is also a Zepbound vial option at a self-pay price that starts at $349 a month and is marked self-pay only.
Insurance notes. If your plan covers weight loss meds, insured copays can be as low as $25 a month. The provider can handle prior authorization steps. Medicare and Medicaid typically do not cover GLP-1s for weight loss.
How it works and timing
You complete a short intake and choose a clinician. After your video visit, the provider can order labs and send a prescription to your chosen pharmacy if appropriate. Medication shipping and stock depend on the dispensing pharmacy and your insurance.
Labs included. Quest Diagnostics lab work is included with the subscription in most states. It is excluded in AZ, HI, ND, NJ, NY, OK, RI, SD, and WY. If you are in one of those states, expect separate lab charges.
Billing cadence. Sesame bills every 28 days so the care schedule stays aligned with common GLP-1 pharmacy fills. Cancel before the next cycle to avoid another charge.
Compounded medications explained
Sesame’s weight page centers on FDA-approved brands. When brands are used, you are getting labeled products like Wegovy and Zepbound. If a provider discusses compounded options, remember that in general compounded drugs are not FDA-approved and are not reviewed by FDA for safety, effectiveness, or quality before dispensing. Sesame is not a pharmacy and fulfillment occurs through outside pharmacies.
Privacy, pharmacy, and terms
Platform role. Sesame is a marketplace and not a pharmacy. Providers set their own prices and make prescribing decisions. The Terms confirm Sesame does not provide medical services and does not dispense medication.
Refunds. For the subscription, there is a full refund only if you cancel at least three hours before your first visit. After that, the first month is not refundable. Ongoing months are nonrefundable once billed and you must cancel before the next cycle.
Arbitration. The Terms of Service include a binding arbitration agreement and a class action waiver. Read this section before you enroll.
FAQ: quick answers people search for
How much is the monthly fee? $99 per month for Success by Sesame. Care, messaging, and management are included. Medication is separate.
How much do the medications cost? Wegovy and Ozempic start at $499 per month cash. Zepbound injector pens start at $1,086 cash. Zepbound vials start at $349 and are self-pay only. With insurance, GLP-1 copays can be as low as $25 a month.
Are labs included? Yes at Quest in most states. Excluded states are AZ, HI, ND, NJ, NY, OK, RI, SD, and WY.
How are refunds handled? Full refund only if you cancel at least three hours before your first visit. The first month is not refundable if the visit occurs. Ongoing cycles are nonrefundable once billed. Cancel before the next 28-day cycle.
Is Sesame a pharmacy? No. Sesame is a marketplace. Prescriptions are filled by outside pharmacies.
Bottom line

Keith Murphy
Senior Editor
If you want FDA-approved GLP-1 options with a predictable care fee and you like choosing your own clinician, Sesame is easy to budget. The self-pay Zepbound vial path gives a concrete price. Labs at Quest remove friction in most states.
Plan for pharmacy-billed medications on top of the $99 fee. Read the refund timing, check whether your state has Quest included, and confirm your pharmacy’s stock before you start so your first month runs smoothly.
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