Sesame GLP-1 Pricing & Reviews 2026: Real 12-Month Cost

Sesame’s GLP-1 program, Success by Sesame, charges for care and medication separately: care starts at $59 per month with a 12-month commitment, and medication is paid on top, from $149 per month for the lowest Wegovy pill doses up to $449 per month for most Zepbound vial doses. That puts a year on Sesame between about $2,496 and $5,896 for the options with fixed published prices, and more if you use brand-name pens. Prices below were checked on Sesame’s website on October 30, 2026.

What Sesame publicly lists

Item	Listed price	Terms	Source
Success by Sesame care fee	From $59 per month	12-month commitment; medication not included; Sesame says some clinicians charge a higher monthly rate	Sesame weight loss program page
Success by Sesame, month-to-month care	Not published on Sesame’s site as of Oct 30, 2026	The program page’s metadata separately says “starts at just $99/mo,” which does not match the page body	Sesame weight loss program page
Wegovy pill, 1.5 mg or 4 mg	$149 per month	Self-pay medication, paid separately	Sesame Wegovy page
Wegovy pill, 9 mg or 25 mg	$299 per month	Self-pay medication, paid separately	Sesame Wegovy page
Wegovy pen	$199 per month for 2 months, then $349 per month	Intro price for new self-pay patients, Nov 17, 2025 to Dec 31, 2026	Sesame Wegovy page
Zepbound vials (via LillyDirect)	$299 (2.5 mg), $399 (5 mg), $449 (all other doses) per month	Self-pay, if the provider sends the prescription to LillyDirect	Sesame tirzepatide page
Zepbound or Mounjaro pens	$1,080 to $1,200 per month	Depends on pharmacy	Sesame tirzepatide page
Compounded semaglutide or tirzepatide	Not published on Sesame’s site as of Oct 30, 2026	Sesame’s program pages list brand-name medications only	Sesame weight loss program page

The 12-month math

Sesame’s $59 care fee assumes a 12-month commitment, so the annual care cost is 12 × $59 = $708. Medication is added on top. Sesame does not publish a dose schedule, so for Zepbound vials we show an illustration only: one month at 2.5 mg, one at 5 mg, and ten at a higher dose. Your clinician sets your actual dosing. Insurance can change these numbers; Sesame says insured patients may pay as little as $25 per month for Wegovy depending on their plan.

Option	Line items	12-month total
Sesame: Wegovy pill, 1.5 mg or 4 mg all year	Care $708 + medication 12 × $149 = $1,788	$2,496
Sesame: Wegovy pill, 9 mg or 25 mg all year	Care $708 + medication 12 × $299 = $3,588	$4,296
Sesame: Wegovy pen, new self-pay patient	Care $708 + (2 × $199) + (10 × $349) = $3,888	$4,596
Sesame: Zepbound vials (illustration)	Care $708 + $299 + $399 + (10 × $449) = $5,188	$5,896
Sesame: Zepbound or Mounjaro pens	Care $708 + 12 × $1,080 to $1,200	$13,668 to $15,108
Elara: tirzepatide (compounded), 52-week plan	13 × $269 every 4 weeks; all-inclusive, same price at every dose	$3,497
Elara: tirzepatide (compounded), 4-week plan	13 × $339	$4,407
Elara: injectable semaglutide (compounded), 52-week plan	13 × $179	$2,327
Elara: oral semaglutide (compounded), 52-week plan	13 × $209	$2,717

Sesame’s listed medications are brand-name products; Elara’s clinicians may prescribe compounded medications. These are different products, and this table compares price only. Compounded medications are not FDA-approved. FDA does not review them for safety, effectiveness, or quality.

What’s included: Sesame vs. Elara

Feature	Sesame	Elara
Medication options	Brand-name medications including Wegovy pill and pen, Zepbound vials and pens, Foundayo, and others if clinically appropriate	Compounded semaglutide (injection or oral) or compounded tirzepatide, if prescribed
Price at higher doses	Higher for several medications (for example, Wegovy pill $149 vs. $299; Zepbound vial $299 to $449)	Same price at every dose step
Clinician access	Provider of your choice; video visits and unlimited messaging	Physician review and dose decisions through OpenLoop Healthcare Partners, PC; secure messaging during business hours
Lab work	Included; Sesame describes labs as ordered when needed	Metabolic labs every quarter at Quest or Labcorp, included
Coaching	Provider guidance plus in-app tracking; no separate coaching program stated	Call with a certified health coach every 3 weeks
Cancellation terms	Not described for Success by Sesame; general membership terms below	No fee on 4-week plans; early exit from longer plans reconciled to the shorter plan’s rate
Pharmacy disclosure	Your local pharmacy or home delivery; Zepbound vials via LillyDirect	Not named
Membership/consult fees	Care fee from $59 per month (12-month commitment), separate from medication	None separate; one price every 4 weeks

How to cancel Sesame

Sesame’s weight loss pages do not describe how to cancel Success by Sesame as of October 30, 2026. Sesame’s general Terms of Service (updated October 16, 2026), which do not name the program, say membership subscriptions can be canceled up to 48 hours before renewal by emailing support@sesamecare.com or calling +1 (877) 947-6411, and that access continues through the current term. Those terms say there are no prorated refunds, and that canceling a multi-month plan early may be re-priced at the standard month-to-month rate. Ask Sesame how these terms apply to the 12-month Success commitment before you enroll. Source: Sesame Terms of Service.

Who Sesame may be a good fit for

• People with insurance that may cover a brand-name GLP-1; Sesame’s providers help with prior authorization.
• People who want an FDA-approved brand-name medication such as Wegovy or Zepbound and prefer to pick it up at a local pharmacy.
• People who want to choose their own provider and book video visits.
• People who expect to stay on lower doses, where Sesame’s self-pay medication prices are lowest.
• People interested in newer options Sesame lists, such as Foundayo.

How Elara is different

Elara charges one price every 4 weeks that covers care and medication together, and that price does not change as your dose steps up. Every plan includes physician review and dose decisions, metabolic labs every quarter at Quest or Labcorp, a certified health coach call every 3 weeks, secure messaging during business hours, refills, and shipping. Plans run 4, 12, 24, or 52 weeks, with no cancellation fee on the 4-week plan. See how Elara works or compare on our comparison hub.

Frequently asked questions

How much does Sesame GLP-1 cost per month?

As of October 30, 2026, Success by Sesame care starts at $59 per month with a 12-month commitment, and medication is billed separately. Self-pay medication on Sesame’s site ranges from $149 per month (Wegovy pill, lower doses) to $449 per month for most Zepbound vial doses, and $1,080 to $1,200 per month for Zepbound or Mounjaro pens.

Does the Sesame weight loss program include medication?

No. Sesame states that medication pricing is separate from the cost of clinical care and applies only if prescribed.

Does Sesame offer compounded semaglutide or tirzepatide?

Sesame’s weight loss program and medication pages we reviewed list brand-name medications only and do not offer or price compounded GLP-1s.

Can I use insurance with Sesame for GLP-1s?

Sesame says insurance may cover some or all medication costs, that its providers can help with prior authorization, and that Wegovy can cost as little as $25 per month depending on your plan. Sesame’s terms say membership fees are generally not covered by insurance or HSA/FSA plans.

Is Sesame legit?

Sesame’s Terms of Service describe Sesame, Inc. as a platform that facilitates the sale of health care services by providers, who are independent professionals in independently owned practices. Sesame states it is not a pharmacy and cannot guarantee a prescription. Read those terms to understand who provides your care.

Is Sesame cheaper than other GLP-1 programs?

It depends on your dose, medication, and insurance. On Sesame’s own published self-pay prices, a year ranges from $2,496 (Wegovy pill at the lowest doses) to over $13,000 (brand-name tirzepatide pens).

Sources

• https://sesamecare.com/service/online-weight-loss-program (accessed Oct 30, 2026)
• https://sesamecare.com/medication/wegovy (accessed Oct 30, 2026)
• https://sesamecare.com/medication/tirzepatide (accessed Oct 30, 2026)
• https://sesamecare.com/blog/sesame-launches-success-by-sesame (accessed Oct 30, 2026)
• https://sesamecare.com/blog/sesame-vs-hims-weight-loss (accessed Oct 30, 2026)
• https://sesamecare.com/terms-of-service (accessed Oct 30, 2026)
• Elara pricing and Elara verification hub

Disclaimer: Published by Elara Health and Wellness, which offers its own GLP-1 program; this is not an independent review. Prices were checked on Sesame’s website on October 30, 2026 and may change; confirm current pricing with Sesame before you buy. Compounded medications are not FDA-approved; FDA does not review them for safety, effectiveness, or quality. All trademarks belong to their respective owners; no affiliation or endorsement is implied. This article is general information, not medical advice.