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Fitish RX vs Sesame Care

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Fitish RX vs Sesame Care: Overview

Choosing between Fitish RX and Sesame Care for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Fitish RX focuses on semaglutide at $219/month with a rating of 7.6/10. Sesame Care also provides both semaglutide and tirzepatide at $59/month with a 8.7/10 rating.

The price difference of $160/month is significant - Sesame Care is the more budget-friendly option, while Fitish RX positions itself as a premium service.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$160/mo

Rating Difference

1.1

Winner

Sesame Care

Best For

Budget

Fitish RX

View full Fitish RX review →

Rating

7.6/10

Monthly Price

$219

Medications

semaglutide

Pros

✓One number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees
✓A cheaper, honestly-labelled microdose lane at $179 a month for people who want a gentler approach - and it says outright that the microdose "does not titrate up"
✓It draws the distinction between the two lanes plainly rather than upselling: full dose for "serious, sustained weight management", microdose for a "gentle, mindful, cosmetic approach"
✓The compounding disclosure is unusually complete - it names the FDA-approved alternatives (Ozempic, Wegovy, Rybelsus) and states they are commercially available
✓A licensed provider reviews every intake, and the care team stays reachable through the patient portal for dose questions at no added cost
✓Medication ships monthly from a state-licensed sterile compounding pharmacy
✓Payment plans are offered (five payments of $43.80 shown on the product page)
✓Free standard shipping on orders over $100

Cons

✗Compounded semaglutide is not FDA-approved and does not undergo FDA review for safety, effectiveness or manufacturing quality
✗The microdosing lane is marketed for cosmetic weight loss, which is not an evidence-based clinical indication - no trial has tested fixed sub-therapeutic semaglutide dosing for that purpose
✗Only semaglutide. There is no tirzepatide option, so if semaglutide does not suit you there is nowhere to go inside the service
✗No phone number is published
✗The dispensing pharmacy is described only as "a state licensed sterile compounding pharmacy" and is never named
✗No refund, cancellation or money-back policy is published on the product page
✗No insurance billing and no HSA/FSA guidance
✗Marketed specifically to women, which is a positioning choice rather than a clinical one

Choose Fitish RX

Sesame Care

View full Sesame Care review →

Rating

8.7/10Better

Monthly Price

$59Cheaper

Medications

semaglutidetirzepatideorforglipron

Pros

✓Publishes cash prices dose by dose, which no other provider on this site does. Zepbound KwikPen is $299/mo at 2.5mg, $398 at 5mg, $499 at 7.5mg and $698 at 10-15mg, so you can see exactly what titrating up will cost before you start
✓The same detail applies across the range: Wegovy pill $149/mo (1.5mg, 4mg) or $299 (9mg, 25mg); Wegovy pen $199 for the first two months for new patients then $349; Foundayo from $149 to $349 depending on dose (checked July 27, 2026)
✓Every medication offered is FDA-approved and branded - no compounded product is involved
✓Insurance is accepted, and with coverage medication can drop to as low as $25/mo
✓The care programme itself - video visits, dedicated provider, labs and messaging - starts at $59/mo
✓Efficacy milestones are properly sourced, citing a study of injectable semaglutide 2.4mg with the population spelled out (BMI 30+, or 27+ with a weight-related condition, non-diabetic) and paired with lifestyle change
✓A full refund is available if you cancel at least three hours before your first visit
✓The wider marketplace lets you compare individual providers on price, with appointments from $37

Cons

✗The $59/mo headline depends on a 12-month 'Success by Sesame' commitment, and the annual fee is explicitly non-refundable once paid - cancel in month two and you do not get the remaining ten months back
✗Medication costs are not included in the programme price, which Sesame states plainly but which means the real monthly outlay is the subscription plus the drug
✗Cash prices escalate steeply with dose. Zepbound more than doubles from $299 to $698 as you titrate to a maintenance dose, so the entry price is not the price you will end up paying
✗The Wegovy pen intro rate of $199 applies to new patients only and for two months, after which it is $349
✗Monthly subscribers are not refunded for months already paid, even if unused
✗Because pricing depends on insurance status, pharmacy and dose, there is no single figure you can plan around before signing up
✗This is a general healthcare marketplace, so the weight-loss programme sits alongside urgent care and prescription refills rather than being a dedicated speciality service

Choose Sesame Care

Feature-by-feature comparison

Feature	Fitish RX	Sesame Care
Monthly Price	$219	$59
Rating	7.6/10	8.7/10
Medications	semaglutide	semaglutide, tirzepatide, orforglipron
Insurance Accepted	No	Yes
Support Hours	Patient portal messaging; hours not published	Not published
Live Chat	No	No
Free Shipping	Yes	No
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	Filled at your pharmacy; not shipped by Sesame
Mobile App	No	Available
Dedicated Coach	Not included	Included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Ongoing video visits, labs and messaging with a dedicated provider
Money-back Guarantee	None published	Full refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid
Cancellation Policy	Not published	Self-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded

Which should you choose?

Choose Fitish RX if you:

→Value: one number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees

Get started with Fitish RX

Choose Sesame Care if you:

→Want to save $160/month with a more affordable option
→Prefer a higher-rated service (8.7/10 vs 7.6/10)
→Want more medication options to choose from
→Need insurance coverage for your treatment
→Want personalized coaching support included
→Value: publishes cash prices dose by dose, which no other provider on this site does. zepbound kwikpen is $299/mo at 2.5mg, $398 at 5mg, $499 at 7.5mg and $698 at 10-15mg, so you can see exactly what titrating up will cost before you start

Get started with Sesame Care

Website previews

Fitish RX

Fitish RX website

Sesame Care

Sesame Care website

Our recommendation

Sesame Care comes out ahead with a higher rating of 8.7/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Sesame Care

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