Ro vs Sesame Care

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

Ro vs Sesame Care: Overview

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

Ro offers both semaglutide and tirzepatide at $149/month with a rating of 8.6/10. Sesame Care also provides both semaglutide and tirzepatide at $59/month with a 8.7/10 rating.

The price difference of $90/month is significant - Sesame Care is the more budget-friendly option, while Ro 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

$90/mo

Rating Difference

0.1

Winner

Sesame Care

Best For

Budget

Ro

View full Ro review →

Rating

8.6/10

Monthly Price

$149

Medications

semaglutidetirzepatide

Pros

✓Prescribes FDA-approved, brand-name GLP-1s - Zepbound, Wegovy pen and pill, Ozempic, Saxenda and the new Foundayo pill - rather than compounded copies
✓Real insurance support: a dedicated team handles prior authorizations and appeals, and there is a free GLP-1 insurance checker you can run before paying anything
✓Publishes exact cash-pay prices for the Zepbound KwikPen: $299/mo at 2.5 mg, $399/mo at 5 mg and $449/mo at 7.5-15 mg with the manufacturer offer (checked July 26, 2026)
✓Membership is $39 for the first month, and as low as $74/mo if you prepay for a year
✓Long-established: trading since 2017, BBB accredited since 2018, and one of the largest telehealth platforms in the US
✓Prescriptions are typically filled and shipped within 1-4 days
✓Cash-pay Zepbound single-dose vials are available if you want to skip the insurance process entirely
✓Ongoing provider messaging, check-ins and progress tracking are included in the membership fee

Cons

✗The membership fee does not include your medication. At $149/mo month-to-month plus $449/mo for a maintenance dose of Zepbound, the realistic all-in cost is roughly $520-600 a month
✗The discounted $449 refill price depends on completing a check-in within 45 days of your last delivery. Miss that window and the price jumps to $499 for 7.5 mg, or $699 for the 10, 12.5 and 15 mg doses
✗All sales are final. Ro states it cannot issue refunds or accept returns on prescription products, except where it has made an error filling your prescription
✗The headline $74/mo membership rate requires prepaying a full year upfront
✗BBB lists 619 complaints, and Trustpilot sits at 3.8 from 4,796 reviews, with cancellation and billing the dominant negative themes
✗No customer phone number or support email is published on the site; support runs through your account
✗Because the medication price depends on your insurance, what you will actually pay each month cannot be known until after you have signed up and been assessed
✗The homepage claim 'Lose 20% body weight on average with Zepbound' comes from the manufacturer's trial of the branded drug, not from Ro's own patients

Choose Ro

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	Ro	Sesame Care
Monthly Price	$149	$59
Rating	8.6/10	8.7/10
Medications	semaglutide, tirzepatide	semaglutide, tirzepatide, orforglipron
Insurance Accepted	Yes	Yes
Support Hours	On-demand provider messaging (hours not published)	Not published
Live Chat	No	No
Free Shipping	Yes	No
Shipping Speed	Typically filled and shipped within 1-4 days	Filled at your pharmacy; not shipped by Sesame
Mobile App	Available	Available
Dedicated Coach	Included	Included
Follow-up Frequency	Ongoing check-ins plus on-demand provider messaging	Ongoing video visits, labs and messaging with a dedicated provider
Money-back Guarantee	None - Ro states all sales of prescription products are final, except where it filled your prescription in error	Full refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid
Cancellation Policy	Cancel the membership before your next billing date; charges already processed are not refunded	Self-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded

Which should you choose?

Choose Ro if you:

→Value: prescribes fda-approved, brand-name glp-1s - zepbound, wegovy pen and pill, ozempic, saxenda and the new foundayo pill - rather than compounded copies

Get started with Ro

Choose Sesame Care if you:

→Want to save $90/month with a more affordable option
→Prefer a higher-rated service (8.7/10 vs 8.6/10)
→Want more medication options to choose from
→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

Ro

Sesame Care

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

Ro vs Sesame Care

Ro vs Sesame Care: Overview

Our recommended brand

At a glance

Ro

Pros

Cons

Sesame Care

Pros

Cons

Feature-by-feature comparison

Which should you choose?

Choose Ro if you:

Choose Sesame Care if you:

Website previews

Ro

Sesame Care

Our recommendation

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