Sesame Care vs Citizen Meds
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Sesame Care vs Citizen Meds: Overview
Choosing between Sesame Care and Citizen Meds for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.
Sesame Care offers both semaglutide and tirzepatide at $59/month with a rating of 8.7/10. Citizen Meds also provides both semaglutide and tirzepatide at $125/month with a 7/10 rating.
The price difference of $66/month is significant - Sesame Care is the more budget-friendly option, while Citizen Meds 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.
At a glance
Price Difference
$66/mo
Rating Difference
1.7
Winner
Sesame Care
Best For
Budget
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
Citizen Meds
View full Citizen Meds review →Rating
7/10
Monthly Price
$125
Medications
semaglutidetirzepatide
Pros
- ✓The full dose-by-dose price ladder is published before purchase: semaglutide 0.25 mg (4 injections) $125, 0.5 mg $245, 1.0 mg $295, 1.7 mg + 2.4 mg $345, 2.5 mg $395
- ✓No subscription is necessary - you can buy a single month without enrolling in anything recurring
- ✓HSA and FSA cards are accepted
- ✓Physician access is included in the product price
- ✓Ships 2-day or overnight, and the product does not require refrigeration in transit
- ✓A clear, published eligibility floor: a minimum BMI of 27 is required to order
- ✓If a physician does not approve your order, it is refunded instantly
- ✓A physician may contact you within 24 hours of purchase if more information is needed
Cons
- ✗A blanket no-refund policy on everything else: "Our medications are ordered specifically per patient and therefore cannot be refunded. We have a 'no refund policy'"
- ✗Subscription patients are automatically escalated to a higher dose every month unless they email support to opt out - and the price rises with the dose. The burden is on you to stop it
- ✗The escalating price ladder means the $125 headline is a first-month figure only. By month five you are at $395
- ✗You have 48 hours from delivery to inspect the package and report any problem, which is a short window if you are travelling
- ✗Insurance is not accepted at all
- ✗HSA/FSA support is minimal - only a plain purchase receipt is provided, with no codes, forms or physician notes if your administrator asks for them
- ✗The medication is compounded and therefore not FDA-approved
- ✗No phone number is published - contact is info@citizenmeds.com only
- ✗The website itself is thin: the product catalogue carries far more detail than the company does
Feature-by-feature comparison
| Feature | Sesame Care | Citizen Meds |
|---|---|---|
| Monthly Price | $59 | $125 |
| Rating | 8.7/10 | 7/10 |
| Medications | semaglutide, tirzepatide, orforglipron | semaglutide, tirzepatide |
| Insurance Accepted | Yes | No |
| Support Hours | Not published | Not published |
| Live Chat | No | No |
| Free Shipping | No | No |
| Shipping Speed | Filled at your pharmacy; not shipped by Sesame | 2-day or overnight shipping; no refrigeration needed in transit |
| Mobile App | Available | No |
| Dedicated Coach | Included | Not included |
| Follow-up Frequency | Ongoing video visits, labs and messaging with a dedicated provider | Physician may contact you within 24 hours of purchase if more information is needed |
| Money-back Guarantee | Full refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid | Orders not approved by the physician are instantly refunded; otherwise no refunds |
| Cancellation Policy | Self-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded | Subscriptions auto-escalate dose and price monthly unless you email info@citizenmeds.com to request otherwise |
Which should you choose?
Choose Sesame Care if you:
- →Want to save $66/month with a more affordable option
- →Prefer a higher-rated service (8.7/10 vs 7/10)
- →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
Choose Citizen Meds if you:
- →Value: the full dose-by-dose price ladder is published before purchase: semaglutide 0.25 mg (4 injections) $125, 0.5 mg $245, 1.0 mg $295, 1.7 mg + 2.4 mg $345, 2.5 mg $395
Website previews
Sesame Care
Citizen Meds
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.
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