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Sesame Care vs Fella Health

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

Sesame Care vs Fella Health: Overview

Choosing between Sesame Care and Fella Health for GLP-1 weight loss medication? Both are highly-rated 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. Fella Health also provides both semaglutide and tirzepatide at $149/month with a 8/10 rating.

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

0.7

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

Choose Sesame Care

Fella Health

View full Fella Health review →

Rating

8/10

Monthly Price

$149

Medications

semaglutidetirzepatideenclomiphenemetforminrapamycinNAD+

Pros

✓A six-month money-back guarantee, advertised in the site's top banner - by far the longest guarantee of any provider we cover
✓Adjacent treatments are priced openly with medication cost included: metformin from $45/mo, rapamycin from $99/mo, NAD+ from $99/mo and enclomiphene from $149/mo (checked July 28, 2026)
✓Roughly 1,000 Trustpilot reviews at 4.5
✓A published phone number, which many competitors omit
✓Genuinely built around men with a higher starting weight, rather than a general programme with male branding applied
✓The two-minute assessment gives a pre-approval decision before you commit
✓Medication ships with 'an uninterrupted supply' and no stated extra costs

Cons

✗GLP-1 pricing is not published anywhere. You have to complete the quiz to see it, so the figures above are for Fella's adjacent treatments rather than for the weight-loss medication itself
✗The site claims a '4.9 average rating' where the verifiable Trustpilot figure is 4.5
✗Rapamycin is offered for 'longevity' with claims including 'potential lifespan extension' and 'potential neuroprotective effects'. Rapamycin is an immunosuppressant approved for organ-transplant rejection; longevity use is off-label and not supported by human outcome trials
✗NAD+ is sold with claims of 'improved cognitive function' and 'support for DNA repair', neither of which has been demonstrated in healthy adults
✗Compounded GLP-1 medications are not FDA-approved, and the trial data for the branded drugs does not transfer to them
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy

Choose Fella Health

Feature-by-feature comparison

Feature	Sesame Care	Fella Health
Monthly Price	$59	$149
Rating	8.7/10	8/10
Medications	semaglutide, tirzepatide, orforglipron	semaglutide, tirzepatide, enclomiphene, metformin, rapamycin, NAD+
Insurance Accepted	Yes	No
Support Hours	Not published	Mon-Fri 9AM-7PM ET
Live Chat	No	Available
Free Shipping	No	Yes
Shipping Speed	Filled at your pharmacy; not shipped by Sesame	3-5 days
Mobile App	Available	Available
Dedicated Coach	Included	Included
Follow-up Frequency	Ongoing video visits, labs and messaging with a dedicated provider	Bi-weekly coaching sessions
Money-back Guarantee	Full refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid	Six-month money-back guarantee
Cancellation Policy	Self-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded	Cancel anytime with 30-day notice

Which should you choose?

Choose Sesame Care if you:

→Want to save $90/month with a more affordable option
→Prefer a higher-rated service (8.7/10 vs 8/10)
→Need insurance coverage for your treatment
→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

Choose Fella Health if you:

→Want more medication options to choose from
→Value: a six-month money-back guarantee, advertised in the site's top banner - by far the longest guarantee of any provider we cover

Get started with Fella Health

Website previews

Sesame Care

Sesame Care website

Fella Health

Fella Health 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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