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Sesame Care vs Medivive

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

Sesame Care vs Medivive: Overview

Choosing between Sesame Care and Medivive 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. Medivive also provides both semaglutide and tirzepatide at $162/month with a 7.4/10 rating.

The price difference of $103/month is significant - Sesame Care is the more budget-friendly option, while Medivive 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

$103/mo

Rating Difference

1.3

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

Medivive

View full Medivive review →

Rating

7.4/10

Monthly Price

$162

Medications

semaglutidetirzepatide

Pros

✓One all-in price with nothing bolted on: "Starting at $162/month. Billed monthly. One simple all-in price — medication and care included"
✓A hard commitment on the fee that catches most patients: "$0 membership fee... Many telehealth programs tack on a monthly membership fee just to stay a patient — on top of your medication. We don't. Ever."
✓Free to start, with nothing to pay until a provider has reviewed your case
✓Licensed providers in all 50 states
✓It rejects the form-filling model directly - a conversational intake that takes about two minutes rather than a long questionnaire
✓It is explicit that a clinician, not software, makes the call: "Not a chatbot, not a vending machine. A Medivive clinician reviews your history and prescribes only when it's clinically appropriate"
✓Compounded by a licensed US pharmacy with refills arriving on schedule and dose adjustments as your labs change
✓The compounded disclaimer is correctly stated: compounded medications are not FDA-approved finished drug products and are not reviewed by the FDA for safety or efficacy
✓A published support email, care@mymedivive.com
✓A published library of educational content on semaglutide, tirzepatide, how GLP-1s work and side effects

Cons

✗The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
✗"Starting at $162" is a floor price and no dose ladder is published, so higher doses may cost more
✗The pharmacy is described only as "a licensed U.S. pharmacy" and is never named
✗No phone number or business address is published
✗The site references your provider adjusting treatment "as your labs change" without stating whether labs are required, who orders them or who pays
✗No insurance billing and no HSA/FSA information
✗No published refund or cancellation policy
✗A young brand with no verifiable third-party review presence yet

Choose Medivive

Feature-by-feature comparison

Feature	Sesame Care	Medivive
Monthly Price	$59	$162
Rating	8.7/10	7.4/10
Medications	semaglutide, tirzepatide, orforglipron	semaglutide, tirzepatide
Insurance Accepted	Yes	No
Support Hours	Not published	Not published
Live Chat	No	No
Free Shipping	No	Yes
Shipping Speed	Filled at your pharmacy; not shipped by Sesame	Delivered to your door; refills arrive on schedule
Mobile App	Available	No
Dedicated Coach	Included	Not included
Follow-up Frequency	Ongoing video visits, labs and messaging with a dedicated provider	Provider adjusts treatment over time as labs change; no fixed schedule published
Money-back Guarantee	Full refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid	Nothing to pay until a provider reviews your case
Cancellation Policy	Self-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded	Billed monthly; cancellation terms not published

Which should you choose?

Choose Sesame Care if you:

→Want to save $103/month with a more affordable option
→Prefer a higher-rated service (8.7/10 vs 7.4/10)
→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

Choose Medivive if you:

→Value: one all-in price with nothing bolted on: "starting at $162/month. billed monthly. one simple all-in price — medication and care included"

Get started with Medivive

Website previews

Sesame Care

Sesame Care website

Medivive

Medivive 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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