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Head-to-head · WeighScore

Sesame Care vs Direct Meds

Sesame Care
Graded #5

Higher grade

vs+5
Direct Meds
Graded #32

Lower grade

The verdict

Sesame Care takes it — 87/100 to 82/100.

Sesame Care grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. An established national telehealth marketplace with the widest real brand-name GLP-1 access on the board — Wegovy (pen and pill), Zepbound, Ozempic and Mounjaro — plus provider-by-provider price transparency.

Assume any provider we list may compensate us — we may earn a commission at no cost to you. It never changes the WeighScore.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueDirect Meds +1
84
85
Dose & formulationSesame Care +4
92
88
Clinical oversightSesame Care +14
94
80
Labs & monitoringSesame Care +6
84
78
FulfillmentEven
80
80
Contract termsSesame Care +12
92
80
Sesame Care · left barDirect Meds · right bar

The numbers

MetricSesame CareDirect Meds
WeighScore87/10082/100
GradeB+B−
Scorecard rank#5#32
SemaglutideFrom $149/mo (brand Wegovy pill)$179/mo
TirzepatideBrand Zepbound (price varies)$224/mo
CoverageNationwide marketplaceNot publicly listed
Brand-name accessYesCompounded only
Oral / sublingualYesYes
Sesame Care

Graded #5 · B+

Strengths

  • Real FDA-approved brand-name access — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and Rybelsus
  • Established platform (operating since 2018) with LegitScript, BBB accreditation and large third-party review volume
  • You choose the provider and see the price up front — genuine marketplace transparency
  • Oral routes available (Wegovy pill, Rybelsus)

Where it loses points

  • A generalist marketplace, not a dedicated weight-loss program — lighter ongoing hand-holding than a specialist desk
  • Two-part cost (a platform subscription plus the medication) makes the true monthly total harder to compare
  • Brand-name cash prices can run high without insurance
Direct Meds

Graded #32 · B−

Strengths

  • Rare oral/sublingual option in addition to injectable
  • All-inclusive pricing with no separate membership fee
  • Both molecules — semaglutide and tirzepatide
  • Intro promotional pricing near $147

Where it loses points

  • Compounded only — not FDA-approved
  • Pricing is company-stated, not independently live-verified
  • Newer and somewhat ambiguous (operates across multiple domains)
  • States served are not disclosed

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 37 providers, CoreAge Rx grades highest at 94/100 (A). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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