Thursday, 16 July 2026 09:35 PM
Advertorial
For consumers who want provider choice, multiple prescription options, and ongoing online weight-management support, this 2026 Sesame Care review examines why Success by Sesame may stand out-along with the separate medication costs, 28-day billing, eligibility requirements, and cancellation terms buyers should understand before enrolling.
NEW YORK CITY, NY / ACCESS Newswire / July 16, 2026 / Quick heads-up: this is a paid advertorial, and a commission is earned if you buy through the links here. Product claims come from the brand and aren't independently endorsed by this publication. Sesame Care connects you with independent, licensed providers who may prescribe FDA-approved weight loss medication if it's a good clinical fit - approval isn't guaranteed. Official site: sesamecare.com. Details reflect brand materials reviewed in July 2026, so confirm anything time-sensitive before you order.
Sesame Care Reviews and Complaints: Success by Sesame GLP-1 Program - Legit or Just Hype? (Consumer Research)
Real GLP-1 medications - Wegovy, Zepbound, Foundayo, and more. A provider you actually get to pick. Starting at $59 a month. That's the pitch behind Success by Sesame, the weight loss program from Sesame Care's telehealth marketplace. This article breaks down what that $59-to-$99 subscription actually covers, what the medication itself really costs on top of it, and the handful of things worth confirming before you hand over a card number.
You saw an ad for Success by Sesame. Maybe it was a video about GLP-1 pricing. Maybe a friend mentioned it, or maybe you searched "online weight loss program" and it came up near the top. Something caught your attention, and now you're doing exactly what smart buyers do before spending money: checking the details first.
Quick Answer - Is Success by Sesame a scam? Good news first: no, based on everything checked for this review. Sesame, Inc. is a real, identifiable company with published terms and BBB accreditation, and every prescription starts with an actual video visit with a licensed provider - not an automated approval. The fine print worth knowing: enrollment doesn't guarantee a prescription, medication is billed separately from the subscription, and it's worth confirming current pricing and refund terms for your state before you pay. More on all of that below.
What Is Success by Sesame and Who Is It For?
Success by Sesame is the weight loss program built on top of Sesame's telehealth marketplace. The brand's own site describes it plainly: it's a subscription that pairs you with a provider for ongoing video visits, treatment-plan follow-up, and prescription support when medication is prescribed, plus access to GLP-1 weight loss medications like Wegovy, Zepbound, and Ozempic, according to the brand. The program is aimed at adults with a body mass index of 30 or higher, or 27 or higher with a weight-related condition like Type 2 diabetes, high blood pressure, or high cholesterol, per the official website.
This isn't a supplement. It isn't an over-the-counter product either. It's a subscription fee for clinical access - video visits, messaging, and lab coordination (the kind of ongoing support a single one-off telehealth visit doesn't include) - layered on top of whatever a provider decides to prescribe, if anything. The subscription itself doesn't include medication. That's a separate cost. It only applies if a provider determines medication is appropriate for you.
Buyer Takeaway: If you're expecting a flat monthly price that includes your GLP-1 prescription, read the pricing section closely. The $59-to-$99 range covers clinical access only.
What Does Success by Sesame Actually Do?
According to the brand's own walkthrough, using Success by Sesame breaks down into four steps:
Answer questions about your weight loss history and goals
Meet with a Sesame-affiliated provider over video
If appropriate, the provider prescribes a weight loss medication and sends it to your pharmacy of choice
Get ongoing messaging, follow-up visits, and app tracking for diet, exercise, and sleep
The brand states that lab work is included when a provider determines it's medically necessary, typically to check metabolic markers before or during treatment.
None of this happens instantly for everyone. A provider has to review your history first. And the brand is explicit that medication isn't guaranteed. Its own FAQ lists specific groups who shouldn't take GLP-1 medications, including people with a personal or family history of medullary thyroid cancer, multiple endocrine neoplasia syndrome Type 2, a history of pancreatitis, or Type 1 diabetes.
Buyer Takeaway: Medication isn't automatic just because you sign up. A provider reviews your specific history first and can decline to prescribe if a GLP-1 medication isn't appropriate for you.
Success by Sesame's Provider Structure: How the Platform Actually Works
This is worth spelling out before anything else. Sesame's structure differs from the single-clinic telehealth model (one company, one clinic, one pharmacy relationship) you'll see with a lot of other GLP-1 programs. Sesame is not a medical practice. It says so directly in its own terms. It's a platform that "facilitates the marketing and sale of health care services by health care providers," and it explicitly states it does not provide medical services or medical advice itself.
The providers who actually see patients are, in the brand's own words, "independent professionals practicing within a group of independently owned professional practices." No single named medical group sits behind this program. That's different from some single-clinic telehealth brands (the kind built around one named practice and one compounding pharmacy). It's a marketplace of individually licensed clinicians, each responsible for their own care decisions and licensure.
Prescriptions, when written, are filled through the patient's own pharmacy of choice, or facilitated through Sesame's pharmacy partner, Truepill, according to Sesame's terms of service, which also states plainly that Sesame itself is not a pharmacy and doesn't perform pharmacy services. The actual architecture here is three separate parts, and it's different from a single-entity model where one company owns the clinic and the pharmacy relationship end to end:
Platform: Sesame - the marketplace, not a medical practice
Provider: an independent, individually licensed clinician you choose
Pharmacy: Truepill or your own local pharmacy of choice
Buyer Takeaway: You won't be assigned to "Sesame's doctors" as employees. You're choosing an independent provider from a marketplace. That provider - not Sesame - makes the clinical call.
Browse Success by Sesame provider options
What the Pricing Page Says vs. What the Savings Math Shows
Here's something worth flagging before you pick a plan, because it's the kind of detail a five-minute skim of the sales page won't catch. Success by Sesame's own FAQ lists the following subscription math, according to the brand's own pricing page:
Annual Plan: brand states it saves $480/year vs. Month-to-Month
6-Month Plan: brand states it saves $180 every six months
3-Month Plan: brand states it saves $60 every three months
Run the numbers yourself, though - the 3-month and 6-month figures don't line up the same way the annual figure does:
Annual: $708/year ($59/month). Twelve months at $99 = $1,188. $1,188 − $708 = $480. That matches the brand's stated savings.
3-Month: $177 total ($59/month). Three months at $99 = $297. $297 − $177 = $120 - not the $60 the brand's FAQ states.
6-Month: $354 total ($59/month). Six months at $99 = $594. $594 − $354 = $240 - not the $180 the FAQ lists.
In both mismatched cases, the brand's stated savings figure is exactly half of what the plan's own per-month rate would actually save you against paying monthly. To be clear, this isn't an accusation of anything. It's a documented math discrepancy on the brand's own page, and it's worth a screenshot before you commit to a plan. It's possible the FAQ savings figures reflect an older per-month rate or a different comparison basis that isn't spelled out on the page. Either way, the plans themselves - $59 a month effectively on 3, 6, or 12-month terms, versus $99 a month month-to-month - are accurately priced. It's specifically the "you save $X" language that doesn't reconcile with the displayed numbers.
Buyer Takeaway: Trust the per-month prices on the page, not the "you save" language next to the 3-month and 6-month plans - do your own math before you commit to a multi-month term.
Compare Success by Sesame plan pricing directly
What the Research Says About GLP-1 Medications for Weight Loss
Success by Sesame's own site cites a study of injectable semaglutide 2.4 mg in non-diabetic adults with obesity or overweight, showing average weight loss milestones of roughly 5% of body weight at three months, 10% at six months, and 15% at twelve months, when paired with lifestyle changes, according to the brand. It's worth separating out what's drug-level research versus product-specific. That milestone data reflects clinical trial results for the active drug (semaglutide) generally. It isn't a guarantee tied to any individual using Success by Sesame's specific provider network. Regulators have specifically scrutinized weight-loss telehealth advertising that presents trial data as if it were a promised outcome - so treat every percentage in this section as what a clinical trial measured, not as a forecast for you personally.
Sesame's own site states clinical trial results for two of the medications it offers, according to the brand's description of manufacturer research and labeling:
Wegovy: average weight loss of 14% after 64 weeks, reaching 17% with continued treatment, combined with a reduced-calorie diet and increased activity
Zepbound and other tirzepatide-based options: a range of 15% to 20% body weight reduction with proper nutrition and exercise
This article has not independently pulled the FDA-approved prescribing information for each drug, and none of it reflects an independent study of Sesame's platform or its outcomes.
All GLP-1 medications carry a shared safety consideration worth understanding before you enroll: semaglutide, liraglutide, and tirzepatide have been associated with thyroid gland tumors, including medullary thyroid cancer, in animal studies, according to the brand's own safety materials. This boxed-warning-type finding comes from rodent studies. It isn't yet confirmed whether the risk applies the same way in humans, and the exact warning language and contraindication criteria are specific to each drug's own FDA-approved label rather than uniform across the class. Providers are expected to screen for personal or family history of thyroid cancer before prescribing.
Buyer Takeaway: The percentage weight-loss figures on the page describe the medication's clinical trial results, not a promise about your own outcome. Your results depend on your provider's plan and your own adherence to it.
Medication Options Available Through Sesame's Weight Loss Program
One thing worth noting about this platform is the range of medication options (wider, per the brand, than most single-clinic competitors). Here's the current lineup, as of this writing:
Wegovy pill (oral semaglutide) - starting around $149/month without insurance
Wegovy pen (injectable semaglutide) - starting around $199/month for new patients under a limited-time promotional rate, per the brand, rising to $349/month after the introductory period
Zepbound KwikPen and Zepbound vial (tirzepatide) - starting around $299/month, with higher-dose tiers priced up to $698/month; the standard Zepbound® injector pen format is listed separately at a higher starting price, around $1,086/month without insurance - always confirm the exact format and dose before assuming a price
Ozempic (semaglutide, prescribed off-label for weight loss) - starting around $199/month
Foundayo (orforglipron), an oral, once-daily GLP-1 medication the FDA approved on April 1, 2026 for adults with obesity or overweight with a weight-related condition - confirmed independently via the FDA's own approval announcement and Eli Lilly's investor release, not just Sesame's marketing page - starting around $149/month
Mounjaro and Rybelsus, both prescribed off-label for weight loss
The brand's own FAQ draws a clear and accurate line between two categories of medication. That distinction matters for anyone comparing this program to a competitor that only offers one or two options:
FDA-approved specifically for weight loss: Wegovy, Zepbound, Saxenda, Contrave, orlistat
Diabetes medications prescribed off-label for weight loss: Ozempic, Mounjaro, Rybelsus, Victoza, metformin
Quick Answer: Success by Sesame is a telehealth subscription, not a medication itself. It connects patients with independent providers who can prescribe FDA-approved GLP-1 medications including Wegovy, Zepbound, and Foundayo, if clinically appropriate, with program fees starting at $59 a month and medication billed separately.
How to Use Success by Sesame
Based on the brand's own walkthrough, enrollment follows this sequence:
Answer questions about your weight loss history and goals through Sesame's intake flow
Get matched with, or select, a provider from Sesame's marketplace and complete a video visit
The provider reviews your medical history, discusses your goals, and may order lab work if metabolic data is needed to safely determine a treatment plan
If a medication is appropriate, the provider sends the prescription to your pharmacy of choice, or it's facilitated through Sesame's pharmacy partner, Truepill
Get ongoing provider messaging, follow-up visits, and access to an app for tracking diet, exercise, sleep, and side effects
Buyer Takeaway: A video visit and provider review always happen before any prescription. The program page states there's no "skip the doctor" option here - a provider makes the call every time, not an automated system.
What's Included in a Success by Sesame Subscription
According to the brand's pricing page, every tier includes the same core features. You get video visits and messaging with your chosen provider, lab work when a provider determines it's medically necessary, access to the full range of GLP-1 and oral medication options if prescribed, and app-based tracking for weight, diet, exercise, and sleep. What isn't included, regardless of tier: the cost of the medication itself, which is billed separately and varies by drug, dose, and insurance status.
Buyer Takeaway: Every subscription tier includes the same clinical features. The only thing that changes between tiers is billing frequency and the discount for committing to a longer term.
See what's included in each Success by Sesame plan
Success by Sesame Pricing: Program Fees vs. Medication Costs
Here's the full pricing picture, pulled directly from the brand's own page as of July 2026. Two separate categories matter here. Subscription fees cover clinical access, not medication:
Month-to-Month Plan: $99, billed every 28 days
3-Month Plan: $177 total, billed every 3 months (works out to $59/month)
6-Month Plan: $354 total, billed every 6 months (works out to $59/month)
Annual Plan: $708 total, billed once per year (works out to $59/month)
Medication costs, separate from the subscription, without insurance:
Wegovy pill and Foundayo: around $149/month
Wegovy pen and Ozempic: around $199/month
Zepbound KwikPen and vial: around $299/month, with higher doses up to $698/month
Standard Zepbound injector pen: listed separately, starting near $1,086/month
Format and dose make a real difference here - don't assume a single "starting at" figure applies across every Zepbound option. With commercial insurance, the brand states some eligible patients may pay as little as $25/month for certain medications, though eligibility depends on plan coverage, manufacturer program requirements, and the specific drug, and isn't something this article can confirm for any specific reader. Independent GLP-1 telehealth comparison sites report a wide range of figures for these same medications through Sesame. Some run notably higher than what this article's live fetch of Sesame's own page showed. That spread likely reflects promotional introductory pricing, dose changes, and how fast this space moves rather than any single source being wrong. Either way, treat every figure in this article, including the brand's own, as a starting point to confirm at checkout, not a locked-in price.
On insurance generally: Sesame's own terms of service state plainly that Sesame does not accept Medicare, Medicaid, or any third-party insurance for provider visit fees - those are cash-pay only. Medication is a separate matter; the brand states a provider can help with insurance pre-authorization paperwork for the medication itself, and that coverage, if any, depends on the buyer's specific plan and is not confirmed by this article.
Buyer Takeaway: Two separate bills. Two separate insurance situations. The subscription is always cash-pay. The medication may or may not be covered, and that's between you, your provider, and your insurer.
Quick Answer: Success by Sesame's subscription runs $59 to $99 a month depending on plan length, covering provider access only. Medication is billed separately, starting around $149 a month without insurance, and depends on the specific drug, dose, and coverage a provider confirms for you.
Check current Success by Sesame subscription and medication pricing
Is Sesame Care Legit? Reviews, Complaints, and What Independent Sources Show
Start with what's independently confirmed rather than brand-stated. This article checked Sesame's Better Business Bureau profile directly on BBB's own site, not just Sesame's marketing page. Sesame, Inc. has held BBB accreditation since December 27, 2022, filed under "Doctor Referral" in New York, NY - real confirmation of an identifiable, operating business.
Sesame also displays a 4.5-out-of-5 Trustpilot rating on its own site (brand-reported, not independently verified here). Sesame's public Trustpilot listing, checked July 16, 2026, shows thousands of reviews - one independent GLP-1 review source puts the count at roughly 4,000, though the exact figure shifts depending on when it's viewed, and this article didn't run its own count. That rating covers all of Sesame's telehealth services (urgent care, primary care, mental health, weight loss), not the weight loss program specifically.
Checking BBB and Trustpilot directly (not just Sesame's own site) turned up a recurring, cross-platform complaint pattern worth knowing before you enroll:
Labs charged but not ordered. Multiple BBB complaints describe paying for lab work a provider never actually submitted, leading to billing disputes.
Refund denials for unused time. Several complainants report being denied refunds for membership months where they never booked or used an appointment.
Confusion between "Sesame Plus" and "Success by Sesame." Sesame Plus is a separate $10.99/month (or $99/year) discount membership - not the weight loss program. At least one Trustpilot review describes a patient completing the weight-loss intake questionnaire, getting routed into a Sesame Plus signup instead, and having to call support to get switched to the correct subscription.
Billing and cancellation friction. Slow support response times and difficulty confirming cancellations, consistent with the multi-month repricing mechanics covered later in this article.
The 28-day billing cycle catching people off guard. More on this in the pricing section below - it's a documented source of confusion, not unique to Sesame.
None of this is unique to Sesame among telehealth marketplaces - this space has drawn real regulatory attention industry-wide. In December 2025, the FTC finalized an order against a different telehealth weight-loss company for undisclosed costs beyond the advertised fee, an undisclosed one-year commitment, and confusing 28-day billing. No FTC action against Sesame was found in this review, and this article isn't suggesting otherwise. It's exactly why this article spells out the subscription-vs-medication split, the billing cadence, and the cancellation terms as plainly as it does - those are the categories regulators have treated as make-or-break in this industry. Weigh the complaint pattern against the confirmed BBB accreditation and the detailed refund terms here, and decide for yourself rather than taking "it's a scam" or "it's totally safe" at face value.
Buyer Takeaway: A 4.5-star rating that spans every Sesame service isn't the same as a rating for the weight loss program specifically - and the single most useful thing you can confirm before enrolling is that your checkout screen says "Success by Sesame," not "Sesame Plus."
See current Success by Sesame plans and pricing
The Sesame Cancellation and Refund Policy, Explained
This is one of the more detailed refund structures in the telehealth space. It's worth reading closely before you pick a multi-month plan. According to Sesame's Terms of Service (last updated June 8, 2026, and fetched directly for this article on July 16, 2026) - a more detailed source than the shorter refund summary on Sesame's public program page:
Virtual visits can be canceled up to 3 hours before the scheduled time for a full refund.
If you book a same-day appointment by mistake, you can get a refund by canceling within 1 hour of purchase.
Membership subscriptions can be canceled any time up to 48 hours before the next renewal date, by emailing [email protected] or calling +1 (877) 947-6411.
No refunds are issued for no-shows, missed appointments, disagreement with a clinical outcome, not receiving a prescription, or any request made more than 10 days after the original purchase date.
Here's the part that's easy to miss. For the 3-month, 6-month, and annual plans, Sesame's terms state that early cancellation doesn't just forfeit future months. The entire subscription gets retroactively re-priced (at the standard month-to-month rate of $99/month) for every month you actually used, and only the remaining balance after that adjustment gets refunded. The brand's own terms note that "in some cases the adjusted value of services used may equal or exceed the amount originally paid, in which case no refund will be issued." In plain terms: if you prepay for a year at the discounted $59-a-month rate and cancel partway through, you may get little or nothing back, because your used months get repriced at the full $99 rate first.
Buyer Takeaway: The discounted multi-month rate is a real discount only if you complete the term. Cancel early, and you can lose most of the savings. In some cases, you lose the refund entirely.
Quick Answer: Virtual visits can be canceled up to 3 hours ahead for a full refund. Membership subscriptions can be canceled anytime with 48 hours' notice before renewal. Multi-month plans repricing used months at the standard rate before refunding is the detail most buyers miss.
Is Success by Sesame Right for You?
This program is likely a reasonable fit if you meet the BMI criteria the brand describes. It's also a good sign if you want to choose your own provider rather than being randomly assigned one. And it helps if you're comfortable paying cash for clinical access while handling medication costs and insurance separately. It's also a stronger fit if you want access to a wide range of medication options - brand and off-label alike - rather than a program built around a single drug.
It's likely a weaker fit if you're relying on insurance to cover the subscription fee itself. It won't - that part is always cash-pay. It's also a weaker fit if you live in one of the nine states where lab work isn't included in your subscription price. Same if you're specifically looking for a program with a single flat guarantee window rather than a cancellation policy that varies by visit type and subscription term.
Buyer Takeaway: This program rewards buyers who read the fine print and plan ahead. If you'd rather not track two separate costs and a variable cancellation policy, a simpler flat-fee competitor might suit you better.
See if Success by Sesame fits your situation
Who Should Avoid GLP-1 Weight Loss Medications
According to Sesame's own safety materials, GLP-1 medications may not be appropriate for everyone. The brand specifically advises against these medications for people with:
Personal or family history of medullary thyroid cancer
Multiple endocrine neoplasia syndrome Type 2
A history of pancreatitis
Type 1 diabetes
The exact contraindications, warnings, and precautions vary by specific drug and should be reviewed in that medication's own FDA-approved prescribing information with a licensed clinician, not assumed to be identical across the whole GLP-1 class. Providers do not prescribe controlled weight loss medications like phentermine or Qsymia through this platform, either. Anyone considering treatment should disclose their full medical history, current medications, and any history of thyroid, pancreatic, or gallbladder conditions to their provider before starting.
Buyer Takeaway: If any of these exclusions apply to you or a close family member, that's information worth giving your provider proactively during intake, rather than waiting to be asked - it's the single most consequential disclosure in the whole process.
Side Effects and Safety Warnings to Know Before You Start
This is worth its own section. It's one of the most common things people search for before starting a GLP-1 medication. Side effect profiles differ by specific drug, so treat the following as a starting point for a conversation with your provider and pharmacist, not a substitute for the medication guide that comes with your prescription.
According to Sesame's own safety materials, there are several things worth discussing with your provider before starting any GLP-1 medication:
Known allergies to semaglutide (Ozempic, Rybelsus, Wegovy), tirzepatide (Mounjaro, Zepbound), or related compounds
Personal or family history of pancreatitis, diabetic retinopathy, gallbladder disease, kidney disease, or thyroid cancer
Recent episodes of diarrhea, nausea, vomiting, or reduced fluid intake, which can raise dehydration risk
All current medications and supplements, since these drugs can change how your body absorbs oral medications
Pregnancy, breastfeeding, or plans to become pregnant
Any upcoming surgery, including dental procedures
The brand's own materials list specific symptoms that warrant contacting a provider immediately (these can relate to the thyroid warning discussed above):
A lump or swelling in the neck
Hoarseness
Difficulty swallowing
Shortness of breath
Severe abdominal pain
Independent coverage of the GLP-1 drug class (including reporting on Foundayo's FDA approval) commonly lists these among the more frequently reported adverse effects, though exact frequency and severity vary by specific drug and dose:
Nausea, vomiting, diarrhea, constipation
Indigestion and abdominal discomfort
Headache
Hair loss
This article has not independently reviewed the full prescribing information for every medication listed on Sesame's platform; the pharmacy dispensing your prescription will provide the FDA-required medication guide, and that document - not this article - is the authoritative source for your specific drug.
Buyer Takeaway: Read the medication guide your pharmacy provides before your first dose. It's written for your specific drug, not the GLP-1 class as a whole. It's more precise than any general overview - including this one.
State Availability and Lab Coverage Notes
Success by Sesame is available across the United States, according to the brand, but a few state-specific details are worth flagging. Lab work is included in the subscription price when completed at a Quest Diagnostics facility, except in these nine states, where the brand states lab costs are billed separately from the subscription:
Arizona
Hawaii
North Dakota
New Jersey
New York
Oklahoma
Rhode Island
South Dakota
Wyoming
Providers on the platform are independently licensed and licensure requirements vary by state, which can affect same-day availability in some areas.
Buyer Takeaway: Nine specific states lose the included-lab benefit. Price out local lab costs first. That way there's no surprise on your first bill.
Confirm Success by Sesame availability and lab coverage in your state
How Success by Sesame Compares to Other Online Weight Loss Programs
Compared to single-clinic GLP-1 telehealth brands built around one compounding pharmacy relationship, Success by Sesame's marketplace model has a real tradeoff built in. On the upside, you get provider choice, a wider medication lineup (including newer FDA-approved oral options like Foundayo), and no long-term contract locking you into one clinician. On the downside, providers are independent. Pharmacy fulfillment can route through either Truepill or your own local pharmacy. Your specific experience - wait times, communication style, how quickly a prescription gets filled - can plausibly vary more than it would with a single vertically integrated provider, though this article hasn't tested either model directly.
Program fee structure is also worth comparing directly: Success by Sesame's $59-to-$99-a-month range covers clinical access only, with medication billed separately at market or insurance-adjusted rates, subject to what a provider actually prescribes and confirms is available. Some other GLP-1 telehealth programs publicly advertise a bundled flat monthly fee that includes compounded medication, which can look cheaper upfront but typically involves a compounding pharmacy rather than FDA-approved brand-name product; this article hasn't independently verified pricing or terms for any specific named competitor. Neither structure is inherently better - it depends on whether you'd rather pay separately for FDA-approved brand medication, subject to provider determination and availability, or pay one bundled fee that may include a compounded formulation.
Buyer Takeaway: If FDA-approved brand medication matters more to you than a single bundled price, Sesame's structure is built around that priority. If a lower all-in monthly number matters more, a compounding-pharmacy competitor may look more attractive on paper.
One more historical wrinkle worth knowing: earlier coverage of the program's original compounded-semaglutide structure and step-by-step enrollment process describes Success by Sesame's 2024 launch as centered on compounded semaglutide, with a $199 initial consultation and either a $249/month all-inclusive medication plan or an $89/month prescription-only plan. The version of the program this article reviewed in July 2026 looks different: it centers on FDA-approved brand and generic-name options - Wegovy, Zepbound, Ozempic, Mounjaro, Rybelsus, and Foundayo - at the $59-to-$99 subscription pricing detailed above, with no compounded option listed on the current page.
There's a documented industry-wide reason this kind of shift shows up across the telehealth GLP-1 space generally, not just here. The FDA resolved the national tirzepatide shortage in October 2024 and the semaglutide shortage in February 2025. That narrowed the regulatory basis pharmacies had been using to compound large volumes of copycat versions of these drugs. The FDA followed up by sending warning letters to roughly 30 telehealth companies in February 2026 over marketing claims about compounded GLP-1 products. This article found no FDA warning letter naming Sesame specifically, and isn't asserting one exists. But the broader shift away from compounded-semaglutide marketing across this industry has a clear regulatory driver, not just a business decision. If a compounded formulation matters to you either way, ask your provider directly whether one is still available; this article is reporting what the current page shows, not a guarantee that has never changed.
Quick Answer: Success by Sesame favors provider choice and FDA-approved brand medication over a single bundled low price. Competitors built around compounded semaglutide or tirzepatide may cost less upfront but typically involve a compounding pharmacy rather than brand-name product.
Things to Verify Before You Enroll
A few specifics couldn't be confirmed from publicly accessible pages at the time this article was researched. They're worth confirming directly (a quick email to [email protected] usually does it) before you commit to a plan.
Verify #1 - Your specific provider's individual credentials and state license. Because providers are independent and the roster changes, this article can't confirm the licensure status of any individual clinician you might be matched with. Sesame states it reserves the right to confirm provider standing with licensing boards, but recommends verifying your specific provider's license directly if it matters to you.
Verify #2 - Whether your insurance plan covers any portion of medication cost. The brand states pre-authorization assistance is available, but actual coverage depends entirely on your specific plan and can't be confirmed by this article or, in most cases, by Sesame itself before you apply.
Verify #3 - The exact savings math on 3-month and 6-month plans. As documented above, the brand's own stated savings figures for these two plans don't match the math of their own displayed prices. Confirm the actual total charge before you subscribe.
Verify #4 - Lab cost in your specific state. If you live in one of the nine states where lab coverage is excluded from the subscription, ask what the out-of-pocket lab cost will be before your first visit.
Verify #5 - That you're actually signing up for Success by Sesame, not "Sesame Plus." As covered above, these are two different products. Confirm the checkout screen names the weight loss program specifically before you pay.
Verify #6 - Your actual billing dates on the Month-to-Month plan. A 28-day cycle means 13 charges a year, not 12, and the date shifts each cycle. Mark it on a calendar so it doesn't catch you off guard.
Buyer Takeaway: None of these four items are dealbreakers on their own. They're the specific questions worth a two-minute email to [email protected] before you enter payment information, not after.
Start the verification process with Success by Sesame
Fast Facts About Success by Sesame
Company: Sesame, Inc.
Program: Success by Sesame (online weight loss program)
Category: Telehealth subscription, GLP-1 medication access
Month-to-Month price: $99/month, billed every 28 days (13 charges/year, not 12)
3-Month price: $177 total ($59/month effective)
6-Month price: $354 total ($59/month effective)
Annual price: $708 total ($59/month effective)
Medication cost: Billed separately, starting around $149/month without insurance; some formats (e.g., standard Zepbound pen) start over $1,000/month - format and dose matter
Medications available: Wegovy, Zepbound, Ozempic, Foundayo, Mounjaro, Rybelsus
Foundayo (orforglipron) FDA approval date: April 1, 2026
Cancellation window for virtual visits: 3 hours before the scheduled visit
Membership cancellation window: 48 hours before renewal
Pharmacy partner: Truepill (or patient's chosen pharmacy)
Support email: [email protected]
Support phone: +1 (877) 947-6411
Business address: 427 Broadway, New York, NY 10013
BBB accreditation: Confirmed directly on BBB.org, accredited since December 27, 2022
Brand-reported Trustpilot rating: 4.5/5 (company-wide, not program-specific)
Frequently Asked Questions
Is Success by Sesame a legitimate weight loss program?
Yes, based on independently confirmed facts: Sesame, Inc. holds Better Business Bureau accreditation dating to December 27, 2022, verified directly on BBB's site rather than taken from Sesame's own marketing. The program connects patients with independently licensed providers rather than operating as an unregulated product sale, and prescriptions require a video consultation first. See the full legitimacy and complaint-pattern breakdown earlier in this article for the specific things worth watching for - accreditation doesn't guarantee a perfect experience, and you should evaluate your own fit based on the BMI criteria and health history factors described above.
How much does Success by Sesame cost per month?
The subscription fee alone ranges from $59 a month (with an annual, 6-month, or 3-month plan) to $99 a month (month-to-month, billed every 28 days), according to the brand's own pricing page. That fee covers clinical access - video visits, messaging, and lab coordination - but does not include medication. If a provider prescribes a GLP-1 medication, that's billed separately. Depending on the specific drug, format, and dose, it can range from roughly $149 a month to over $1,000 a month without insurance. Budget for both charges as two separate line items, not one combined monthly cost, when you're deciding whether this program fits your budget.
One easy-to-miss detail on the Month-to-Month plan: billing every 28 days, not every calendar month, means you're charged 13 times a year instead of 12. That extra charge lands on a different date each cycle. It can catch buyers off guard when it shows up between expected billing dates. Independent reviews of the program identify this specific billing cadence as a recurring source of confusion - it's worth marking on your calendar rather than assuming "monthly" means once every 30 or 31 days.
Does Success by Sesame include the cost of medication?
No. The subscription fee covers the clinical side - provider visits, messaging, and app access - but medication is billed as a separate cost. This is stated clearly on the brand's own pricing page, which notes that medication costs aren't included in the subscription price and will vary based on your insurance status and pharmacy. Buyers who expect an all-in monthly price should budget for both charges separately before enrolling, since the advertised $59-to-$99 range only ever describes the subscription, never the drug.
What medications are available through Success by Sesame?
The brand lists Wegovy (pill and pen), Zepbound (standard and KwikPen), Ozempic, Mounjaro, Rybelsus, and Foundayo (orforglipron), an oral medication the FDA approved in April 2026. Wegovy, Zepbound, and Foundayo are FDA-approved specifically for weight loss; Ozempic, Mounjaro, and Rybelsus are diabetes medications a provider may prescribe off-label because they can also cause weight loss, per the brand's own FAQ. Whether any of these is appropriate for you is a decision your provider makes after reviewing your medical history.
Does insurance cover Success by Sesame?
The subscription fee itself is cash-pay only. Sesame's terms of service state the company does not accept Medicare, Medicaid, or any third-party insurance for provider visit fees. Medication is handled separately, and a provider may assist with insurance pre-authorization paperwork for the drug itself. The brand states this can lower cost to as low as $25 a month for certain eligible, commercially insured patients on certain medications - eligibility, plan coverage, and manufacturer program requirements all apply, and this rate isn't available to every patient. Whether your specific plan covers any portion of the medication cost isn't something this article, or Sesame itself in most cases, can confirm in advance.
What is the refund policy for Success by Sesame?
Virtual visits can be canceled up to 3 hours before the scheduled time for a full refund. Same-day bookings can be refunded if canceled within 1 hour of purchase, according to Sesame's terms of service. No refunds are issued for no-shows, missed appointments, or disagreement with a clinical outcome. Multi-month plans carry an additional wrinkle: canceling early re-prices the months you used at the standard $99 rate before calculating any refund, which can significantly reduce or eliminate the amount returned to you.
Can I cancel my Success by Sesame subscription at any time?
Yes, according to Sesame's terms of service, you can cancel a membership subscription at any time by emailing [email protected] or calling +1 (877) 947-6411, as long as you do so at least 48 hours before your next renewal date to avoid being charged again. If you're on a multi-month plan and cancel before the term ends, the brand's terms state your used months will be repriced at the standard monthly rate before any refund is calculated, so canceling early on a discounted plan may return less than you expect.
Who is a good candidate for weight loss medication through Success by Sesame?
According to the brand's own FAQ, ideal candidates have a body mass index of 30 or higher, or 27 or higher with a weight-related condition such as Type 2 diabetes, high blood pressure, or high cholesterol. The brand also notes that GLP-1 medications may not be suitable for everyone. It specifically flags a history of pancreatitis, medullary thyroid cancer, multiple endocrine neoplasia syndrome Type 2, or Type 1 diabetes as reasons a provider may recommend against them, though the exact contraindications and warnings vary by specific drug. A licensed provider makes the final determination after reviewing your full history.
See current plans and enroll with Success by Sesame
Who are the providers on Success by Sesame, and are they Sesame employees?
No. According to Sesame's own terms of service, the providers who deliver care through the platform are independent professionals. They practice within a group of independently owned professional practices, not as Sesame employees. Sesame states it does not practice medicine, does not provide medical advice, and does not interfere with a provider's clinical decisions. This marketplace structure means your specific experience can vary somewhat by which provider you choose, since each operates their own practice under their own licensure.
How does Sesame handle prescription delivery?
If a provider prescribes a weight loss medication, it can be sent to the pharmacy of your choice for pickup or delivery, according to the brand's own product page. Sesame's terms of service also note that prescription delivery can be facilitated through its pharmacy partner, Truepill. Sesame itself states clearly that it is not a pharmacy and does not perform pharmacy services. Questions about the medication itself should go to your pharmacist or provider, not Sesame's general support line.
Are there any known thyroid or cancer risks with GLP-1 medications?
According to the brand's own safety materials, semaglutide, liraglutide, and tirzepatide - the active ingredients in Wegovy, Ozempic, Zepbound, Mounjaro, and related drugs - have been associated with thyroid gland tumors, including medullary thyroid cancer, in animal studies. It has not been confirmed whether this risk translates the same way to humans, and the precise warning language and contraindications are specific to each drug's own FDA-approved label. Anyone with a personal or family history of thyroid cancer or multiple endocrine neoplasia syndrome Type 2 should discuss this directly with a provider before starting any GLP-1 medication, through this platform or any other.
Is Success by Sesame available in every state?
The subscription and provider network are generally available nationwide, according to the brand, though provider availability and same-day scheduling can vary by state because providers are independently licensed. Lab coverage under the subscription also varies by state. The brand states lab work is included when completed at Quest Diagnostics, except in Arizona, Hawaii, North Dakota, New Jersey, New York, Oklahoma, Rhode Island, South Dakota, and Wyoming, where lab costs are billed separately. If you live in one of those nine states, ask what the out-of-pocket lab cost will be before your first visit rather than assuming it's covered.
Does Success by Sesame offer a satisfaction guarantee?
Not in the sense of a traditional money-back guarantee tied to results. The refund structure that does exist covers cancellation timing - 3 hours before a virtual visit, or 1 hour after an accidental same-day booking - rather than a results-based guarantee. Sesame's terms of service explicitly state that no refunds are issued for disagreement with a clinical outcome or for not receiving a prescription, so buyers should understand this is a cancellation policy, not a satisfaction guarantee in the traditional retail sense.
How is Success by Sesame different from a compounding-pharmacy telehealth program?
Success by Sesame's medication lineup is built around FDA-approved brand-name and generic-name drugs - Wegovy, Zepbound, Ozempic, Mounjaro, Rybelsus, and Foundayo - dispensed through a licensed pharmacy, rather than a compounding pharmacy producing a non-FDA-approved version of the active ingredient. This is a structural difference worth knowing if you're comparing this program to competitors built around compounded semaglutide or tirzepatide, which typically carry different manufacturing oversight and a different cost structure. Neither approach is automatically better; it comes down to whether you'd rather pay for FDA-approved brand medication separately or a bundled fee that may include a compounded formulation.
What happens if my prescribed medication is out of stock?
According to the brand's own supply information page, the FDA has reported national shortages for some GLP-1 medications, including Trulicity. The brand describes limited availability as "expected through 2025" - language that reads as stale on a page reviewed in July 2026, so treat that specific date as outdated rather than current. If your specific medication is out of stock, the brand states your provider will discuss alternatives, including help covering the cost of an in-stock alternative or discussing cash-pay pricing for medications not covered by insurance. Ask your provider directly about current stock status for your specific prescribed dose before you count on a particular medication being available at your first refill.
Buyer Verification Checklist
Confirm the checkout screen names "Success by Sesame" specifically, not the separate "Sesame Plus" discount membership.
Confirm your BMI and any weight-related health conditions meet the program's stated candidacy criteria before booking a visit.
Ask your assigned provider directly about their state license and credentials if that matters to your decision.
Get written confirmation of your subscription tier's exact price and billing cycle before you submit payment.
Calculate the true cost of a 3-month or 6-month plan yourself rather than relying on the brand's "you save" figure.
Ask whether your state is one of the nine where lab work is billed separately from the subscription.
Confirm with your insurer, not just your provider, whether any portion of medication cost will be covered.
Review the early-cancellation repricing terms before choosing a multi-month plan over month-to-month.
Disclose your full medical history, including any thyroid, pancreatic, or gallbladder conditions, before your first visit.
Review current Success by Sesame plans before you enroll
The Bottom Line: Is Sesame Care's Weight Loss Program Worth It?
Based on the facts reviewed for this article, Success by Sesame is an identifiable telehealth marketplace offering, not a thin or unverifiable operation - Sesame, Inc. is a documented company with a published business address, a detailed terms of service, and a wide medication lineup that includes newly FDA-approved options like Foundayo. That doesn't independently verify the quality of any individual provider, guarantee a prescription, or confirm the program is the right fit for a given reader. But it does establish a real, identifiable business behind the marketing. The provider-choice model and broad medication range are strengths worth weighing if you want flexibility that a single-clinic competitor might not offer.
The two things worth double-checking before you commit are documented above. The savings math on the 3-month and 6-month plans doesn't match the brand's own stated figures. And the early-cancellation repricing on multi-month plans can reduce your refund far more than it might first appear. Neither of those is a reason to avoid the program outright - they're reasons to read your specific plan's terms before you pay, and to keep your own math handy rather than relying on the page's "you save" language.
If the provider-choice model and medication range fit what you're looking for, and you've confirmed pricing and lab coverage for your specific state, Success by Sesame is worth evaluating alongside other online GLP-1 programs - on the basis of the specifics in this article, not on brand claims alone.
Success by Sesame Contact Information
Sesame, Inc.
427 Broadway, New York, NY 10013
Support email: [email protected]
Membership cancellation phone: +1 (877) 947-6411
Website: sesamecare.com
Disclosure and Compliance Information
Material Limitations: This article draws on a live fetch of Sesame's official weight loss program page (sesamecare.com/service/online-weight-loss-program) and Terms of Service (sesamecare.com/terms-of-service, last updated June 8, 2026), both accessed July 16, 2026; on Sesame's Better Business Bureau profile (bbb.org), checked independently of Sesame's own site on July 16, 2026; on publicly visible Trustpilot, ConsumerAffairs, and independent GLP-1 telehealth comparison-site listings for sesamecare.com, also checked July 16, 2026 (medication pricing figures on some of these third-party sites differ from the brand's own live page and were not adopted as fact - see the pricing section above); and on independent, publicly available sources for Foundayo's FDA approval, including the FDA's April 1, 2026 approval announcement, Eli Lilly's April 1, 2026 investor release, and industry coverage; and on published legal/regulatory reporting regarding FTC and FDA enforcement activity in the telehealth GLP-1 space generally (including the FTC's December 2025 final order against a different telehealth company and FDA's February 2026 warning letters regarding compounded GLP-1 marketing), checked July 16, 2026 and cited as general industry context, not as an allegation against Sesame specifically. Trial-result percentages for Wegovy and Zepbound are drawn from Sesame's own description of manufacturer research rather than this article's independent review of each drug's FDA-approved labeling. No product was tested by this publication, and no clinical outcomes were independently verified. This review attempted to distinguish brand statements from independently verifiable information; some pricing, provider, pharmacy, insurance, and policy details may change, or may only be visible during intake or checkout, and should be reconfirmed before purchase. Known open items include a few things. The credentials of any specific individual provider - providers are independent and the roster changes, so verify your assigned provider directly. The exact reason the brand's stated 3-month and 6-month savings figures don't match their own displayed pricing (documented above as an unresolved discrepancy, not resolved editorially). And whether any specific reader's insurance plan will cover medication costs. Title language reflects the program's own name and is not an independent characterization. Contact the brand directly to verify any material claim before purchasing.
Pricing Disclosure: All prices in this article reflect figures published on Sesame's official site as of July 2026 and are subject to change without notice. Medication pricing in particular depends on dose, insurance status, and pharmacy, and the specific figures a reader is quoted may differ from those cited here.
Affiliate Referral and Service-Provider Disclosure: This publication does not provide medical services, dispense medication, determine prescription eligibility, make clinical decisions, or control Sesame's fees, provider network, pharmacy fulfillment, or refund policies. Sesame is the telehealth marketplace, not this publication. Links marked as sponsored in this article route through a third-party affiliate referral domain before reaching Sesame's site, and that affiliate domain is not operated by Sesame. Any purchase, subscription, or clinical relationship formed is between the reader and Sesame, Inc. or its independent affiliated providers, not with this publication.
Third-Party Feedback Platforms: The accuracy of third-party review platforms, including Trustpilot, is not endorsed by this publication. Ratings and review counts on such platforms should be evaluated critically and independently, as they may not reflect the experience of any individual reader.
Forward-Looking Statements: This article reflects information available as of July 2026. Pricing, medication availability, provider networks, and program terms may change at any time. Readers should rely on Sesame's official site for the most current information before making a purchase decision.
Marketing Language Notice: Attribution language throughout this article identifies claims as brand-stated. Title and body phrases describing the program are the brand's own marketing language and are not independent rankings, lab-verified claims, or endorsements by this publication.
California Proposition 65 Notice: No product-specific California Proposition 65 warning was identified on Sesame's own pages reviewed for this article. Success by Sesame is a telehealth subscription service; Sesame does not manufacture, package, or ship a physical product directly to buyers. Any prescription medication a provider approves is dispensed through an independent pharmacy - Truepill or a pharmacy of the patient's choosing - under that medication's own manufacturer packaging. California buyers with questions about a specific medication's Proposition 65 status should confirm directly with the dispensing pharmacy or manufacturer.
Geographic and Jurisdiction Notice: This program is intended for use by adults located in the United States. Availability, provider licensure, and lab coverage vary by state, as described above. Readers outside the United States should confirm eligibility directly with the brand.
No Diagnosis or Treatment Claim: Nothing in this article should be read as medical advice. Weight loss medications, including GLP-1 receptor agonists, are prescription drugs. They require an individualized evaluation by a licensed healthcare provider. This content does not diagnose, treat, cure, or prevent any disease or condition.
Trademark Acknowledgment: Sesame, Success by Sesame, Wegovy, Zepbound, Ozempic, Mounjaro, Rybelsus, and Foundayo are trademarks of their respective owners. No trademark owner named in this article has endorsed this content.
Medical Information Notice: This paid advertorial provides general consumer information. It is not medical advice. Prescription medications discussed in this article require evaluation and prescribing by a licensed healthcare provider. FDA approval applies only to the specific drug, formulation, indication, dose, and population authorized in that drug's own FDA-approved labeling; a provider may prescribe a medication off-label when they determine it's medically appropriate. Nothing here diagnoses, treats, cures, or prevents any disease, and results, if any, vary by individual.
SOURCE: Sesame