Direct Meds vs Sesame Care: Which GLP-1 Clinic Is Better in 2026?
Direct Meds wins overall, scoring 7.5/10 vs 7.2/10. If price is your priority, Sesame Care is cheaper at $99/mo.
Direct Meds
The cheapest entry point and the rare needle-free option — compounded semaglutide from $147 and a sublingual route — but billing and cancellation complaints keep its trust score honest.
from $147/mo
Visit Direct MedsSesame Care
A pay-per-visit telehealth marketplace rather than a subscription clinic — a $99/28-day membership covers ongoing care, with compounded semaglutide available from around $249/mo and brand-name Wegovy options through partner pharmacies.
from $99/mo
Visit Sesame CareDirect Meds vs Sesame Care, side by side
| Feature | Direct Meds | Sesame Care |
|---|---|---|
| Our score | 7.5/10 | 7.2/10 |
| Starting price | $147/mo | $99/mo |
| Medication types | compounded semaglutide, compounded tirzepatide, oral / sublingual | compounded semaglutide, brand-name semaglutide (Wegovy) |
| Best for | Cheapest + Needle-Free | — |
| Overall ranking | #12 | #18 |
| Price & Value (25%) | 9.0 | 7.0 |
| Clinical Oversight (25%) | 6.5 | 7.0 |
| Medication Options (20%) | 9.0 | 7.5 |
| User Experience (15%) | 7.0 | 7.5 |
| Transparency (15%) | 5.0 | 7.0 |
Pros & cons
Direct Meds
Pros
- + Lowest starting price we track ($147/mo)
- + Needle-free sublingual option, plus tirzepatide
- + Fast 1–2 day cold-chain shipping
Cons
- − Weaker on Transparency (5.0/10)
- − Weaker on Clinical Oversight (6.5/10)
- − Weaker on User Experience (7.0/10)
Sesame Care
Pros
- + Marketplace model: pay for care access ($99/28 days) without a long-term program lock-in
- + Offers both compounded and brand-name Wegovy paths
- + Backed by a large, well-funded telehealth marketplace with broad physician network
Cons
- − Weaker on Price & Value (7.0/10)
- − Weaker on Clinical Oversight (7.0/10)
- − Weaker on Transparency (7.0/10)
The bottom line
After scoring all 22 clinics on price, clinical oversight, medication options, experience and transparency, Direct Meds (7.5/10) comes out ahead of Sesame Care (7.2/10) — but the right choice depends on what matters most to you.
Choose Direct Meds if you want cheapest + needle-free — from $147/mo.
Visit Direct Meds →Choose Sesame Care if you want this option — from $99/mo.
Visit Sesame Care →Editor's overall pick
Not sold on either? Our highest-rated clinic overall is Gala Health (8.3/10) from $149/mo — read the review →
Ready to start GLP-1 weight loss?
Our verdict for this matchup is Direct Meds.
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How we score: every clinic is rated on five weighted criteria from documented evidence, re-verified monthly. Scores are never influenced by affiliate commissions. “Visit”/“Try” links may be affiliate links that support our work. Educational information only — not medical advice.