Head-to-head for women
Alloy vs Sesame Care
Alloy and Sesame Care both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.
Alloy
Ranked #41 for women · Grade B−
Luna Fit
Best for: Women in perimenopause or menopause who want the clinician managing their weight to be the same one who understands their hormones — and who can absorb a membership fee on top of the drug price.
Visit AlloySesame Care
Higher scoreRanked #4 for women · Grade B
Luna Fit
Best for: Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program.
Visit Sesame CareThe verdict for women
Sesame Care edges out Alloy on the Luna Fit Score, 85 to 82 (B vs B−). Shoppers who want genuine FDA-approved brand-name GLP-1s and the ability to pick their own provider and see the price up front, rather than one fixed compounded program. The reasoning behind that number is in the Sesame Care scorecard.
Alloy is still a genuine option — the only program on this board built for midlife first: your prescriber is a Menopause Society–certified physician, and weight care sits alongside a full hormone-therapy line rather than being sold in isolation. Weigh the six women's-health factors below against your own priorities; what we found reviewing Alloy goes through each of them, and if neither of these two is the one, the Alloy alternatives, scored on the same six factors widens the field.
Side-by-side on the six factors
Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.
Price, access & features
| Detail | Alloy | Sesame Care |
|---|---|---|
| Luna Fit Score | 82/100 · B− | 85/100 · B |
| Overall rank | #41 | #4 |
| Semaglutide | From $169/mo all-in ($70 medication + $99 membership) | From $149/mo (brand Wegovy pill) |
| Tirzepatide | From $199/mo all-in ($100 medication + $99 membership) | Brand Zepbound (price varies) |
| Coverage | Not disclosed; compounded excluded in 6 states and DC | Nationwide marketplace |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Yes | Yes |
Luna Fit
Alloy
Ranked #41 · Grade B−
What we like
- Prescribers hold the Menopause Society Certified Practitioner credential — the only board entry where that is true of named clinicians
- The widest formulary here: compounded semaglutide, tirzepatide and liraglutide, plus brand Wegovy, Zepbound and the Wegovy and Foundayo pills
- Oral routes are FDA-approved brand pills, not a compounded workaround, for women who will not inject
The caveats
- The $99/mo membership is charged on top of every medication price, so the headline figure is not what you pay
- Every price is quoted 'starting at' with no published dose table — the rate can move as you titrate
- Compounded medication is unavailable in six states and DC, and the overall coverage footprint is not published anywhere on the site
Luna Fit
Sesame Care
Ranked #4 · Grade B
What we like
- 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
The caveats
- 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
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.
More head-to-heads
Neither Alloy nor Sesame Care is only worth comparing with the other. Alloy is also written up against CoreAge Rx, 11 points apart on the Luna Fit Score — see Alloy vs CoreAge Rx for women. Sesame Care is also written up against CoreAge Rx, 8 points apart — see Sesame Care against CoreAge Rx, factor by factor.
- Alloy vs CoreAge Rx
- Alloy vs Enhance MD
- Alloy vs yourEra
- Sesame Care vs HealthRX
- Sesame Care vs Strut Health
- Sesame Care vs MadeMed
Or browse the full comparison hub.