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Head-to-head for women
Collective vs Sesame Care
Collective 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.
Collective
Ranked #70 for women · Grade C
Luna Fit
Best for: A woman who will stay on treatment for a full year and can do the arithmetic the headline leaves out: $59 a month plus $199 once is $907 in year one.
Visit CollectiveSesame Care
Higher scoreRanked #5 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 Collective on the Luna Fit Score, 85 to 67 (B vs C). 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.
Collective is still a genuine option — the lowest medication figures reviewed here by a distance — and neither of them is what a year actually costs, because a $199 annual membership is required to buy at all. Weigh the six women's-health factors below against your own priorities; the Collective scorecard goes through each of them, and if neither of these two is the one, the Collective 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 | Collective | Sesame Care |
|---|---|---|
| Luna Fit Score | 67/100 · C | 85/100 · B |
| Overall rank | #70 | #5 |
| Semaglutide | $59/mo for the medication, on top of a required $199-a-year membership the headline leaves out | Brand Wegovy pill from $149/mo at 1.5 and 4 mg only, $299/mo at 9 and 25 mg — plus Sesame care: $59/mo only on the 12-month prepay, otherwise $99 billed every 28 days (13 charges a year) |
| Tirzepatide | $69/mo for the medication, on top of the same required $199-a-year membership | Brand Zepbound vial $299/mo (2.5 mg), $399 (5 mg), $449 (7.5–15 mg); KwikPen $299 / $399 / $499 / $699 (10–15 mg) — plus Sesame care: $59/mo on the 12-month prepay, otherwise $99 per 28 days |
| Coverage | All 50 states and DC, per its own intake selector | Nationwide marketplace |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Luna Fit
Collective
Ranked #70 · Grade C
What we like
- Both medication figures are published before any intake, and they are the lowest here
- The membership opens with a 21-day trial before the annual charge lands
- Unlimited provider messaging, ongoing check-ins and dose adjustments, plus nutrition and lifestyle support, are inside the membership rather than sold on top
The caveats
- The headline omits the mandatory $199 annual membership; it appears only in a card panel, a small disclaimer and the FAQ
- Membership fees are non-refundable with no partial-period refund, so "cancel anytime" stops the next renewal and returns nothing
- The Terms reserve an unpriced technology fee on every electronic prescription while the homepage promises no hidden costs
Luna Fit
Sesame Care
Ranked #5 · 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 Collective nor Sesame Care is only worth comparing with the other. Collective is also written up against CoreAge Rx, 26 points apart on the Luna Fit Score — see the Collective–CoreAge Rx head-to-head. Sesame Care is also written up against CoreAge Rx, 8 points apart — see Sesame Care against CoreAge Rx, factor by factor.
- Collective vs CoreAge Rx
- Collective vs Enhance MD
- Collective vs Eden
- Sesame Care vs yourEra
- Sesame Care vs HealthRX
- Sesame Care vs MadeMed
Or browse the full comparison hub.