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Head-to-head for women

Elara Health and Wellness vs Sesame Care

Elara Health and Wellness 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.

Elara Health and Wellness

Ranked #36 for women · Grade B

Best for: Budget-focused women who want low-cost tirzepatide nationwide and are comfortable vetting oversight themselves.

Visit Elara Health and Wellness
vs

Sesame Care

Higher score

Ranked #4 for women · Grade B

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 Care

The verdict for women

Higher Luna Fit Score: Sesame Care

Sesame Care edges out Elara Health and Wellness on the Luna Fit Score, 85 to 84 (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.

Elara Health and Wellness is still a genuine option — low pricing on both molecules nationwide — attractive on cost, though the lack of LegitScript accreditation makes the oversight signal thinner. Weigh the six women's-health factors below against your own priorities; our Elara Health and Wellness write-up for women goes through each of them, and if neither of these two is the one, the Elara Health and Wellness 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.

Elara Health and Wellness Sesame Care
PCOS & hormonal suitability8284
Elara
Sesame
Clinical oversight & labs7788
Elara
Sesame
Price transparency8980
Elara
Sesame
Nationwide access9592
Elara
Sesame
Ongoing support8182
Elara
Sesame
Cancellation fairness8285
Elara
Sesame

Price, access & features

DetailElara Health and WellnessSesame Care
Luna Fit Score84/100 · B85/100 · B
Overall rank#36#4
Semaglutide$117/moCare $59/mo only on the 12-month prepay, otherwise $99 billed every 28 days (13 charges a year) — plus the drug: brand Wegovy pill from $149/mo at 1.5 and 4 mg only, $299/mo at 9 and 25 mg
Tirzepatide$196/moCare $59/mo on the 12-month prepay, otherwise $99 per 28 days — plus the drug: brand Zepbound vial $299/mo (2.5 mg), $399 (5 mg), $449 (7.5–15 mg); KwikPen $299 / $399 / $499 / $699 (10–15 mg)
CoverageAll 50 statesNationwide marketplace
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyYes

Elara Health and Wellness

Ranked #36 · Grade B

What we like

  • Low disclosed pricing — $117 semaglutide, $196 tirzepatide
  • Nationwide across all 50 states with both molecules
  • Low-cost tirzepatide for insulin-resistant PCOS

The caveats

  • Not LegitScript-accredited — a weaker third-party oversight signal
  • No oral route or brand-name access; general program

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 Elara Health and Wellness nor Sesame Care is only worth comparing with the other. Elara Health and Wellness is also written up against CoreAge Rx, 9 points apart on the Luna Fit Score — see the Elara Health and Wellness–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.

Or browse the full comparison hub.