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Head-to-head for women
Goldspan Health vs Sesame Care
Goldspan Health 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.
Goldspan Health
Ranked #48 for women · Grade B−
Luna Fit
Best for: Women in the menopause transition who want one catalog to carry estradiol, progesterone and a GLP-1, and who do not mind that the checkout sits on another company's domain.
Visit Goldspan HealthSesame 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 Goldspan Health on the Luna Fit Score, 85 to 80 (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.
Goldspan Health is still a genuine option — the only provider here whose named clinical advisors include an OB-GYN and menopause specialist alongside a medical director credentialed in bioidentical hormone therapy — with estradiol and progesterone priced in the same catalog as the GLP-1s. Weigh the six women's-health factors below against your own priorities; what we found reviewing Goldspan Health goes through each of them, and if neither of these two is the one, the full field we rank against Goldspan Health 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 | Goldspan Health | Sesame Care |
|---|---|---|
| Luna Fit Score | 80/100 · B− | 85/100 · B |
| Overall rank | #48 | #5 |
| Semaglutide | $229 per 28 days month-to-month, injection (13 charges a year); $149 for the sublingual microdose, on the storefront it sells through | 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 | $299 per 28 days month-to-month, injection; $199 for the sublingual microdose | 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 | 50 states and DC per its storefront; its own terms say some therapies are unavailable in certain states | Nationwide marketplace |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
Luna Fit
Goldspan Health
Ranked #48 · Grade B−
What we like
- Names three clinical advisors with credentials, including an OB-GYN and menopause specialist and a medical director carrying obesity-medicine and bioidentical hormone certifications
- Prices estradiol cream, progesterone and a women's testosterone option in the same catalog as the GLP-1s, so hormone care is not a second purchase somewhere else
- Requires a lab panel sixty to ninety days after starting and annually after that, drawn through Quest — a written monitoring commitment most of this ranking never makes
The caveats
- Goldspan's own site publishes no price on any page — every figure lives on a storefront run by a different company
- Billing is every 28 days while the headline reads per month: thirteen charges a year, not twelve
- No legal entity, address or governing law is published for Goldspan anywhere; the only company named on the paperwork is the storefront operator
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 Goldspan Health nor Sesame Care is only worth comparing with the other. Goldspan Health is also written up against CoreAge Rx, 13 points apart on the Luna Fit Score — see Goldspan Health 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.
- Goldspan Health vs CoreAge Rx
- Goldspan Health vs Enhance MD
- Goldspan Health vs Eden
- Sesame Care vs yourEra
- Sesame Care vs HealthRX
- Sesame Care vs MadeMed
Or browse the full comparison hub.