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Head-to-head for women

MyFastRx vs Sesame Care

MyFastRx 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.

MyFastRx

Ranked #52 for women · Grade C

Best for: Women considering a multi-month prepay who want to know exactly what happens to the money if they stop, before they hand it over.

Visit MyFastRx
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 MyFastRx on the Luna Fit Score, 85 to 68 (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.

MyFastRx is still a genuine option — the best-documented exit terms we found — it publishes a worked example of how a cancelled prepay is recalculated — attached to a site that still has last season's prices live on the same pages as this season's. Weigh the six women's-health factors below against your own priorities; the MyFastRx scorecard goes through each of them, and if neither of these two is the one, the full field we rank against MyFastRx 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.

MyFastRx Sesame Care
PCOS & hormonal suitability5584
MyFastRx
Sesame
Clinical oversight & labs6888
MyFastRx
Sesame
Price transparency6880
MyFastRx
Sesame
Nationwide access6292
MyFastRx
Sesame
Ongoing support8282
MyFastRx
Sesame
Cancellation fairness8685
MyFastRx
Sesame

Price, access & features

DetailMyFastRxSesame Care
Luna Fit Score68/100 · C85/100 · B
Overall rank#52#4
Semaglutide$139/mo month-to-month, any dose ($69 first month; from $79/mo on a 12-month, $948 prepay)From $149/mo (brand Wegovy pill)
Tirzepatide$199/mo month-to-month, any dose ($129 first month; from $124/mo on a 12-month, $1,488 prepay)Brand Zepbound (price varies)
CoverageAvailability varies by state; nationwide not claimedNationwide marketplace
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyYes

MyFastRx

Ranked #52 · Grade C

What we like

  • Publishes a worked refund example: pay $948 for twelve months, cancel after six, and the six received are recharged at the six-month rate for a $414 refund
  • No cancellation fee on any plan, and the unfulfilled portion of a prepay can be cancelled
  • 'Same price, any dose' is stated explicitly, with no dosage upcharge as you titrate

The caveats

  • Superseded pricing is still live on the same pages as the current pricing — $169, $249 and an old promo code all still render, and one of the savings figures does not match its own arithmetic
  • Does not claim nationwide coverage: 'availability may vary by state', with no state list published anywhere
  • Charged at order placement, before a provider has reviewed anything

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 MyFastRx nor Sesame Care is only worth comparing with the other. MyFastRx is also written up against CoreAge Rx, 25 points apart on the Luna Fit Score — see the MyFastRx–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.