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Head-to-head for women

Oak vs Sesame Care

Oak 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.

Oak

Ranked #14 for women · Grade B

Best for: Women who want the lowest published price for tirzepatide without a membership fee, and who would rather buy a package than manage a recurring plan.

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vs

Sesame Care

Higher score

Ranked #5 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.

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The verdict for women

Higher Luna Fit Score: Sesame Care

Sesame Care edges out Oak on the Luna Fit Score, 85 to 83 (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.

Oak is still a genuine option — the cheapest published entry point for both molecules on this board, sold as one-off packages rather than a subscription — and offered in Spanish as well as English. Weigh the six women's-health factors below against your own priorities.

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.

Oak Sesame Care
PCOS & hormonal suitability7884
Oak
Sesame
Clinical oversight & labs7288
Oak
Sesame
Price transparency9480
Oak
Sesame
Nationwide access9592
Oak
Sesame
Ongoing support7682
Oak
Sesame
Cancellation fairness8885
Oak
Sesame

Price, access & features

DetailOakSesame Care
Luna Fit Score83/100 · B85/100 · B
Overall rank#14#5
SemaglutideFrom $119/moFrom $149/mo (brand Wegovy pill)
TirzepatideFrom $185/moBrand Zepbound (price varies)
CoverageAll 50 statesNationwide marketplace
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyYes

Oak

Ranked #14 · Grade B

What we like

  • Lowest published prices on this board for both molecules — semaglutide from $119/mo, tirzepatide from $185/mo
  • One price across all dosages, so titration does not raise the cost
  • No membership or subscription fee, and free shipping

The caveats

  • Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
  • No brand-name path and no oral or sublingual route
  • Same-day approval with no video call required — fast, but it means little clinical contact before a prescription

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. It never changes a Luna Fit Score; affiliate partners carry a capped 6-point edge in list order, never in the score itself. 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

Keep comparing Oak and Sesame Care against other providers we review for women.

Or browse the full comparison hub.