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Head-to-head for women

RX Bella vs Sesame Care

RX Bella 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.

RX Bella

Ranked #78 for women · Grade C

Best for: A woman weighing a microdose against a full dose who will get a firm figure in writing before handing over an email address.

Visit RX Bella
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.

Visit Sesame Care

The verdict for women

Higher Luna Fit Score: Sesame Care

Sesame Care edges out RX Bella on the Luna Fit Score, 85 to 65 (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.

RX Bella is still a genuine option — four routes on one page, a hero quoting the cheapest of them, and treatment pages that carry no price at all. Weigh the six women's-health factors below against your own priorities; what we found reviewing RX Bella goes through each of them, and if neither of these two is the one, the full field we rank against RX Bella 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.

RX Bella Sesame Care
PCOS & hormonal suitability6884
RX
Sesame
Clinical oversight & labs5888
RX
Sesame
Price transparency5280
RX
Sesame
Nationwide access7492
RX
Sesame
Ongoing support7882
RX
Sesame
Cancellation fairness6885
RX
Sesame

Price, access & features

DetailRX BellaSesame Care
Luna Fit Score65/100 · C85/100 · B
Overall rank#78#5
SemaglutideFrom $249/mo — a floor the company never resolves into a rateBrand 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)
TirzepatideFrom $299/mo — the same floor treatmentBrand 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
CoverageNationwide telehealth, claimed but not enumeratedNationwide marketplace
Brand-name accessCompounded onlyYes
Oral / sublingualYesYes

RX Bella

Ranked #78 · Grade C

What we like

  • Four routes are priced on one page before any intake: microdose, oral, semaglutide injection and tirzepatide injection
  • Nothing in the catalog is struck through — no invented "was" price and no expiring offer
  • "$0 if you're not approved" is stated plainly and repeatedly

The caveats

  • The hero's "from $199/mo" is the microdose, not either injection; tirzepatide is $299
  • Every figure is a floor with no dose ladder, and the eight-screen intake reaches an email gate without showing a price
  • Its own treatment pages carry no dollar figure and read "AVAILABLE BY CONSULTATION"

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 RX Bella nor Sesame Care is only worth comparing with the other. RX Bella is also written up against CoreAge Rx, 28 points apart on the Luna Fit Score — see how RX Bella and CoreAge Rx compare on the Luna Fit Score. 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.