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Head-to-head for women

Sprout Health vs Sesame Care

Sprout 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.

Sprout Health

Ranked #9 for women · Grade B

Best for: Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.

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vs

Sesame Care

Higher score

Ranked #8 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 Sprout Health on the Luna Fit Score, 87 to 86 (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.

Sprout Health is still a genuine option — a LegitScript-certified desk that pairs low-cost compounded semaglutide and tirzepatide with a real brand-name Wegovy and Zepbound path — and a near-frictionless, often visit-free start. 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.

Sprout Health Sesame Care
PCOS & hormonal suitability8384
Sprout
Sesame
Clinical oversight & labs8088
Sprout
Sesame
Price transparency8980
Sprout
Sesame
Nationwide access8292
Sprout
Sesame
Ongoing support8582
Sprout
Sesame
Cancellation fairness8385
Sprout
Sesame

Price, access & features

DetailSprout HealthSesame Care
Luna Fit Score86/100 · B87/100 · B+
Overall rank#9#8
Semaglutide$149/moFrom $149/mo (brand Wegovy pill)
Tirzepatide$199/moBrand Zepbound (price varies)
CoverageNot disclosedNationwide marketplace
Brand-name accessYesYes
Oral / sublingualInjection onlyYes

Sprout Health

Ranked #9 · Grade B

What we like

  • LegitScript-certified with a listed address and contact line
  • Both compounded ($149 semaglutide / $199 tirzepatide) and a genuine brand-name Wegovy/Zepbound route
  • Low-friction intake — no labs and often no telehealth visit required

The caveats

  • Compounded semaglutide and tirzepatide are not FDA-approved
  • No oral or sublingual route — injectable only
  • Thin transparency — no named medical director, and state availability is quiz-gated

Sesame Care

Ranked #8 · 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. 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 Sprout Health and Sesame Care against other providers we review for women.

Or browse the full comparison hub.