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Best-value alternatives

Alternatives to Sesame Care

Sesame Care scores 86/100 on our Cost-Efficiency Index (ranked #7 of 539). Here are the closest-ranked programs on the board, scored the same way.

  1. Our #1 pick
    01A

    CoreAge Rx

    Ranked #1

    Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded
  2. 02B

    Breeze Meds

    Ranked #6

    The most transparent operator in our partner tier — all-50 compounded GLP-1 with NPI-verifiable named physicians, named pharmacies and LegitScript backing, so you can actually audit who's behind the script.

    Sema
    $199/mo
    Tirz
    $399/mo on the product grid; the post-intake screen shows $299 — Breeze publishes both
    Coverage
    All 50 states
    Brand
    Compounded
  3. 03B+

    Strut Health

    Ranked #5

    $99/month sublingual semaglutide — among the lowest entry costs we track — from one of the very few programs selling the same molecule as a lozenge or an injection at a single price.

    Sema
    From $99/mo sublingual, $149/mo injectable
    Tirz
    From $199/mo either route
    Coverage
    Multi-state
    Brand
    Compounded

    Regulatory note: the FDA issued a warning letter to Strut Health, LLC dba Strut in February 2026. We still list and link to Strut Health; you should know the letter is on the public record before you decide.

  4. 04B+

    ShedRx (Shed)

    Ranked #4

    The widest set of formats in the ranking — injection, drops, lozenges and a daily oral pill, plus a real brand Zepbound route — though its cheapest advertised rates need a year-long commitment.

    Sema
    $199/mo ($159 on a 12-month plan)
    Tirz
    $299/mo ($239 on a 12-month plan)
    Coverage
    All 50 states
    Brand
    Yes
  5. 05A−

    Ondra Health

    Ranked #3

    A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it.

    Sema
    $93/mo
    Tirz
    $166/mo
    Coverage
    All 50 states
    Brand
    Yes
  6. 06B+

    Found

    Ranked #2

    A real insurance-billing pathway on both molecules — but the widely-quoted $99/mo headline requires an insurance plan AND a full year prepaid upfront; the true no-commitment rate is $199-289/mo.

    Sema
    $199/mo (insurance-linked)
    Tirz
    $199/mo (insurance-linked)
    Coverage
    All 50 states
    Brand
    Compounded
  7. 07B

    Eden

    Ranked #8

    You pay a premium per month, but you buy back certainty: all-50 access and high-disclosure clinical oversight that hold their value.

    Sema
    $239/mo
    Tirz
    $349/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Regulatory note: the FDA issued a warning letter to Eden Health International Inc. dba Eden in June 2026. We still list and link to Eden; you should know the letter is on the public record before you decide.

  8. 08B+

    Invigor Medical

    Ranked #9

    Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog.

    Sema
    $225/mo (starting dose)
    Tirz
    $350/mo (starting dose)
    Coverage
    All 50 states
    Brand
    Compounded

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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