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Head-to-head · Cost-Efficiency Index

Sesame Care vs Invigor Medical

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Grade B · #7

Sesame Care

People who specifically want FDA-approved brand-name medication (including the Wegovy pill or oral Rybelsus) from an established, verified marketplace and will budget for a two-part cost.

Visit Sesame Care
VS
Better valueGrade B+ · #8

Invigor Medical

Value shoppers who want competitive pricing on both molecules plus a wider wellness/hormone program on one account.

Visit Invigor Medical

The verdict

Winner · Invigor MedicalGrade B+ vs B

Invigor Medical takes it, leading the Cost-Efficiency Index 88 to 86. Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog. Sesame Care still earns a BPeople who specifically want FDA-approved brand-name medication (including the Wegovy pill or oral Rybelsus) from an established, verified marketplace and will budget for a two-part cost.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Invigor Medical.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

76
86

Price Transparency

82
84

Nationwide Access

92
78

Formulation Options

95
82

Clinical Oversight

89
86

Contract Flexibility

84
87

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecSesame CareInvigor Medical
Cost-Efficiency Index86/10088/100
Semaglutide / mo$149/mo medication + $59/mo care subscription (that rate needs a 12-month commitment)$225/mo (starting dose)
Tirzepatide / moBrand (Zepbound)$350/mo (starting dose)
Semaglutide / yr (modeled)$2,700
Tirzepatide / yr (modeled)$4,200
CoverageNationwideAll 50 states
Oral / sublingualYesNo
Brand-name accessYesCompounded only
Rank here#7#8

Sesame Care

86/100

Where the value is

  • Widest brand-name formulary we list — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and oral Rybelsus, all FDA-approved rather than compounded
  • Established national marketplace operating since 2018, with LegitScript certification and BBB recognition
  • Wegovy pill starts around $149/mo, and oral routes are available for the needle-averse

The tradeoffs

  • Two-part cost — $149/mo medication plus a separate care subscription from $59/mo, so the all-in floor is about $208/mo, and the $59 rate itself requires a 12-month commitment
  • A generalist telehealth marketplace, not a dedicated GLP-1 program
Visit Sesame Care

Full Sesame Care review →

Invigor Medical

88/100

Where the value is

  • Competitive mid-market 'starting at' pricing on both semaglutide and tirzepatide
  • Licensed in all 50 states, with a named Medical Director (Dr. Hamilton) and five named partner compounding pharmacies
  • Both molecules published up front for easy cost modeling

The tradeoffs

  • Both prices are floors — no dose-tier breakdown is published, so the real cost at a typical maintenance dose is unknown until intake
  • The site names five partner pharmacies but never discloses which one fills a given order
Visit Invigor Medical

Full Invigor Medical review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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