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Head-to-head dispatch

Defy Medical vs Sesame Care

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #452
Defy Medical

Defy Medical is a long-running telehealth clinic, best known for hormone replacement, that also prescribes GLP-1 medications for weight loss.

vs
Dispatch #7Desk pick
Sesame Care

An established national telehealth marketplace with the widest real brand-name GLP-1 access on the board — Wegovy (pen and pill), Zepbound, Ozempic and Mounjaro — plus provider-by-provider price transparency.

Sesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 46/100 (C) for Defy Medical. Defy Medical still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Defy Medical

46/100

C

Overall

Sesame Care

87/100

B+

Price transparency

20
84

State access

24
92

Molecule range

56
94

Onboarding speed

68
84

Support responsiveness

77
80

Licensing & trust

70
92

The spec sheet

FieldDefy MedicalSesame Care
SemaglutideNot disclosedFrom $149/mo (brand Wegovy pill)
TirzepatideNot disclosedBrand Zepbound (price varies)
CoverageCoverage not publishedNationwide marketplace
Brand-nameCompounded onlyYes
Oral optionYesYes
Best forPatients wanting GLP-1 in injection, ODT, or drop forms with thorough lab workups.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.
Desk Score46/100C87/100B+

The verdict

Desk pick — Sesame Care

Sesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 46/100 (C) for Defy Medical. Defy Medical still holds its ground where its strengths line up with yours.

Choose Defy Medical if…

Patients wanting GLP-1 in injection, ODT, or drop forms with thorough lab workups.

Not disclosed sema · Not disclosed tirz · Coverage not published

Choose Sesame Care if…

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.

From $149/mo (brand Wegovy pill) sema · Brand Zepbound (price varies) tirz · Nationwide marketplace

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Defy Medical · Sesame Care.

Also on the board

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete board.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.