Head-to-head dispatch
Fierce Health 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.
Desk Score
Fierce Health is a direct-to-consumer telehealth brand selling compounded semaglutide and tirzepatide in both standard and microdose programs, alongside a longevity catalog.
Desk Score
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 69/100 (C) for Fierce Health. Fierce Health 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.
Fierce Health
69/100
C
Sesame Care
87/100
B+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Fierce Health | Sesame Care |
|---|---|---|
| Semaglutide | $297/mo (3-month plan, compounded) | From $149/mo (brand Wegovy pill) |
| Tirzepatide | $497/mo (3-month plan, compounded) | Brand Zepbound (price varies) |
| Coverage | 30 states | Nationwide marketplace |
| Brand-name | Yes | Yes |
| Oral option | Injectable only | Yes |
| Best for | Readers who want compounded GLP-1 with standard and microdose protocols plus a longevity catalog. | 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 Score | 69/100C | 87/100B+ |
The verdict
Desk pick — Sesame CareSesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 69/100 (C) for Fierce Health. Fierce Health still holds its ground where its strengths line up with yours.
Choose Fierce Health if…
Readers who want compounded GLP-1 with standard and microdose protocols plus a longevity catalog.
$297/mo (3-month plan, compounded) sema · $497/mo (3-month plan, compounded) tirz · 30 states
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: Fierce Health · 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
- Fierce Health vs CoreAge Rx
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- Fierce Health vs Strut Health
- Sesame Care vs Ondra Health
- Fierce Health vs Invigor Medical
- Sesame Care vs Vytora Health
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.