Head-to-head dispatch
GOAL.MD 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
GOAL.MD is a St. Louis-based telehealth platform offering compounded semaglutide alongside brand-name bridges to Ozempic, Wegovy, and Zepbound. Its standout is a manual-renewal model — no auto-billing
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 80/100 (B−) for GOAL.MD. GOAL.MD 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.
GOAL.MD
80/100
B−
Sesame Care
87/100
B+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | GOAL.MD | Sesame Care |
|---|---|---|
| Semaglutide | $179/mo | From $149/mo (brand Wegovy pill) |
| Tirzepatide | $249/mo (starting dose, compounded) | Brand Zepbound (price varies) |
| Coverage | All 50 states | Nationwide marketplace |
| Brand-name | Yes | Yes |
| Oral option | Yes | Yes |
| Best for | Readers who want manual-renewal billing with dose-tiered brand-name pricing transparency. | 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 | 80/100B− | 87/100B+ |
The verdict
Desk pick — Sesame CareSesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 80/100 (B−) for GOAL.MD. GOAL.MD still holds its ground where its strengths line up with yours.
Choose GOAL.MD if…
Readers who want manual-renewal billing with dose-tiered brand-name pricing transparency.
$179/mo sema · $249/mo (starting dose, compounded) tirz · All 50 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: GOAL.MD · 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
- GOAL.MD vs CoreAge Rx
- Sesame Care vs Vaylen
- GOAL.MD vs Strut Health
- Sesame Care vs Ondra Health
- GOAL.MD 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.