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Head-to-head dispatch

Sesame Care vs Trillium Meds

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 #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.

vs
Dispatch #89
Trillium Meds

Trillium Meds is a small, owner-operated telehealth platform based in Portland, OR that connects patients with independent licensed providers and FDA-registered compounding pharmacies for compounded…

Sesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 77/100 (C+) for Trillium Meds. Trillium Meds 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.

Sesame Care

87/100

B+

Overall

Trillium Meds

77/100

C+

Price transparency

84
68

State access

92
86

Molecule range

94
66

Onboarding speed

84
89

Support responsiveness

80
79

Licensing & trust

92
84

The spec sheet

FieldSesame CareTrillium Meds
SemaglutideFrom $149/mo (brand Wegovy pill)$119/mo (3-month plan, compounded)
TirzepatideBrand Zepbound (price varies)$199/mo (3-month plan, compounded)
CoverageNationwide marketplaceAll 50 states
Brand-nameYesCompounded only
Oral optionYesInjectable only
Best forShoppers 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.Readers who want legitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo).
Desk Score87/100B+77/100C+

The verdict

Desk pick — Sesame Care

Sesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 77/100 (C+) for Trillium Meds. Trillium Meds still holds its ground where its strengths line up with yours.

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

Choose Trillium Meds if…

Readers who want legitScript-certified compounded GLP-1 telehealth, all 50 states + PR; sema $119/mo, tirz $199/mo (3-mo).

$119/mo (3-month plan, compounded) sema · $199/mo (3-month plan, compounded) tirz · All 50 states

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: Sesame Care · Trillium Meds.

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.