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Head-to-head dispatch

Sesame Care vs Velvet Rx

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 #192
Velvet Rx

Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide, compounded tirzepatide, and an oral GLP-1 across three publicly-listed SKUs ranging from $139 to $199 'today'…

Sesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 66/100 (C) for Velvet Rx. Velvet Rx 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

Velvet Rx

66/100

C

Price transparency

84
86

State access

92
24

Molecule range

94
77

Onboarding speed

84
68

Support responsiveness

80
80

Licensing & trust

92
58

The spec sheet

FieldSesame CareVelvet Rx
SemaglutideFrom $149/mo (brand Wegovy pill)$299/mo (compounded)
TirzepatideBrand Zepbound (price varies)$359/mo (compounded)
CoverageNationwide marketplaceCoverage not published
Brand-nameYesCompounded only
Oral optionYesYes
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 cash-pay compounded GLP-1 with bundled shipping across three SKUs.
Desk Score87/100B+66/100C

The verdict

Desk pick — Sesame Care

Sesame Care takes this head-to-head with the higher Desk Score, 87/100 (B+) against 66/100 (C) for Velvet Rx. Velvet Rx 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 Velvet Rx if…

Readers who want cash-pay compounded GLP-1 with bundled shipping across three SKUs.

$299/mo (compounded) sema · $359/mo (compounded) tirz · Coverage not published

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 · Velvet Rx.

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.