Best Telehealth Weight Loss Programs: GLP-1 Options Ranked

• Among programs that list both prices, Sesame Care’s annual plan has the lowest published total for a brand-name GLP-1 paid in cash. That’s $59 a month for care plus medication from $149, about $208 a month.
• Noom Microdose and Henry Meds have the lowest all-in prices, from $179 a month with medication included. Both use compounded GLP-1s, which are not FDA approved.
• With commercial insurance that covers the drug, Wegovy and Zepbound can cost as little as $25 a month. Ro offers the most insurance help, including appeals; Hims and Henry Meds take no insurance.

Most telehealth weight loss programs charge a monthly care fee and bill the medication separately. A licensed clinician reviews your health history online and prescribes if a drug is appropriate for you. The prescription is most often a GLP-1 such as semaglutide (Wegovy) or tirzepatide (Zepbound). Novo Nordisk and Eli Lilly sell those brands to self-pay patients through their own pharmacies. Sesame Care is a telehealth marketplace where you choose your own clinician, and its weight-loss program prescribes brand-name GLP-1s only. The drug usually costs more than the care fee and insurance coverage can bring it to $25 a month.

See Sesame Care’s GLP-1 weight loss program

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Quick picks by situation

These picks use the prices each program published on October 19, 2026.

• Brand-name GLP-1, paying cash: Sesame Care, $59 a month on the annual plan, with a clinician you pick and same-day local pharmacy pickup.
• Using insurance for the medication: Ro, whose concierge handles prior authorization and appeals.
• Lowest price with medication included: Noom Microdose or Henry Meds, both compounded, from $179 a month.
• A structured program with a care team: WeightWatchers Med+, $74 a month on a 12-month plan.
• One app with a smart scale included: Hims, $149 a month after a $39 first month.
• Insurance for the visits too: Circle Medical, in network with most plans, about $35 a visit on average with insurance or $120 self-pay, FDA-approved drugs only.
• You already have a prescriber: LillyDirect or NovoCare, where you pay only for the medication.

Best online GLP-1 providers compared

Only the two compounded programs include the medication in one price.

Prices as of October 2026. Medication prices rise with dose everywhere. Sesame notes that clinicians on its platform set their own prices, so some charge more than the listed fee.

Each telehealth weight loss program in detail

Henry Meds sells only compounded GLP-1s, Noom offers both, and the rest prescribe brand-name GLP-1s only. Our guide to getting Wegovy covers the prescription process in more detail.

Sesame Care

Success by Sesame is Sesame Care’s weight-loss program. You complete a questionnaire, choose a clinician and have a video visit. A prescription can be picked up the same day at your usual pharmacy or delivered. The fee covers video visits, unlimited messaging and ongoing care. Quest Diagnostics labs are included in most states, with nine exceptions including New York and New Jersey.

Sesame’s annual plan works out to $59 a month ($708 a year), and the month-to-month plan costs $99, billed every 28 days. Medication is billed at the manufacturers’ self-pay prices, from $149 a month. Sesame sends self-pay prescriptions to NovoCare and LillyDirect, and both list Sesame among their telehealth providers.

Sesame doesn’t bill insurance for the program or offer a compounded option. Its clinicians handle prior authorization for the drug, and it issues itemized bills for HSA or FSA claims. You get a full refund only if you cancel at least 3 hours before the first visit. Sesame’s clinicians don’t prescribe phentermine or other controlled weight-loss drugs. Our Sesame Care review covers the wider service.

Ro

Ro Body membership costs $39 for the first month and then $74 a month prepaid on an annual plan. It covers provider messaging, check-ins, coaching, labs if needed and an insurance concierge. Medication is billed separately. The concierge checks your GLP-1 coverage, submits prior authorization paperwork and can appeal a denial. The check and paperwork take about one to two weeks. If you aren’t covered, your provider suggests a cash-pay option. Insurance doesn’t cover the membership. Ro holds a 3.9 Trustpilot score from 7,246 reviews.

WeightWatchers Med+

WeightWatchers Med+ is the clinical tier of WeightWatchers, run by WeightWatchers Clinic. The 12-month plan is $74 a month after $25 the first month. WeightWatchers uses no compounds; its clinicians can prescribe Wegovy, the Wegovy pill, Zepbound, Foundayo and Saxenda, plus metformin. GLP-1s are billed separately from $149 a month, while non-GLP-1 medication is included when filled through its mail-order partner, Carepoint. Its Trustpilot score is 4.1 from 5,193 reviews.

Hims

Hims charges $149 a month for its Weight Loss Membership after $39 for the first month, with medication as a separate subscription. Its weight-loss page lists brand-name drugs only, including Ozempic and Mounjaro. Those two are approved for type 2 diabetes, so Hims limits them to patients who meet clinical criteria. With the cheapest pill, the first month costs $188 and later months $298. The membership includes a care team and a smart scale. Hims takes no insurance and won’t refund the first month’s fee. It isn’t available in every state. On Trustpilot it scores 2.9 from 9,395 reviews. See the Hims weight loss program.

Noom Med

Noom Med’s Microdose plans use compounded semaglutide or tirzepatide. They cost $79 for a first 3-week subscription with 4 weeks of medication, then $179 a month on a 12-week subscription, medication included. Noom says its compounded semaglutide comes from an FDA-registered facility but hasn’t been reviewed by the FDA for safety, effectiveness or quality. Its brand route costs $39 to start and then $129 a month for care, with medication separate. Zepbound vials come through LillyDirect from $299. Noom’s clinicians help with insurance and it runs a GLP-1 insurance checker.

Henry Meds

Henry Meds’ GLP-1s are all compounded: semaglutide injections and tablets, tirzepatide tablets and liraglutide. It also prescribes phentermine. GLP-1 plans start at $179 a month, covering visits, medication, supplies and support. Compounded semaglutide injections cost $297 a month. The first evaluation is free, but your card is charged once a prescription is written. A $30 consultation fee comes out of any refund, and shipped medication is final sale. Most patients receive medication 8 to 10 business days after the visit. Henry Meds holds a 4.4 Trustpilot score from 12,532 reviews. The BBB rates it an F, with 235 complaints mostly about billing, cancellation and fulfillment. More in our Henry Meds guide.

Circle Medical

Circle Medical is a telehealth primary care practice for adults that sees patients in 32 states. Its weight-loss page lists only FDA-approved drugs: the Wegovy pill and pen, Zepbound, Saxenda and Contrave, with no compounded GLP-1. There is no membership fee. Each visit costs about $35 on average with insurance or $120 self-pay, as of November 12, 2026, and the medication is billed separately through your pharmacy and insurance. Circle Medical does not see Medicaid or Medi-Cal patients, even for self-pay, and it warns that these drugs have significant stock issues.

LillyDirect and NovoCare self-pay

LillyDirect (Eli Lilly) and NovoCare Pharmacy (Novo Nordisk) are the manufacturers’ own pharmacies, and they need a prescription from your doctor or a telehealth program.

On LillyDirect, Zepbound vials cost $299 a month at 2.5 mg and $399 at 5 mg. With refills within 45 days, KwikPens cost $299 to $449 and Foundayo, a once-daily pill, costs $149 to $299 by dose. On NovoCare, the Wegovy pill costs $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg or 25 mg. New patients pay $199 a month for the first two months of the Wegovy pen through December 31, 2026, then $349.

Best online GLP-1 program with or without insurance

Insurance can bring the medication to $25 a month, but it doesn’t pay the program fee at Sesame, Ro, Hims or Henry Meds.

Without insurance

With the cheapest $149 pill, Sesame’s annual plan has the lowest published brand-name total, about $208 a month. Next come WeightWatchers Med+ at $223 after the first month, Sesame month-to-month at $248 and Hims at $298. Ro is left out because we couldn’t confirm its per-dose medication prices. Totals climb with dose: a 5 mg Zepbound vial alone is $399.

With insurance

With commercial coverage for the drug, Lilly’s savings offer can bring a Zepbound pen to as little as $25 a month. Novo’s offer can bring Wegovy to $25 a month, with savings capped at $100 a month. Both exclude Medicare, Medicaid and other government plans. Ro’s concierge is the only one here that says it files appeals.¹ Sesame’s clinicians also handle prior authorization, and WeightWatchers and Noom help with coverage.

Circle Medical bills the visits themselves to insurance: it is in network with most plans, and insured patients pay about $35 a visit on average. Whether the plan also covers the medication depends on the plan.

If your plan won’t cover a GLP-1, Sesame’s annual plan is the cheapest published brand-name route with a clinician included.

Start with a Sesame Care clinician

What users report about online GLP-1 programs

Trustpilot and BBB reviewers across several of these programs complain that the advertised medication price isn’t the full cost. Ro and Hims reviewers describe non-refundable membership fees on top of the medication. Other complaints are repeated across programs:

• Paying, then not qualifying: some Sesame reviewers paid the subscription before the clinician said they weren’t a candidate.
• Charges after stopping: Sesame reviewers report $89 or $99 charges for months they didn’t use, and Hims and Henry Meds reviewers report renewals or shipments after cancelling.
• Compounded supply ending: one reviewer’s prepaid medication stopped after about 10 months, and Sesame refunded the unshipped months.
• Warm shipments: Henry Meds reviewers report cold-chain problems.

Praise centers on clinicians with Sesame reviewers often naming clinicians who listened and sent prescriptions quickly. Sesame’s company-wide Trustpilot score is 4.6.

Compounded GLP-1s online

A compounded GLP-1 is semaglutide or tirzepatide mixed by a pharmacy. The FDA does not review compounded drugs for safety, effectiveness or quality before they are sold. It says they should be used only when an approved drug can’t meet a patient’s needs.² Henry Meds and Noom sell them.

The FDA’s shortage-era grace periods for compounding ended in 2025. Pharmacies may now compound these drugs only in limited cases, such as four or fewer prescriptions a month or a documented clinical need for one patient.³ In March 2026 the FDA warned 30 telehealth companies over illegal marketing of compounded GLP-1s.⁴ On April 30, 2026, it proposed barring outsourcing facilities from compounding semaglutide, tirzepatide and liraglutide from bulk ingredients, with a final decision pending.⁵

As of May 31, 2026, the FDA had 990 adverse event reports linked to compounded semaglutide and more than 730 linked to compounded tirzepatide.² It has documented dosing errors with multiple-dose vials, including patients injecting five to 20 times the intended dose.⁶ Our compounded semaglutide guide covers the drug itself.

Red flags when buying GLP-1s online

The FDA lists warning signs that an online GLP-1 seller may be unsafe.² Be wary of a company that:

• says its compounded drug is the same as an FDA-approved one
• offers prices that look too good to be true
• skips the screening and prescription by a licensed clinician, or has no clinician to answer questions later
• sends medicine with damaged packaging, no instructions, spelling errors or a wrong pharmacy address

To check a pharmacy, find it in your state board of pharmacy’s license database through the FDA’s BeSafeRx site. Don’t use it if it isn’t listed.⁷ A website ending in .pharmacy is accredited by the National Association of Boards of Pharmacy. The association estimates that nearly 95% of websites selling prescription-only drugs operate illegally.⁸

How we chose these programs

We read each program’s pricing, insurance and refund pages between September 25 and October 19, 2026. We also checked each drug’s FDA approval status and reviewed Trustpilot and BBB records. Each pick matches one reader’s situation. FDA-approved drugs count in a program’s favor, and every compounded option is marked as unapproved.

This article is for information only and is not medical advice. Talk to a doctor or licensed clinician before starting, stopping, or changing any treatment, and follow your prescriber and pharmacy label on dosing. If you are in crisis, call or text 988, the Suicide and Crisis Lifeline. For a medical emergency, call 911.

Compare Sesame Care clinicians for weight loss