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Head-to-head, mom to mom

Noom Med vs Sesame Care

Noom Med and Sesame Care both offer GLP-1 telehealth, but they make different trade-offs on signup ease, honest pricing, which meds you can get, state coverage and support. Here they are side-by-side on the Mom-Tested Score — our real-mom rubric.

Noom Med

Ranked #38 for moms · Grade C

Best for: Moms who want the habit-change coaching as much as the medication, and who'll read past the $49 and $79 headlines to the $179 a month, billed $537 at a time, that they'd actually pay.

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vs

Sesame Care

Higher score

Ranked #31 for moms · Grade C

Best for: Moms who specifically want FDA-approved brand medication through a real clinician visit and don't mind a membership fee plus a scheduled video appointment.

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The verdict

Higher Mom-Tested Score: Sesame Care

Sesame Care edges out Noom Med on the Mom-Tested Score, 77 to 75 (C vs C). Moms who specifically want FDA-approved brand medication through a real clinician visit and don't mind a membership fee plus a scheduled video appointment.

Noom Med is still a genuine option — the app half the school-pickup line already has, with a prescription pad bolted on — and genuinely good coaching wrapped around it. What I can't defend is the pricing: Noom publishes two different numbers for the same program, on its own site, today. Weigh the six mom factors below against your own priorities.

Side-by-side on the six factors

Both providers scored on the same real-mom rubric — the higher side on each factor is marked. See the methodology.

Noom Med Sesame Care
Nap-time-easy signup8662
Noom
Sesame
No-surprise pricing5870
Noom
Sesame
Both meds available8880
Noom
Sesame
Works in your state6292
Noom
Sesame
Support you can reach9084
Noom
Sesame
Cancel without a fight6878
Noom
Sesame

Price, access & features

DetailNoom MedSesame Care
Mom-Tested Score75/100 · C77/100 · C
Overall rank#38#31
Semaglutide$179/mo after the intro supplyBrand Wegovy from $149/mo
TirzepatideNot disclosedBrand Zepbound from $299/mo
CoverageNot disclosed — Noom states it is not available in all 50 statesAll 50 states
Brand-name accessYesYes
Oral / sublingualYesYes

Noom Med

Ranked #38 · Grade C

What we like

  • The behavior-change program is the real product, and it's genuinely good — lessons, logging, human coaches and community, bundled into every medication plan
  • Completely async: "A clinician will quickly evaluate your results and provide a prescription all online" — no appointment to schedule around nap time
  • Both molecules are reachable: compounded GLP-1Rx and GLP-1Rx Plus vials, plus brand Wegovy, Ozempic, Zepbound and Mounjaro

The caveats

  • Two live prices for one program: "$49 to get started, then $179/month" on the product page, "starting at $79" in the site FAQ
  • The Microdose fine print says "$49/month, billed as $537 for 12-weeks recurring" — $537 over 12 weeks is $179/mo, so the sentence contradicts itself
  • The "$39" brand figure is Noom's access fee, not the medication, which is billed on top and depends on your insurance

Sesame Care

Ranked #31 · Grade C

What we like

  • Real FDA-approved brand medication — Wegovy (pill and pen) and Zepbound — not compounded
  • An actual scheduled clinician video visit with labs, more oversight than a questionnaire
  • Established nationwide marketplace across all 50 states

The caveats

  • Brand-only now — compounded semaglutide isn't currently available, so it's not a budget-vial route
  • Requires a scheduled video visit, the hardest of these to fit around nap and daycare
  • A membership fee is billed separately from the medication — the true monthly is two numbers

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Mom-Tested Score. Pricing, states and verification reflect each provider's public disclosures at last review; the Mom-Tested Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Keep comparing Noom Med and Sesame Care against other providers I reviewed for moms.

Or browse the full comparison hub.