Sesame Care vs LillyDirect Foundayo
Two GLP-1 desks, one scoreboard. We put Sesame Care and LillyDirect Foundayo head-to-head on the published Brief Score — the same six factors, scored the same way.
Sesame Care
LillyDirect Foundayo
The verdict
Sesame Care takes this head-to-head.
Sesame Care scores 87 to 79 on our six-factor Brief 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.
That doesn't make LillyDirect Foundayo a bad call — it's best for patients with commercial insurance who want the cheapest legal brand-name glp-1. Weigh the six factors below against your own priorities before you decide.
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Brief Score.
Factor by factor
Both desks scored on the six published Brief Score factors. The higher score in each row is marked. See the methodology.
Price, coverage & the tracker
| Sesame Care | LillyDirect Foundayo | |
|---|---|---|
| Brief Score | 87/100 (B+) | 79/100 (C) |
| Semaglutide | From $149/mo (brand Wegovy pill) | Not disclosed |
| Tirzepatide | Brand Zepbound (price varies) | Not disclosed |
| Coverage | Nationwide marketplace | All 50 states |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Yes | Yes |
| On the tracker | Stableprice stable | Newnew to the tracker, no prior reading |
Sesame Care: Marketplace pricing is set per provider rather than one desk rate; the brand-name Wegovy pill line held its ~$149 entry this cycle.
LillyDirect Foundayo: New to the tracker on 1 August 2026. The published line reads From $149/mo (brand Foundayo) at our first reading; there is no earlier reading of ours to compare it against yet.
● Not sold on either?
CoreAge Rx tops the whole board at 94/100.
The steadiest desk on the board: one flat, no-step-up price on both molecules, nationwide, and it hasn't moved.
Keep comparing
Pricing, states and access reflect each provider's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.