#7 of 10 on our score

Sesame review

A low monthly menopause subscription with video visits; medication bought at your pharmacy.

Is Sesame legit? Sesame is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on October 26, 2026. On Trustpilot it scores 4.6/5 from 4,579 reviews. Our score is 6.6/10.

Bottom line: best for women with good pharmacy coverage who only need the prescribing visit.

Every published plan

PlanPer month
Menopause subscription
Video visits and messaging; medication paid at the pharmacy
source, 2026-10-26
$59
plus add-ons

See Sesame's current prices on its site.

Visit Sesame

What we like

  • Low monthly subscription
  • Video visits
  • Mostly FDA-approved prescriptions

Watch out for

  • Medication is extra
  • Doesn't bill insurance
  • Provider availability varies by area

See Sesame's current prices on its site.

Visit Sesame

The details

Treatments
Estrogen (patch, gel or pill), Progesterone, Compounded bioidentical (BHRT)
Medication in price
Extra
Drugs dispensed
FDA-approved + compounded
Labs
Basic labs mentioned
Consult fee
Included in the subscription
Membership
$59/month
Insurance
No (superbills for HSA/FSA)
States
Nationwide (provider availability varies)
Cancellation
No refund for the first month after the first visit

Safety and the public record

We searched FDA warning letters for Sesame on October 26, 2026 and found none. That is not a clean bill of health, only the absence of a letter. It dispenses FDA-approved + compounded medication.

How Sesame scores

Price 30%3.0
Transparency 25%6.5
Care 20%10.0
Access 15%8.0
Reputation 10%9.2

Overall 6.6/10. How each criterion is scored.

What we could not verify

  • The $59 price is from secondary sources; it loads after the page renders
  • Medication prices not confirmed

Sesame: questions people ask

Is Sesame legit?

Sesame is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on October 26, 2026. On Trustpilot it scores 4.6/5 from 4,579 reviews. Our score is 6.6/10.

How much does Sesame cost?

Sesame does not publish an all-in monthly price; you see it after the consultation.

Is the medication included in Sesame's price?

No, medication is billed on top of the membership or visit fee.

Does Sesame use FDA-approved or compounded medication?

FDA-approved + compounded. Compounded drugs are mixed by a pharmacy and are not FDA-approved as finished products.

Does Sesame take insurance?

No (superbills for HSA/FSA).

Sesame compared