Sesame Care vs Telos RX
Side-by-side HRT telehealth comparison · Verified July 6, 2026
The short answer
Sesame Care takes it: 7.6 vs 6.9, transparency grade B against D, from $99/mo. The edge: the only provider here prescribing FDA-approved generic hormones from named clinicians, filled on your own insurance, with prices shown before you book. Telos RX still makes sense for women who already want GLP-1 or peptides and are looking to add labs-based bioidentical hormones on the same platform, and who accept compounded (not FDA-approved) formulations and a price they cannot see before intake.
| Sesame Care | Telos RX | |
|---|---|---|
| Score | 7.6/10 | 6.9/10 |
| Transparency grade | B | D |
| Consult fee | Menopause care runs about $99/mo on Sesame's reported Menopause and HRT plan, or per-visit (about $99 to $125 a video visit) on the marketplace; optional Sesame Plus $10.99/mo or $99/year takes $10 off visits [Reported plan price; Plus verified July 2026] | Not published for the HRT line; the for-women page shows only GLP-1 and peptide prices (roughly $129 to $149/mo) [Verified July 2026, absence of an HRT price] |
| Monthly cost | From $99/mo | From $129/mo |
| Real first-year cost | Not verified | Not verified |
| Bloodwork | Not required to prescribe; lab tests are available to order, and Sesame Plus includes one free lab per year ($65 value, for example testosterone, TSH, lipid panel) [Verified July 2026] | Labs-based: treatment is dosed to your bloodwork and symptom profile; the exact required-panel detail is not published [Verified July 2026] |
| Formats offered | oral, patch, gel, vaginal, cream | patch, gel, oral |
| Insurance | No, cash pay | No, cash pay |
| States | All 50 states [Reported] | Not confirmed [Reported] |
| Trustpilot | Not surfaced | Not surfaced |
| Visit Sesame Care | Visit Telos RX |
Sesame Care first-year math: We do not publish a single first-year figure for Sesame because its cheapest realistic path has two variable parts we could not verify this pass: a menopause video visit (about $99 to $125 [Reported]) plus generic estradiol filled at your own pharmacy (cheap, often a low copay on insurance, but the exact cash price was not shown to us). Optional Sesame Plus is $10.99/mo or $99/year [Verified]. The generic-at-your-pharmacy route is plausibly the cheapest cash HRT in this set, but we do not claim it as verified. Winona ($54/mo, all-inclusive) remains the cheapest fully-verified route.
Telos RX first-year math: We do not quote a first-year figure for Telos RX because its HRT-specific price is not published: the for-women page shows only GLP-1 and peptide prices (roughly $129 to $149/mo), and we do not invent a hormone price we could not confirm.
Choose Sesame Care if
Women who want FDA-approved (not compounded) generic HRT they can run through insurance at their own pharmacy, from a named clinician, with prices visible up front, and who are fine seeing whichever clinician they book rather than a dedicated menopause specialist.
From $99/mo · Transparency B
Read full Sesame Care review →Choose Telos RX if
Women who already want GLP-1 or peptides and are looking to add labs-based bioidentical hormones on the same platform, and who accept compounded (not FDA-approved) formulations and a price they cannot see before intake.
From $129/mo · Transparency D
Read full Telos RX review →Where both fall short
The honest part
Sesame Care
- Menopause is one of 120+ marketplace services, not a specialty: no dedicated menopause-specialist continuity, and you see whichever clinician you book [Verified July 2026]
- A minority of reviews describe surprise recurring charges and thin post-visit provider messaging [Reported]
- Trustpilot 4.7 and BBB A+ are platform-wide, not menopause-specific [Reported]
- The menopause visit price and generic drug cost were not shown to our verification pass; both carry [Reported] status [Reported]
Telos RX
- HRT is a side line on a peptide-led platform; not a menopause specialty [Verified July 2026]
- The HRT-specific price is not published; only GLP-1 and peptide prices are shown [Verified July 2026]
- Bioidentical hormones are compounded and not FDA-approved; status not clearly disclosed [Reported]
- No clinicians named; no leadership or corporate entity surfaced [Verified July 2026, absence]
- No independent menopause review base surfaced [Reported]
Go deeper
This is general information, not medical advice. Hormone therapy is prescription treatment. Whether either provider fits your health history is a decision for a licensed clinician. Facts on this page render from our provider data layer, verified July 6, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.