How do Ro and its top telehealth competitors compare?
The best Ro alternatives for GLP-1 weight loss care are Hims, Hers, Sesame, Mochi Health, and Henry Meds. Each connects you with licensed providers and ships FDA-approved medications to your door. Where they split is on price, medication range, and how fast you actually talk to someone.
Ro charges $145 per month for its Body membership, with oral GLP-1s starting at $348 per month. Care is asynchronous: a clinician reviews your intake and responds within roughly two days. That works for some people. For others, waiting two days to find out if you even qualify feels like the wrong start.
| Provider | Medications offered | Monthly care fee | Access model | Best for |
|---|---|---|---|---|
| Ro | Wegovy, Zepbound, Ozempic, Foundayo | $145/mo | Asynchronous | Hands-off GLP-1 access |
| Hims | GLP-1 injectables + oral options | Varies | Async + messaging | Men wanting oral and injectable options |
| Hers | Injectables + exclusive oral meds | Varies | Async + messaging | Women wanting flexible medication choices |
| Sesame | Widest range: GLP-1s, metformin, Contrave, orlistat + more | As low as $59/mo | Live same-day video | Fastest access, broadest menu |
| Mochi Health | GLP-1 injectables + oral options | Not publicly listed | Telehealth | Early adopters, emerging care models |
| Henry Meds | Weight loss + broader male wellness meds | Not publicly listed | Telehealth | Men integrating weight loss with overall health |
Key decision factors at a glance:
- Cost: Sesame offers a lower monthly care fee for care than Ro.
- Speed: Sesame offers same-day video visits. Ro typically takes up to two days.
- Medication variety: Sesame and Hers carry the widest menus. Ro keeps it focused.
- Male-specific care: Henry Meds and Hims both lean into men's health beyond just weight loss.
What each Ro alternative actually offers
Hims and Hers are telehealth platforms covering weight loss, sexual health, mental health, and hair loss. Hims targets men; Hers targets women. Both offer oral and injectable GLP-1 options, and both use an asynchronous model similar to Ro's. If you already use Hims for another condition, adding weight loss care is straightforward. For men curious about how Hims stacks up on testosterone and broader men's health, this breakdown covers what you need to know before committing.
Sesame operates as a marketplace where patients book directly with independent licensed providers. That structure is what keeps costs lower and wait times shorter. Providers set their own prices, but you see them before you book. No surprises.
Mochi Health is a newer entrant building out its provider network. It offers GLP-1 injectables and oral options through a telehealth model, and it suits people who want to get in early on a growing platform. Henry Meds focuses specifically on men, combining weight loss medication access with broader wellness care including hormone support.
Which weight loss medications does each platform prescribe?
GLP-1 medications like Wegovy, Ozempic, and Zepbound are available across all six platforms. The real difference is what else each provider can prescribe when GLP-1s are not the right fit.
Ro's formulary is focused: Wegovy (injectable and oral pill), Zepbound (pen and vial), Ozempic, and Foundayo. Clean and simple, but limited. If you hit side effects or need a lower-cost option, your choices narrow fast.
Sesame's medication menu is the widest of the group. Beyond the full GLP-1 lineup, providers on Sesame can prescribe Rybelsus, generic liraglutide, metformin, bupropion/naltrexone (Contrave), topiramate, and orlistat. That range matters when GLP-1 injectables cause nausea or when budget becomes a real constraint long-term.
Hims and Hers both carry oral and injectable GLP-1s, with Hers offering oral medications that are not available through most competitors. Mochi Health and Henry Meds offer GLP-1 options as well, though their full formularies are not publicly listed.
Medications available by platform:
- Ro: Wegovy, Zepbound, Ozempic, Foundayo
- Sesame: All of the above, plus Rybelsus, Saxenda, Victoza, generic liraglutide, metformin, Contrave, topiramate, orlistat
- Hims/Hers: GLP-1 injectables and oral options, with Hers carrying exclusive oral medications
- Mochi Health / Henry Meds: GLP-1 injectables and oral options (full formulary not publicly listed)
What do these programs actually cost?
Transparency in total monthly cost is where most people get tripped up. Care fees and medication costs are usually separate, and medication prices can dwarf the membership fee.
Ro's membership has a standard monthly fee; medication costs start from mid-range prices for oral GLP-1s, while other medications may cost more when combined. That is a real monthly commitment before you factor in insurance gaps.
Sesame's care fee is lower, with providers setting their own prices. Medication costs are separate and depend on what is prescribed, but the lower care fee and broader formulary give providers more room to find cost-effective options.
What most platforms include at no extra charge:
- Unlimited provider messaging
- Side effect support and dose adjustment guidance
- Prior authorization assistance for insurance coverage
- Free medication shipping
- HSA/FSA eligibility for both care and medication costs
Hims, Hers, Mochi Health, and Henry Meds do not publicly list their full pricing structures. Expect to complete an intake form to see exact costs.
What kind of weight loss results should you expect?
Weight loss outcomes are comparable across platforms when patients use GLP-1 medications as prescribed alongside consistent support. The medications are the same. The clinical protocols are similar. What changes is how supported you feel getting there.
Live video visits, like those Sesame offers, allow real-time discussion before a prescription is written. That kind of direct conversation can improve accountability and catch problems early. Asynchronous platforms like Ro work well for people who already know what they want and prefer a hands-off process.
The honest answer: your results depend more on consistency and medication adherence than on which platform you choose.
How to choose the right telehealth weight loss provider for you
Start with your care preference. Do you want to talk to someone the same day, or are you fine waiting two days for an async review? Sesame's live video model suits people who want real-time answers. Ro's model suits people who prefer minimal interaction.
Then look at medication flexibility. If you know you want Wegovy and nothing else, Ro's focused formulary is not a limitation. If you are unsure, or if you have had side effects with GLP-1 injectables before, a broader menu gives your provider more tools.
Cost matters for long-term adherence. Weight loss treatment is not a one-month commitment. Ro's membership is $145 per month for care, while Sesame's care fee starts at $59 per month. That translates to an $86 per month difference, which adds up quickly for people paying out of pocket.
Other factors worth weighing:
- Insurance acceptance and prior auth support (available on both Ro and Sesame)
- Whether you want a dedicated provider or are comfortable with an assigned one
- Male-specific care needs (Henry Meds and Hims both address these directly)
Pro Tip: Before you sign up anywhere, ask whether your state requires a live video visit for a controlled substance prescription. Some states mandate it regardless of which platform you use, which changes the async vs. live video equation entirely.
How these platforms handle your health data
Every platform covered here operates under HIPAA, the federal law governing how health information is collected, stored, and shared. That is the baseline. What varies is how each company uses your data beyond clinical care.
Ro, Hims, Hers, Sesame, Mochi Health, and Henry Meds all collect intake data, health history, and messaging records. Review each platform's privacy policy before signing up, specifically the sections on third-party data sharing and marketing use. Some platforms share de-identified data with research partners; others do not.
If data privacy is a priority, look for platforms that offer explicit opt-outs from non-clinical data sharing and that store records with end-to-end encryption.
What men over 30 should know about energy, weight, and vitality
Weight loss medications address one piece of a bigger picture. For men over 30, the shift in energy, drive, and recovery often starts before the scale moves. Testosterone naturally declines with age, and that decline affects body composition, motivation, and how fast you bounce back from anything.
GLP-1 medications can support fat loss. They do not restore the signal your body may have started losing. That is a different conversation, and it is one worth having before you are deep into a clinical program wondering why you still feel flat.
Non-medicinal approaches worth building into any weight loss plan:
- Red light therapy for cellular energy support and recovery
- Consistent sleep, which directly regulates hunger hormones like ghrelin and leptin
- Resistance training to preserve muscle mass during caloric restriction
- Stress management, because cortisol actively works against fat loss and testosterone
These are not replacements for medical care. They are the foundation that makes medical care work better.
Primal Red Co. supports the work your telehealth program cannot do
Telehealth platforms prescribe the medication. They do not rebuild the energy, drive, and recovery that started fading before you ever filled out an intake form. That is where Primal Red Co. comes in.
RedRockit is a private-use red light wellness device built for men over 30 who want to support their restoration routine at home, without a clinic visit. Paired with the Rockit IQ app, it delivers guided session protocols targeting energy, recovery, and vitality. It is not a prescription. It is not TRT. It is the daily signal your body responds to when you give it the right input.
If you are already on a GLP-1 program or considering one, the RedRockit Activation Method is built to run alongside it. Lose the weight. Keep the drive. Stay in the game.
Key Takeaways
Sesame offers the lowest care fee and broadest medication menu among the top Ro alternatives, making it the strongest option for people paying out of pocket or needing flexibility beyond GLP-1 injectables.
| Point | Details |
|---|---|
| Ro's monthly cost | Ro charges $145/month for care, with oral GLP-1s starting at $348/month. |
| Sesame's cost advantage | Sesame's care fee starts at $59/month with same-day live video visits included. |
| Medication range matters | Sesame prescribes the widest formulary, including metformin, Contrave, and orlistat beyond GLP-1s. |
| Outcomes are comparable | Weight loss results are similar across platforms when GLP-1 medications are used consistently. |
| Primal Red Co. | RedRockit supports energy and recovery for men alongside any telehealth weight loss program. |