{"article":{"id":40165221309716,"url":"https://sesame.zendesk.com/api/v2/help_center/en-us/articles/40165221309716.json","html_url":"https://help.sesamecare.com/hc/en-us/articles/40165221309716-Success-By-Sesame-Weight-Loss-Subscription","author_id":31808124997780,"comments_disabled":false,"draft":false,"promoted":false,"position":1,"vote_sum":1,"vote_count":1,"section_id":39443139898260,"created_at":"2025-08-11T19:36:01Z","updated_at":"2026-06-30T19:59:55Z","name":"Success By Sesame (Weight Loss) Subscription","title":"Success By Sesame (Weight Loss) Subscription","source_locale":"en-us","locale":"en-us","outdated":false,"outdated_locales":[],"edited_at":"2026-06-30T19:59:55Z","user_segment_id":null,"permission_group_id":2656572,"content_tag_ids":[],"label_names":[],"body":"<p>The Success by Sesame (SBS) program offers providers an opportunity to support patients in achieving their weight loss goals through comprehensive treatment options. This program ensures high-quality care by combining medical expertise, treatment plans, and seamless communication.</p><p><strong>Review the most recent </strong><a href=\"https://drive.google.com/file/d/1TKW4Ldo5HIU05l31M7CnWqFAqBPovbqI/view?lid=6izxcvy16hpp\"><strong>Success by Sesame Clinical Guidance</strong></a><strong>, updated December 2025.</strong></p><h3 id=\"h_01K86HVYZGAPYYCE7J4M0M0VEW\">Video Resources:</h3><ul>\n<li data-list-item-id=\"ebf83bfe03c963d07ff0250d50c205df2\"><a href=\"https://drive.google.com/file/d/1NNT0t52KCDMb4Qk2bOS5QQWcmKG0POqt/view\">Understanding GLP-1 Medications: Branded vs. Compounded Options</a></li>\n<li data-list-item-id=\"e3cc3421f6d8c4d8f0b0ff8007b5d250a\"><a href=\"https://drive.google.com/file/d/1qZ1dYzEqAKlhr0BXkhi3GE5RsPRe7xpZ/view?usp=sharing\">Prescribing GLP-1 Medications for Weight Loss: A Guide for Clinicians</a></li>\n<li data-list-item-id=\"ec6d2ff390a8bdca05f21e04e330ebf83\"><a href=\"https://drive.google.com/file/d/1vz9T2-nqlRPoxlIwRiI91CRshXEQMOKu/view?usp=sharing\">Administering GLP-1 Medications for Weight Loss: A Guide for Patients</a></li>\n</ul><h3 id=\"h_01K86HVYZGN7RPVXVXE7Y9BP0P\">Additional Guidance:</h3><ul>\n<li data-list-item-id=\"eaf22c121d68c989b0bb600b46a9c35f0\"><a href=\"https://drive.google.com/file/d/1qg6d4BYvFT4jWUfUQsdYgxO2Kt7aPFp7/view?usp=sharing\"><strong>(NEW!) </strong>FOUNDAYO™ (orforglipron) Pill Prescribing Guide</a></li>\n<li data-list-item-id=\"eff10eb82885290bf6867915c67d1243d\"><a href=\"https://drive.google.com/file/d/1KafVVKJhER9dod4H_WB3qbku4rci8URI/view?usp=drive_link\">Wegovy Pill Prescribing Guide</a></li>\n<li data-list-item-id=\"e155bd1f2b0eae70b60d316dd92043ebc\"><a href=\"https://drive.google.com/file/d/1hej_zA-eoKKWvFrAxVtYDPEs0LAtd_cG/view?lid=hpvbkve5f26b\">Breastfeeding and GLP‑1 usage</a></li>\n<li data-list-item-id=\"e2098b6fc382ae01bc21252daf489ecee\"><a href=\"https://drive.google.com/file/d/1vwIjgoNJ3IY8cR-MYcnPtzkCJNipmlM6/view?lid=nckny0as5uxr\">NAION and GLP‑1 usage</a></li>\n</ul><hr><h2 id=\"h_01K86GA9HM9K1FAPHVNB7JCGN4\">About Sesame Subscriptions</h2><p data-end=\"572\" data-start=\"229\"><strong data-end=\"294\" data-start=\"229\">Build stronger patient relationships and sustainable revenue.</strong></p><p data-end=\"572\" data-start=\"229\">Sesame’s subscription programs give providers an opportunity to offer ongoing, personalized care while generating <strong data-end=\"452\" data-start=\"411\">predictable monthly recurring revenue</strong>. Patients who subscribe tend to stay longer, stay healthier, and deliver higher <strong data-end=\"551\" data-start=\"533\">lifetime value</strong> for your practice.</p><p data-end=\"878\" data-start=\"574\"><strong data-end=\"601\" data-start=\"574\">How subscriptions work:</strong><br>When a patient enrolls in one of your Sesame subscription programs, they begin with an <strong data-end=\"714\" data-start=\"691\">initial video visit</strong> to establish care, review their goals, and set a treatment plan.<br>After that, you can manage care in the way that best fits your workflow and clinical judgment:</p><ul data-end=\"1150\" data-start=\"879\">\n<li data-end=\"957\" data-start=\"879\" data-list-item-id=\"ef6128414ceba6966cdf6838b4621db91\"><p data-end=\"957\" data-start=\"881\">Offer <strong data-end=\"917\" data-start=\"887\">inclusive follow-up visits</strong> for care related to the subscription.</p></li>\n<li data-end=\"1056\" data-start=\"958\" data-list-item-id=\"edcc9506c68c91df7e95224a6656d48ea\"><p data-end=\"1056\" data-start=\"960\">Conduct <strong data-end=\"994\" data-start=\"968\">asynchronous check-ins</strong> through Sesame Messaging for ongoing management or refills.</p></li>\n<li data-end=\"1150\" data-start=\"1057\" data-list-item-id=\"e0378deb3184f48c73032cd9cf195fece\"><p data-end=\"1150\" data-start=\"1059\">Prescribe <strong data-end=\"1118\" data-start=\"1069\">one month at a time or several months at once</strong>, when clinically appropriate.</p></li>\n</ul><p data-end=\"1305\" data-start=\"1152\">Providers are paid <strong data-end=\"1296\" data-start=\"1285\">monthly</strong>, when the patient’s subscription renews.</p><p data-end=\"1305\" data-start=\"1152\">Subscriptions allow you to deliver consistent, proactive care while giving patients a convenient way to stay connected to you and their treatment plan.</p><hr><h2 id=\"h_01K2DA09KT6KZJE0C5WW5CN205\">Success by Sesame Overview</h2><ul>\n<li data-list-item-id=\"ea26bf188e63be162d5c58d2c1daac3eb\">\n<strong>Patient price</strong>: $99/month - or less when committing to a quarterly ($79/mo), semiannual ($69/mo) or annual ($59/mo) subscription</li>\n<li data-list-item-id=\"ecf08c3c004ccdb0d2084794149e76df3\">\n<strong>Suggested provider price:</strong> $36/month</li>\n</ul><ul>\n<li data-list-item-id=\"e22677a0ec3ec687fb1d63fd8eb940bd3\">\n<strong>Patient intake:</strong> Patients complete a short form with medical history and current prescriptions.</li>\n<li data-list-item-id=\"e54c0b26fee47c8db7f7a25fb47f94580\">\n<strong>Initial visit:</strong> Review intake during a video consult and create a personalized care plan.</li>\n<li data-list-item-id=\"e631d912d8067529c127342089eb66f1a\">\n<strong>Ongoing care:</strong> Manage prescription refills, adjustments, and labs when needed. Patients who have the Sesame app will be prompted to complete weekly check-ins, their responses accessible to you on their chart.</li>\n<li data-list-item-id=\"e3a088de61bddf967cfd5d3c4c12f541e\">\n<strong>Unlimited patient-provider messaging: </strong>Patients can reach out to their provider at any time for medication-related support. For clinical concerns outside the scope of their Success by Sesame subscription, patients are encouraged to book a separate one-time appointment.</li>\n</ul><p><strong>Provider responsibilities include:</strong></p><ul>\n<li data-list-item-id=\"e19b574dc68c8da43bf27f1b84bd2682d\">Completing the initial consult with new Success by Sesame patients.</li>\n<li data-list-item-id=\"e987be49165c9c70e3a7606658c1f90f0\">Ordering labs when appropriate <em>(cost of labs associated with weight loss treatment/diagnosis are included in the program, excluding patients in NY, NJ, and RI)</em>\n</li>\n<li data-list-item-id=\"e67902b440c14c8cf78e82f3d52ebc862\">Managing renewals, adjustments &amp; refills. <a href=\"https://help.sesamecare.com/hc/en-us/articles/40079097860244\">Reminders will appear in your task list</a>. Advise patients on dosing instructions where needed.</li>\n<li data-list-item-id=\"e476bae80663fc1fc1cb9bc3a8550db58\">Completing prior authorizations as needed.</li>\n<li data-list-item-id=\"edae294777ac08711a685b88aa9136b57\">Responding to patient messages within 24 hours and maintaining appropriate follow-up cadence.</li>\n</ul><hr><h2 id=\"h_01KWCYSKXSFGH58K11GFK84BHN\">Follow-Up Appointments</h2><p>Free <strong>scheduled video follow-ups</strong> are included with the patient's subscription. Patients can book follow-up visits at any time and at any frequency.</p><p>You may also conduct a follow-up asynchronously through <a href=\"https://help.sesamecare.com/hc/en-us/articles/40078788958996-Messaging\"><strong>Sesame Messaging</strong></a> if it is clinically appropriate and the patient agrees. Always honor a scheduled video follow-up if the patient requests one.</p><h3 id=\"h_01KWCYSKXSYD21XQ5CPPCD3006\">How patients book a follow-up</h3><ul>\n<li data-list-item-id=\"e9411547b56bd87a680321c3109a787d9\">\n<strong>Web browser:</strong> Log into the Sesame account, then go to <strong>Account</strong> &gt; <strong>Programs</strong> &gt; <strong>View Program</strong> &gt; <strong>Book follow up</strong>.</li>\n<li data-list-item-id=\"e6a3ccd9e16e7dc7d612951ddbf7ae4e1\">\n<strong>Mobile app:</strong> From the <strong>Home</strong> tab, tap <strong>View program details</strong> &gt; <strong>Manage subscription</strong> &gt; <strong>Book follow up</strong>.</li>\n</ul><hr><h2 id=\"h_01K2DA09M8W6R4WNRH07FP7YAT\"><strong>GLP-1 Prescribing Steps</strong></h2><p>Jump to:</p><ul>\n<li data-list-item-id=\"ed5b3ee7fa0fa40ba047116d6acca207b\">\n<a href=\"#h_01K2DA09M98M3K04SVCAZDQWSK\"><strong>Zepbound Auto-Injectors</strong></a><strong> </strong><em>(patients can use insurance)</em>\n</li>\n<li data-list-item-id=\"e477d2bce633d818764a152d520e8cf48\">\n<a href=\"#h_01K2DA09MD4G1XVAHX2BTPQGEJ\"><strong>Zepbound Vials</strong></a><strong> </strong><em>(cash-pay only)</em>\n</li>\n<li data-list-item-id=\"e29a1b64ea785a033701c3d8daa3a31b1\">\n<a href=\"#h_01KHRN397MKX67919NYE5MKNJM\"><strong>Zepbound KwikPen</strong></a> <em>(cash-pay or insurance)</em>\n</li>\n<li class=\"wysiwyg-list-bold\" data-list-item-id=\"e28b09e70ecdead2385b9168fd4707328\"><a href=\"#h_01K2DA09MGS0GJA3SGC7HY37DF\"><strong>Wegovy Pen</strong></a></li>\n<li data-list-item-id=\"e32349fc92893ed1261806bebef0b4398\">\n<a href=\"#h_01KE7CR2B0GHMTFY9K2C5JWKWV\"><strong>Wegovy Pill</strong></a> <strong>(NEW!)</strong>\n</li>\n<li data-list-item-id=\"e5e5599a7c5ad1bf44c7f206dd2ec0e6d\">\n<a href=\"#h_FOUNDAYO_PRESCRIBING\"><strong>Foundayo</strong></a> <strong>(NEW!)</strong>\n</li>\n<li class=\"wysiwyg-list-bold\" data-list-item-id=\"e4a677a995e2b33dc9acd0fdfa936d660\"><a href=\"#h_01K2DA09MMH9PVPVCZ1EBSR533\"><strong>Compounded GLP-1s</strong></a></li>\n</ul><h3 id=\"h_01K2DA09M98M3K04SVCAZDQWSK\"><strong>Zepbound Auto-Injectors</strong></h3><p><strong>NOTE:</strong> LillyDirect does not appear in the dropdown for auto-injectors — it is a coordination hub, not a dispensing pharmacy. Amazon Pharmacy and FuzeRx are LillyDirect’s fulfillment pharmacies, and patients routed through either are still enrolled in the LillyDirect program.</p><ol>\n<li data-list-item-id=\"e22fb85507f63c4d6c2365c45f9e8df41\">Navigate to <strong>Sesame ePrescribe</strong>.</li>\n<li data-list-item-id=\"e784f47e52a6d5395855524d64252fc7a\">Select: <strong>Zepbound Subcutaneous Solution Auto-Injector</strong><ul><li data-list-item-id=\"e38be27d2074c92667b3c1e004a17f9cf\">Doses available: 2.5mg/0.5ml, 5mg/0.5ml, 7.5mg/0.5ml, 10mg/0.5ml, 12.5mg/0.5ml, 15mg/0.5ml</li></ul>\n</li>\n<li data-list-item-id=\"ee5353ebd8a78c51f49edb5f80cfce5fc\">Add to prescription:<ul>\n<li data-list-item-id=\"ecbc21cd145f1cf3db57684e31ffbafc9\">Instructions: <code>\"Inject [DOSE]mg subcutaneously once weekly\"</code> <em><strong>**</strong> [DOSE] must match the auto-injector strength selected — fixed-dose, cannot be split</em>\n</li>\n<li data-list-item-id=\"e5e74eb40e4cde5048bd2e944ea4dcc51\">ICD-10 code</li>\n</ul>\n</li>\n<li data-list-item-id=\"e9dbfe595bccb29a87e00fa46dbd90f7d\">Choose a pharmacy under <strong>Local Pick-Up</strong>:<ul>\n<li data-list-item-id=\"ee451072dc06bbc9f80ede3d67ed38a78\">\n<strong>Amazon Pharmacy</strong> <em>(Express Scripts accepted)</em><ul>\n<li data-list-item-id=\"e4ea4d5287c49c03613a6cd994f60a4af\">3809 E Watkins St, Phoenix, AZ 85034</li>\n<li data-list-item-id=\"e0a84d8ebf9cfdc23f4805a28ac528964\">Fax: 512-884-5981 | Phone: 855-206-3605</li>\n<li data-list-item-id=\"ec32ea82879ae2be963abc15e897cf1fd\">Patient must create an Amazon Pharmacy account if new.</li>\n</ul>\n</li>\n<li data-list-item-id=\"e540a34958ff0f8328c8555e5c582150f\">\n<strong>FuzeRx</strong> <em>(Express Scripts not accepted)</em><ul>\n<li data-list-item-id=\"eea34ddaf436666c2a6a7badd0a1bc72d\">3121 Diablo Ave, Hayward, CA 94545</li>\n<li data-list-item-id=\"edfdd5c9f881e5d0648fdde4c7f74ddfb\">Fax: 650-683-9775 | Phone: 855-910-8606</li>\n<li data-list-item-id=\"e7a7fb7a0f268e6bde6199fda1b00d8e1\">FuzeRx will contact new patients directly to set up a profile.</li>\n</ul>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"e0bd4a9e8ec77655ff8ca16db3662a3f6\">Select <strong>Send Order</strong>.</li>\n</ol><h3 id=\"h_01K2DA09MD4G1XVAHX2BTPQGEJ\"><strong>Zepbound Vials</strong></h3><ol>\n<li data-list-item-id=\"e8774199e08d56060658da23d1e38c834\">Navigate to <strong>Sesame ePrescribe</strong>.</li>\n<li data-list-item-id=\"e8ea79fae16cd829329987ae64deb0e74\">Select: <strong>Zepbound Subcutaneous Solution</strong> <em>(vial — not “auto-injector”)</em>.</li>\n<li data-list-item-id=\"e0d0e18b45e980d784adbd421e65d20c6\">Add to prescription:<ul>\n<li data-list-item-id=\"e8aa01f08fbf841036fb2141ea106cc88\">Instructions: <code>\"Inject [DOSE]mg subcutaneously once weekly\"</code> <em><strong>**</strong> [DOSE] must match the vial strength ordered</em>\n</li>\n<li data-list-item-id=\"e5c0a942a122f1f28ce1e566921cfd3fd\">ICD-10 code</li>\n</ul>\n</li>\n<li data-list-item-id=\"e6f3b89ff13784d045c33aea3533f77da\">Send to: <strong>LillyDirect Cash Pay for Zepbound Vial</strong>\n</li>\n<li data-list-item-id=\"e67e3a02ae8f9a0b325feb697581965e7\">Select <strong>Send Order</strong>.<ul><li data-list-item-id=\"ede90e249945b160b6d65f107573454da\">LillyDirect will contact the patient directly to arrange payment &amp; shipping.</li></ul>\n</li>\n</ol><p>💲 <strong>Zepbound Vial Pricing</strong>:</p><ul>\n<li data-list-item-id=\"e3117b049593be3947490d99f66911426\">2.5mg: $299 for a 4-week supply ($74.75 per vial)</li>\n<li data-list-item-id=\"eae9f66e9b83b4585e281ea41a41700ef\">5mg: $399 for a 4-week supply ($99.75 per vial)</li>\n</ul><h3 id=\"h_01KHRN397MKX67919NYE5MKNJM\"><strong data-end=\"241\" data-start=\"221\">Zepbound KwikPen</strong></h3><ol>\n<li data-list-item-id=\"eff373d984d014f9f9922363c3c1259aa\">Navigate to <strong>Sesame ePrescribe</strong>.</li>\n<li data-list-item-id=\"eef1120dfbf951dd4591859de8b1a6cb9\">Select: <strong>Zepbound Subcutaneous Solution (KwikPen)</strong>.</li>\n<li data-list-item-id=\"ec7cdd8c690f7b852e81f8e11fb06ec7f\">Add to prescription:<ul>\n<li data-list-item-id=\"e121e6e73b79296dc5bf824f5e3836dbd\">Instructions: <code>\"Inject [DOSE]mg subcutaneously once weekly\"</code> <em><strong>**</strong> [DOSE] must match the pen strength selected — each click delivers the labeled dose</em>\n</li>\n<li data-list-item-id=\"e326951d3c3cb70509407ed1d43cc0083\">ICD-10 code</li>\n</ul>\n</li>\n<li data-list-item-id=\"ed0fd754fe9c6aaae95d8600f8a8ec681\">Send to:<ul>\n<li data-list-item-id=\"e170560520c3beaa3ba45701be96d9ffb\">\n<strong>Patient's local pharmacy</strong>, <em>or</em>\n</li>\n<li data-list-item-id=\"e6d45e1c4ce7250dac8246007a0dd72d7\">\n<strong>LillyDirect Cash Pay </strong>(search within zip code 43228 under \"Local Pickup\")</li>\n</ul>\n</li>\n<li data-list-item-id=\"e1e18182e2c3a05bb81364a85105fd3ea\">Select <strong>Send Order</strong>.<ul><li data-list-item-id=\"ee1fd45589e0923e9ab03a6500ac113cc\">LillyDirect will contact the patient directly to arrange payment and shipping.</li></ul>\n</li>\n</ol><p>Each KwikPen contains <strong>4 fixed doses (one-month supply)</strong>.</p><h3 id=\"h_01KHRN397YA8MP4F2FR560RE7K\" data-end=\"723\" data-start=\"695\"><span class=\"wysiwyg-font-size-medium\">💲 <strong>Zepbound KwikPen pricing is same as vial pricing when ordered through LillyDirect </strong></span></h3><h4 id=\"h_01K2DA09MFKMV5KAAF3E1CPGGS\"><span class=\"wysiwyg-underline\">Support for LillyDirect:</span></h4><ul>\n<li data-list-item-id=\"ef4b69ca877f0add82deac02bfe543754\">Providers: <strong>support@photon.health</strong>\n</li>\n<li data-list-item-id=\"ee4aeea517e5a772151f0ce6d9eb70bd8\">Patients: Text <strong>(513) 866-3212</strong>\n</li>\n</ul><h3 id=\"h_01K2DA09MGS0GJA3SGC7HY37DF\"><strong>Wegovy Pen</strong></h3><ol>\n<li data-list-item-id=\"e7c9032b87e4a93ccdbeb31da1b74f67c\">Navigate to <strong>Sesame ePrescribe</strong>.</li>\n<li data-list-item-id=\"ea0da4cb5982b2e41499139d785915511\">Select: <strong>Wegovy Subcutaneous Solution Pen-Injector</strong> <em>(correct dose)</em>.<ul>\n<li data-list-item-id=\"e5771f07da79b6b156a2ab0e8499e6736\">Example starting dose: 0.25 mg/0.5 mL</li>\n<li data-list-item-id=\"e7d44df6fb77e49164a3f58fdf99e77e5\">Other doses: 0.5 mg/0.5 mL, 1 mg/0.5 mL, 1.7 mg/0.75 mL, 2.4 mg/0.75 mL</li>\n<li data-list-item-id=\"e9385dbba5b51156f2930f8bc101ef836\">\n<strong>Wegovy HD: 7.2 mg/0.75 mL</strong> <em>(highest-dose pen for patients who have tolerated 2.4 mg and need additional weight loss; titrate per label)</em>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"eae5a49d14525e20d8acfffe7e8adf33b\">Add to prescription:<ul>\n<li data-list-item-id=\"ead69e373c73f5150c42df08e9de0c8f9\">Instructions: <code>\"Inject [DOSE]mg subcutaneously once weekly\"</code> <em><strong>**</strong> [DOSE] must match the pen strength selected — fixed-dose, cannot be split</em>\n</li>\n<li data-list-item-id=\"e59619986ebeee3dab4773e2c09cf4f53\">ICD-10 code</li>\n<li data-list-item-id=\"e9047c4d4a25c5d69e6f01b0cb5997c11\">Dispense quantity (e.g., 2 mL for a 28-day supply at 0.25 mg)</li>\n<li data-list-item-id=\"e8ecbdba0861a56daa1d2b32d905854c5\">Days supply: <code>28 days</code>\n</li>\n<li data-list-item-id=\"ed57f4ee53e332a198b4062918fc9adad\">Check <strong>Dispense as Written (DAW)</strong>\n</li>\n<li data-list-item-id=\"e8e98c7771f4e5f02a6968dc95d0fb04b\">Notes: <code>\"Please dispense brand name Wegovy®, not to be confused with other semaglutide-containing products.\"</code>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"ee2322a613116651d035b207cdc45b586\">Select a pharmacy under <strong>Local Pick-Up:</strong><ul>\n<li data-list-item-id=\"ef82cdfd58a64081355812712de928dd6\">If patient using insurance, select patient preferred pharmacy</li>\n<li data-list-item-id=\"eb17f3f7a3bbe335fd2a9de28da7d2fe6\">If cash-pay, select <strong>NovoCare® Pharmacy </strong>(search zip code 32809)<ul>\n<li data-list-item-id=\"eadec8fee1298c92d69ff519fdfe6c474\">Standard doses: <strong>$349</strong> (4-week supply)</li>\n<li data-list-item-id=\"ed0c19d443acc0835f2d2aa9b407c8af8\">Intro pricing as of November 17, 2025: <strong>$199/month - first 2 months for new patients</strong>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"ead4d785bacb2dd4b18a509e515c6f0f2\">Select <strong>Send Order</strong>.</li>\n</ol><h3 id=\"h_01KE7CR2B0GHMTFY9K2C5JWKWV\">\n<strong data-end=\"258\" data-start=\"242\">Wegovy Pill - </strong><a href=\"https://drive.google.com/file/d/1KafVVKJhER9dod4H_WB3qbku4rci8URI/view?usp=drive_link\"><strong data-end=\"258\" data-start=\"242\">see prescribing guide</strong></a>\n</h3><ol data-end=\"1640\" data-start=\"260\">\n<li data-end=\"297\" data-start=\"260\" data-list-item-id=\"e03fec17ab71d4974c5290e34e0c9d126\">Navigate to <strong data-end=\"297\" data-start=\"263\">Sesame ePrescribe.</strong>\n</li>\n<li data-end=\"444\" data-start=\"299\" data-list-item-id=\"e29ba49f4ac3de0b9f4879f313624b0dd\">Select: <strong>Wegovy Oral Tablet</strong> <em>(correct dose).</em><ul>\n<li data-end=\"444\" data-start=\"299\" data-list-item-id=\"e11e321874ce97226f9a638fc7a00e7ef\">Starting dose: <strong data-end=\"402\" data-start=\"385\">1.5 mg tablet</strong>\n</li>\n<li data-end=\"444\" data-start=\"299\" data-list-item-id=\"e80cfdf0418015e2dec19c1a8d4856250\">Step-up doses: <strong data-end=\"444\" data-start=\"423\">4 mg, 9 mg</strong>\n</li>\n<li data-end=\"444\" data-start=\"299\" data-list-item-id=\"e38b0d83b872d18f2362384ca24c0124b\">Maintenance dose: <strong data-end=\"444\" data-start=\"423\">25 mg</strong>\n</li>\n</ul>\n</li>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"efbf17781864f648731cfa3fb1914cc97\">Add to prescription:<ul>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"ee62eb759847fda1b508feb3a32a6fc0d\">Instructions: <code data-end=\"694\" data-start=\"499\">\"Take [DOSE] mg by mouth once daily upon waking, on an empty stomach, with a sip of water (4 oz max). Wait at least 30 minutes before eating, drinking, or taking other oral medications.\"</code> <em><strong>**</strong> [DOSE] must match the tablet strength selected — tablets cannot be split</em>\n</li>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"e6c12ca8962fc033414dcdfdb4687351c\">ICD-10 code</li>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"e132901301548364d95eaade266fcc63e\">Dispense quantity: 30 tablets (30-day supply)</li>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"e9def3968ade1c7773deb617d01d4dd8b\">Days supply: <code>30 days</code>\n</li>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"e498aa94d899a4167e81348f80550429f\">Check <strong>Dispense as Written (DAW)</strong>\n</li>\n<li data-end=\"1007\" data-start=\"446\" data-list-item-id=\"e13306f954ab84055b81fc64c6f03c2c5\">Notes: <code data-end=\"1007\" data-start=\"868\">\"Please dispense brand name Wegovy® oral tablet. Do not substitute with injectable semaglutide or other semaglutide-containing products.\"</code>\n</li>\n</ul>\n</li>\n<li data-end=\"1613\" data-start=\"1009\" data-list-item-id=\"ea5f7032078685eec00095fe39f8be600\">Select a pharmacy under <strong data-end=\"1054\" data-start=\"1012\">Local Pick-Up:</strong><ul>\n<li data-end=\"1613\" data-start=\"1009\" data-list-item-id=\"e1d74d1461d1a6ae8aed3ccb5753ecdf3\">\n<strong data-end=\"1091\" data-start=\"1062\">Mail Order (RECOMMENDED):</strong> Select <strong data-end=\"1121\" data-start=\"1099\">NovoCare® Pharmacy</strong><ul><li data-list-item-id=\"ef3f8cb322122ba4cf2b5ce3ab212b0be\">Cash-pay pricing through NovoCare® Pharmacy:<br>▪ 1.5 mg: <strong>$149/month</strong><br>▪ 4 mg: <strong>$199/month</strong><br>▪ 9 mg &amp; 25 mg: <strong>$299/month</strong>\n</li></ul>\n</li>\n<li data-end=\"1613\" data-start=\"1009\" data-list-item-id=\"e063a8057a51790868fa02f1379eaf104\">\n<strong data-end=\"1532\" data-start=\"1512\">Retail pharmacy:</strong> Available for local pickup, but stock may vary by location during initial launch<br><br><strong>NOTE: </strong>Patients <strong>must</strong> present a <strong>Novo Nordisk savings card</strong> at pickup to access advertised cash pricing. Instruct the patient to <strong data-end=\"1843\" data-start=\"1821\">text SAVE to 83757</strong> before going to the pharmacy (fastest option).<br><em data-end=\"1963\" data-start=\"1894\"><strong>**</strong>Without the savings card, the discounted cash price will not apply.</em><br> </li>\n</ul>\n</li>\n<li data-end=\"1613\" data-start=\"1009\" data-list-item-id=\"ee9460b061b157875b724824b18ad86b1\">Select <strong data-end=\"1640\" data-start=\"1618\">Send Order.</strong>\n</li>\n</ol><h3 id=\"h_FOUNDAYO_PRESCRIBING\">\n<strong>Foundayo (orforglipron) - </strong><a href=\"https://drive.google.com/file/d/1qg6d4BYvFT4jWUfUQsdYgxO2Kt7aPFp7/view?usp=sharing\"><strong>see prescribing guide</strong></a>\n</h3><ol>\n<li data-list-item-id=\"e569cfb7b214db2941df4bfe9aa9601e2\">Navigate to <strong>Sesame ePrescribe</strong>.</li>\n<li data-list-item-id=\"ecb0210ba073822cb1a616d5c9be0b3cd\">Select: <strong>Foundayo Oral Tablet</strong> <em>(correct dose)</em>.<ul>\n<li data-list-item-id=\"e5ae071c174f9a0a08652239bc41cc988\">Initiate: <strong>0.8 mg tablet</strong>\n</li>\n<li data-list-item-id=\"ea1227d8ec284c1566682a13e78c5441a\">Step-up doses: <strong>5.5 mg, 9 mg, 14.5 mg, 17.2 mg</strong>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"e480e7e38e8d4b5eb08c08b4470f2fda0\">Add to prescription:<ul>\n<li data-list-item-id=\"eefe658dd60d7973413e3a5ba0b0bb885\">Instructions: <code>\"Take [DOSE] mg by mouth once daily, with or without food. May be taken at any time of day.\"</code> <em><strong>**</strong> [DOSE] must match the tablet strength selected — tablets cannot be split</em>\n</li>\n<li data-list-item-id=\"e4851e7886b0e53d3e55fb0dc9cf14c9c\">ICD-10 code</li>\n<li data-list-item-id=\"e53dbc973f02560b32137a666aab818af\">Dispense quantity: 30 tablets (30-day supply)</li>\n<li data-list-item-id=\"e7465cb0949de92a3455a941acd11a241\">Days supply: <code>30 days</code>\n</li>\n<li data-list-item-id=\"e77b33b32d741fbbdcdbd3c276bdd3079\">Check <strong>Dispense as Written (DAW)</strong>\n</li>\n<li data-list-item-id=\"e56ae8d1833bedec5d5800666efede82a\">Notes: <code>\"Please dispense brand name Foundayo® (orforglipron). Do not substitute.\"</code>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"e34f0dc10b053497242e7f6015208132e\">Select a pharmacy under <strong>Local Pick-Up</strong>:<ul>\n<li data-list-item-id=\"ef7724769abb548db1b7ced375f5d60ad\">\n<strong>Mail Order (RECOMMENDED)</strong>: Select <strong>LillyDirect Cash Pay Pharmacy Solutions</strong><ul><li data-list-item-id=\"e759d2f9dda535e26009b78fffa28d6a1\">Cash-pay pricing:<br>▪ 0.8mg: <strong>$149/month</strong><br>▪ 2.5mg: <strong>$199/month</strong><br>▪ 5.5 mg, 9 mg, 14.5 mg, or 17.2 mg: <strong>$299/month</strong>\n</li></ul>\n</li>\n<li data-list-item-id=\"e1343b999d0bf53da6ea3be89c5ecc421\">Retail pharmacy: Available for local pickup, but stock may vary by location during initial launch<br><br><strong>NOTE:</strong> Patients <strong>must</strong> present a <strong>Foundayo Savings Card</strong> at pickup to access advertised cash pricing. Patients can review terms and register at <a href=\"https://foundayo.lilly.com/coverage-savings\">foundayo.lilly.com</a>\n</li>\n</ul>\n</li>\n<li data-list-item-id=\"e984b6b4eb16fef71e5a9c95ecdc61e2d\">Select <strong>Send Order</strong>.</li>\n</ol><h3 id=\"h_01KP4986MTZVC222NEHEZ20GQN\"><strong>Compounded GLP-1s</strong></h3><p><strong>Please refer to our </strong><a href=\"https://drive.google.com/file/d/1vbvzaRYPzT0vIxSHjUODwr1l_zgyKIIf/view\"><strong>September 2025 clinical guidance on compounded GLP-1s.</strong></a></p><p><strong>Please note: </strong>Compounded GLP-1 access is narrowing nationwide as brand-name supply stabilizes and regulatory scrutiny increases. As branded GLP-1 medications continue to become more accessible and pricing becomes more competitive, many patients will ultimately need to transition to name-brand options. We encourage clinicians to begin planning for this longer-term shift when discussing treatment plans with patients.</p><ol>\n<li data-list-item-id=\"e59b67b6c3bf0fe7e203270e2c366821d\">Select “Weight Loss Program”</li>\n<li data-list-item-id=\"e23cbf4a9a1edc2d454cdb7bdcca5885e\">Choose “Compounded GLP-1 medication (cash pay by patient)”</li>\n<li data-list-item-id=\"e1e800cab761b5d388cc171ce3b438fca\">Select a medication from the <strong>currently available </strong>options:</li>\n<li data-list-item-id=\"e7d0fe813fcc4aa2a58abbfea1a74950b\"><figure class=\"wysiwyg-table\" style=\"width: 100%;\"><table class=\"wysiwyg-table-resized\" style=\"border-color: #2F3941; margin-left: 0px; margin-right: auto;\" data-end=\"926\" data-start=\"327\">\n<colgroup>\n<col style=\"width: 57%;\">\n<col style=\"width: 35%;\">\n<col style=\"width: 8%;\">\n</colgroup>\n<thead data-end=\"385\" data-start=\"327\"><tr data-end=\"385\" data-start=\"327\">\n<th style=\"border-color: #2F3941; text-align: center;\" data-col-size=\"md\" data-end=\"340\" data-start=\"327\">Medication</th>\n<th style=\"border-color: #2F3941; text-align: center;\" data-col-size=\"sm\" data-end=\"376\" data-start=\"365\">Pharmacy</th>\n<th style=\"border-color: #2F3941; text-align: center;\" data-col-size=\"sm\" data-end=\"385\" data-start=\"376\">Price</th>\n</tr></thead>\n<tbody data-end=\"926\" data-start=\"448\">\n<tr data-end=\"630\" data-start=\"540\">\n<td style=\"border-color: #2F3941;\" data-col-size=\"md\" data-end=\"585\" data-start=\"540\">Semaglutide 1 mg/0.2 mL prefilled syringes</td>\n<td style=\"border-color: #2F3941;\" data-col-size=\"sm\" data-end=\"622\" data-start=\"606\">Epiq Pharmacy</td>\n<td style=\"border-color: #2F3941;\" data-col-size=\"sm\" data-end=\"630\" data-start=\"622\">$140</td>\n</tr>\n<tr data-end=\"724\" data-start=\"631\">\n<td style=\"border-color: #2F3941;\" data-col-size=\"md\" data-end=\"679\" data-start=\"631\">Semaglutide 1.7 mg/0.22 mL prefilled syringes</td>\n<td style=\"border-color: #2F3941;\" data-col-size=\"sm\" data-end=\"716\" data-start=\"700\">Epiq Pharmacy</td>\n<td style=\"border-color: #2F3941;\" data-col-size=\"sm\" data-end=\"724\" data-start=\"716\">$140</td>\n</tr>\n</tbody>\n</table></figure></li>\n<li data-list-item-id=\"e9a9c9327af5d5cebbe372ac55a226dda\">A template will automatically populate. You may edit as needed before submitting.<ul data-end=\"1429\" data-start=\"1047\">\n<li data-end=\"1106\" data-start=\"1047\" data-list-item-id=\"e15b5aa466aea9cc2017477012b46789c\">SIG: <code data-end=\"1104\" data-start=\"1058\">Inject [dose] mg subcutaneously once weekly.</code> <em><strong>**</strong> [dose] must match the prefilled syringe strength selected — cannot be split</em>\n</li>\n<li data-end=\"1183\" data-start=\"1107\" data-list-item-id=\"e9d55e2b267c817a795482078f04e46e0\">Quantity / Days’ supply: <code data-end=\"1181\" data-start=\"1138\">QS for 28 days at prescribed weekly dose.</code>\n</li>\n<li data-end=\"1183\" data-start=\"1107\" data-list-item-id=\"e43b54b5106c01be20c40b05a1240b637\">Only 4-week doses may be prescribed.<ul><li class=\"wysiwyg-list-bold\" data-end=\"1183\" data-start=\"1107\" data-list-item-id=\"e557ac3c7097761a357aec057340278b0\"><strong>NOTE: Do not add refills to the prescription - the patient will have to pay for all refills at once.</strong></li></ul>\n</li>\n<li data-end=\"1183\" data-start=\"1107\" data-list-item-id=\"ed5a3eb25a9cd4cc0d3a54dd61e313790\">Add syringes and alcohol swabs if needed.</li>\n<li data-end=\"1183\" data-start=\"1107\" data-list-item-id=\"e65f82e7972be9bec18f386a775458a8a\">Include BMI/diagnosis, prior therapy or access barriers, and a brief statement of medical necessity for compounded therapy.</li>\n</ul>\n</li>\n<li data-list-item-id=\"ee3305d306e4f9460a2ae00ee42273471\">After submission, <strong data-end=\"1529\" data-start=\"1485\">Sesame emails the patient a payment link</strong>. Once payment is completed, the designated pharmacy (HealthWarehouse or Epiq) ships the medication directly to the patient.</li>\n</ol><p> </p><blockquote>\n<h3 id=\"h_01K2DA34P6JPDKEEE3GVE3CP6T\"><strong>Liraglutide</strong></h3>\n<p>Sesame does <strong>not</strong> currently offer an <strong>integrated mail-order delivery option</strong> for liraglutide. However, clinicians <strong>can still prescribe</strong> liraglutide for <strong>local pharmacy pickup</strong> if it is appropriate for the patient.</p>\n</blockquote><hr><h2 id=\"h_01K7Q1CGBV6WTBY524P4DT0TTP\">How to enroll:</h2><p>If you are ready to offer the Success By Sesame Subscription, submit the <a href=\"https://script.google.com/macros/s/AKfycbwjp9abMvPBXiMzM2tjYVMcBaChEnujqERB0zbj0fHF3FtT2vZWONuYGnkarRLspr2cdg/exec\"><strong>Adding Services</strong></a> form and include your desired pricing and initial visit duration (15 or 30 minutes).</p><p>For questions about the program, contact the Provider Success team at <a href=\"mailto:doctors@sesamecare.com\">doctors@sesamecare.com</a>.</p><p> </p>","user_segment_ids":[]}}