Review

Sesame Review: Cash-Pay Appointments With Prices Up Front

Name: Sesame Review: Cash-Pay Appointments With Prices Up Front
Item: Sesame
Rating: 4.1
Author: ED Treatment Guides editorial team

Sesame is a marketplace rather than a clinic — you browse clinicians, see the price before booking, and pay per visit. For ED that structure has one clear advantage over subscription telehealth.

By EDTG editorialUpdated 18 NOV 20252 min read

Our score

4.1

Paid partner

Service type: Cash-pay marketplace for telehealth and in-person appointments
Best for: Men who want a real consultation and a prescription they can fill anywhere, without a recurring subscription.
Medications: Prescriptions issued by the clinician you book, filled at a pharmacy of your choice
Availability: Availability of clinicians varies by state and by appointment type. Check before booking.

Check current Sesame pricing

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Key takeaways

A marketplace for cash-pay appointments, not a subscription ED service.
You see the price before booking and pay per visit.
The prescription is portable — fill it at whichever pharmacy is cheapest.
In-person appointments are available in some areas, which no pure telehealth service can offer.
Clinician quality varies; the review system is worth using.

✓ Pros

Prices shown up front, per appointment
No subscription — pay for what you use
The prescription is yours to fill at any pharmacy
Video consultations available, not just questionnaires
In-person appointments available in some areas

✕ Cons

Quality varies between clinicians on the marketplace
No medication bundled, so you arrange the fill yourself
Availability differs considerably by state
Less hand-holding than an end-to-end ED service
Not insurance — spending does not count towards a deductible

Score breakdown

Clinical quality: 4.2
Transparency: 4.7
Value: 4.2
Experience: 4.0
Privacy: 4.0

Pricing

Plan	Price	What is included
Telehealth appointment	Verify current pricing	Consultation with a licensed clinician; prescription if appropriate
In-person appointment	Verify current pricing	Available in some areas; allows examination and bloods

Pricing in this category changes frequently and often differs between the introductory offer and the renewal rate. Always check the current price on the provider’s own site before buying.

Our verdict

The structural advantage here is real and under-appreciated: you buy a consultation, not a subscription, and the prescription belongs to you. That lets you combine a proper clinical conversation with the cheapest possible fill — which is usually the lowest total cost available. The in-person option matters too, because it is one of the few routes on this list where somebody can actually take your blood pressure. Marketplace quality varies, so read clinician reviews before booking.

Why the unbundled model matters for ED

Most ED telehealth bundles the consultation and the medication into one recurring charge, which makes the true cost of each component impossible to see. Unbundling them changes the arithmetic — and usually in your favour.

Pay once for a consultation with a licensed clinician.
Receive a prescription that is yours, not tied to a particular pharmacy.
Fill it wherever is cheapest — a discount card, a transparent-pricing pharmacy or a warehouse pharmacy.
Repeat the consultation only when you actually need to.

What to check before booking

Is the clinician licensed in your state, and can you see their credentials?
Is it a video consultation or a questionnaire review?
What exactly is included — does a follow-up cost extra?
Can they order the blood tests that should accompany an ED assessment?
Will they send the prescription to a pharmacy of your choosing?
What do other patients say about that specific clinician?

Products

Sesame does not dispense medication

There are no product reviews here because there are no products. What you buy is a consultation; the prescription that results is yours to fill wherever you like. That is an advantage, not a gap — it lets you pair a proper clinical conversation with the cheapest possible fill.

For what the medication itself should cost, start with the retail benchmark:

Ready to look at Sesame?

Check the current price for the specific medication and dose you need, and confirm the renewal rate before you commit.

Visit Sesame

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FAQ

Frequently asked questions

Is Sesame insurance?

No. It is a cash-pay marketplace. You pay a visible price per appointment, and that spending does not count towards an insurance deductible.

Does it include the medication?

No, and that is the advantage. You receive a prescription and fill it wherever is cheapest.

Can I see someone in person?

In some areas, yes. That is worth seeking out for ED, since a physical assessment and bloods are exactly what telehealth cannot provide.

Is it cheaper than a telehealth subscription?

Frequently, once you buy the medication at a competitive cash price — particularly if you do not need frequent consultations.

Sources

What this is based on

We link to primary sources — clinical guidelines, regulator publications and peer-reviewed research — wherever possible. Links open on third-party sites we do not control.

[01]U.S. Food and Drug Administration. BeSafeRx: Your Source for Online Pharmacy Information.
[02]National Association of Boards of Pharmacy. Digital Pharmacy Accreditation and safe site listings.
[03]American Urological Association. Erectile Dysfunction: AUA Guideline (2018).

Not medical advice:This article is general information. Talk to a licensed clinician about your own situation. Full disclaimer.

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