Temi vs. Sesame: a marketplace video visit or a $15 review
Medically reviewed by Kevin Brandstetter, M.D.Last reviewed September 28, 2026
Sesame is a marketplace: you choose an independent provider by rating and price, book a same-day video visit from about $34, and pick up at your own pharmacy [2]. Its Everyday Rx plan runs from $25 a month on an annual plan [2]. Temi has no visit to book; a licensed physician reviews your refill for $15 [1].
The core difference
Sesame sells choice. Its refill page lists providers with star ratings, credentials, languages and next-available slots, and quotes "upfront prices as low as $34 before you book" [2]. You then "Discuss your Rx refill request during a video visit with your prescriber" and collect the medication the same day from your preferred pharmacy [2]. Each provider sets their own price, which is why the pay-per-visit figure reads "From $35" in one place on the page and $34 in another [2].
For people who refill often, Sesame now sells Everyday Rx: from $25 a month with an annual plan, advertised as "$1 meds with ongoing care" [2].
Temi sells the opposite of choice: one process and one price. There is no provider to pick and no call to join. A licensed physician reviews the request within 48 hours and sends it to your pharmacy for $15, and the refill page names that physician, Kevin Brandstetter, M.D. [1].
Choice earns its cost while the clinical question is still open. For a dose that has not changed in a year, a written review does the job.
Side by side
| Feature | Temi | Competitor |
|---|---|---|
| Model | One clinical team, one fixed process [1] | Marketplace of independent providers [2] |
| Format | Asynchronous form; no call [1] | Video visit with the provider you booked [2] |
| Price, one-off refill | $15 [1] | From $34–$35, set by each provider [2] |
| Plan for ongoing refills | Temi Care, $449 a year, refills free [3] | Everyday Rx, from $25 a month with an annual plan [2] |
| Speed | Within 48 hours, often sooner [1] | Same-day slots; filter for availability within 2 hours [2] |
| Choosing your clinician | Not offered [1] | Filter by rating, credential, gender and language [2] |
| Pharmacy | Yours; Temi does not dispense [1] | Your preferred pharmacy, for same-day pickup [2] |
| Payment | Cash-pay service; insurance usable at the pharmacy [1] | "No insurance needed"; HSA and FSA-eligible [2] |
| Controlled substances | Not prescribed [1] | "Providers on Sesame do not prescribe controlled substances" [2] |
Pricing side by side
| Medication | Temi | Competitor |
|---|---|---|
| Refill of a medication you already take (prices checked 28 Sep 2026) | $15, or $0 on Temi Care [1] | From $34–$35 per video visit [2] |
| Plan for ongoing refills | Temi Care, $449 a year [3] | Everyday Rx, from $25 a month with an annual plan [2] |
| Medication on the plan | Your pharmacy's price; Temi helps compare pharmacies [1] | Advertised as "$1 meds with ongoing care" [2] |
| A new prescription | $79, one-time [4] | Same video-visit pricing, set by the provider [2] |
| Compounded semaglutide | From $59.99 per 7.5 mg vial, plus $39 prescription service [5] | Weight loss listed; no price on the refill page [2] |
Where the other provider offers more
Sesame is the better service when you want to pick the person. You can compare ratings, credentials and prices, filter for a clinician who speaks Spanish, Mandarin, Hindi or a dozen other languages, and book a slot that opens within two hours [2]. Temi offers none of that. A live video visit is also the right format when a refill is not really a refill — a dose that no longer works, a new side effect, a question you want to talk through. Sesame's providers cover far more than maintenance drugs: mental health, dermatology, UTIs, sexual health and weight loss, across "hundreds of conditions" [2]. Its Everyday Rx plan, at $25 a month with an annual commitment, advertises $1 medications, which could undercut many pharmacy cash prices for common generics [2]. And visits are HSA and FSA-eligible [2].
Frequently asked questions
Is Sesame legit?
Sesame is a booking marketplace for licensed, independent clinicians — MDs, DOs, nurse practitioners and physician assistants — and shows each one's credentials and patient ratings before you book [2]. Its refill page displayed a 4.5 out of 5 Trustpilot badge when checked on 28 September 2026 [2]. Quality depends on the provider you choose, which is why the ratings are worth reading.
How much does Sesame cost for a prescription refill?
A pay-per-visit refill starts at $34 to $35, depending on the provider you book [2]. Everyday Rx, the plan Sesame recommends for ongoing refills, starts at $25 a month with an annual plan [2]. Medication is extra unless it falls under the plan's $1 offer. Temi charges $15 per refill with no plan required [1].
What is Sesame Everyday Rx?
It is Sesame's plan for people who refill regularly. The refill page prices it "From $25 per /mo. with annual plan" and describes it as "$1 meds with ongoing care" [2]. Sesame's page does not list which medications qualify for $1, so check yours before committing to a year. Temi's nearest equivalent is Temi Care at $449 a year, which makes refill reviews free [3].
Does Sesame take insurance?
Sesame is built for cash payment: "No insurance needed", with visits HSA and FSA-eligible [2]. Your insurance can still pay for the medication at the pharmacy. Temi works the same way for its service fee — cash, $15 — while your plan applies to the drug at whichever pharmacy you choose [1].
Do I need a video visit with Sesame to get a refill?
Yes. Sesame's refill process is book, then "Discuss your Rx refill request during a video visit with your prescriber", then pick up [2]. It advises setting aside 10 to 15 minutes and having your ID and prescription bottles ready [2]. Temi has no visit: you send the request and a physician reviews it within 48 hours [1].
Do I see the same provider each time on Sesame?
Only if you book them again. Sesame lets you search by name and rebook a provider you liked, and some carry a "Loyal patients" label [2]. Nothing in the model guarantees that clinician has a slot next time. Temi does not offer a choice, but its refill page names the physician who reviews every refill [1].
Can Sesame or Temi prescribe controlled substances?
No. Sesame states "Providers on Sesame do not prescribe controlled substances", and its pain category notes the same limit [2]. Temi says it cannot prescribe controlled substances, including stimulants, opioids and benzodiazepines [1]. For a scheduled drug, you need a prescriber who can assess you directly.
Is Temi cheaper than Sesame?
For a single refill, yes: $15 against a $34 to $35 video visit [1] [2]. For ongoing care it depends on the medication. Everyday Rx at $25 a month totals about $300 a year and advertises $1 medications [2], while Temi Care is $449 a year and leaves the drug at your pharmacy's price [3].
Sources
- Temi — prescription refills, pricing and eligibility (verified 28 September 2026)
- Sesame — online prescription refill visit, pricing and Everyday Rx (verified 28 September 2026)
- Temi — Temi Care membership, $449 a year (verified 28 September 2026)
- Temi — new prescription service, $79 (verified 28 September 2026)
- Temi — compounded semaglutide injectable pricing (verified 28 September 2026)
Compounded semaglutide and compounded tirzepatide are not FDA-approved generics of the brand-name products. A licensed 503A compounding pharmacy prepares each one for a single prescription.
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