Costco GLP-1 Program 2026: Ozempic & Wegovy for $349/mo (Full Review)
How the Costco + Sesame GLP-1 program works, the real all-in monthly cost, and when it beats (or loses to) telehealth alternatives.
Lose 15-22% body weight with doctor-backed GLP-1s
Compounded semaglutide & tirzepatide from $350/mo $147/mo. Free online consultation with a US-licensed provider. If approved, medication ships to your door in 3-5 days. No insurance needed.
⚡ Limited spots this month — 50,000+ patients already started
See if I qualify — Free consultationAvailable online · Shipped to your door anywhere in the US
Paid partnership · Prescription product requiring a physician consultation · Not everyone qualifies · Results vary
The deal in one paragraph
Costco partnered with Novo Nordisk and telehealth provider Sesame to offer members brand-name Ozempic and Wegovy at $349/month self-pay, about half the retail cash price, with new patients paying $199/month for their first two fills. Prescriptions come through Success by Sesame video consultations (~$59/month), and you pick up at your local Costco Pharmacy. All-in ongoing cost: roughly $408/month.
How it works, step by step
- Be a Costco member. Gold Star ($65/yr) or Executive ($130/yr). The discount is a member benefit.
- Join Success by Sesame. Online signup, video consult with a licensed clinician, from $59/month on the annual plan (10% member discount).
- Get prescribed if appropriate. The clinician evaluates you for Ozempic, Wegovy, or alternatives including the Wegovy pill.
- Fill at Costco Pharmacy. $349/month for the injection ($199 first two months for new patients). Wegovy pill: $149 starter, $299 maintenance.
Real cost breakdown
| Component | Cost |
|---|---|
| Costco membership | $65 to $130/year |
| Sesame care (annual plan) | ~$59/month |
| Ozempic/Wegovy injection | $349/month ($199 first 2 months) |
| Wegovy pill | $149 starter / $299 maintenance |
| All-in ongoing (injection) | ~$408/month |
Costco vs telehealth vs NovoCare direct
| Route | All-in monthly | Medication type |
|---|---|---|
| Costco + Sesame | ~$408 | Brand-name injection |
| NovoCare direct (own Rx) | $349 injection / $149 pill | Brand-name |
| Telehealth compounded | $149 to $299 | Compounded semaglutide |
| Retail pharmacy cash | $1,000 to $1,400 | Brand-name |
The honest read: if you already have a prescription, NovoCare direct is cheaper than Costco+Sesame because you skip the $59/month care fee. If you need a prescriber and want brand-name medication, Costco is competitive. If you want the lowest possible price, compounded telehealth wins by $100 to $250/month.
Who the Costco program is best for
- Existing Costco members who want brand-name medication without insurance
- People who prefer picking up at a physical pharmacy over mail-order
- Patients who want a real clinician relationship (Sesame) rather than a pill mill
Who should look elsewhere: anyone whose top priority is lowest cost (compounded telehealth is cheaper), and non-Costco members who would pay $65+ just to access the program.
Related GLP-1 guides
Lose 15-22% body weight — GLP-1s from $147/month
Compounded semaglutide & tirzepatide prescribed online by US-licensed providers. No insurance needed — medication shipped to your door in 3-5 days.
⚡ Limited spots this month — 50,000+ patients already started
See if I qualify — Free consultationFrom $147/month · No insurance needed · Ships nationwide in 3-5 days · Paid partnership · Results vary
Doctor-backed GLP-1 weight loss from $147/month
Compounded semaglutide & tirzepatide. Online consultation with a US-licensed provider. No insurance needed.
⚡ Limited spots this month — 50,000+ patients already started
Paid partnership · Prescription product · Not everyone qualifies · Results vary
Real patients. Real results.
Join 50,000+ patients who transformed their lives with GLP-1 medications
"I tried everything — keto, intermittent fasting, gym memberships. Nothing worked long-term. GLP-1 changed everything. I lost 47 pounds in 8 months and finally feel like myself again. The online process was so easy — I had my prescription in 2 days."
Jessica M., 38
Texas
-47 lbs
in 8 months
Compounded semaglutide
"At 52, my doctor said I was heading toward diabetes. I started tirzepatide through a telehealth program and lost 62 pounds. My A1C is back to normal, my blood pressure dropped, and I'm off two medications. Wish I'd done this years ago."
David R., 52
Florida
-62 lbs
in 11 months
Tirzepatide (Zepbound)
"I was skeptical about doing this online, but the whole process was professional and easy. My provider answered all my questions, and the medication arrived in 4 days. I've lost 38 pounds and finally have energy to play with my kids again."
Aisha K., 34
California
-38 lbs
in 6 months
Compounded semaglutide
Results vary. These testimonials reflect individual experiences and are not typical. Weight loss depends on diet, activity, and adherence to medication.
How it works — 3 simple steps
Take the 60-second quiz
Answer a few questions about your health, weight goals, and medical history. It's free and confidential.
1 min
Meet your US-licensed provider
A board-certified clinician reviews your profile and prescribes the right GLP-1 medication for you — entirely online.
24-48 hrs
Get medication shipped to your door
Your prescription is filled by a US pharmacy and delivered in discreet packaging in 3-5 business days.
3-5 days
Get GLP-1 savings alerts & weekly tips
Join 50,000+ readers. Price drops, new coupons, and expert weight-loss advice — delivered weekly. Unsubscribe anytime.
Free. No spam. Unsubscribe anytime.
or check my eligibility now