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Quick verdict
Costco / Success by Sesame is the better pick for most patients on overall scoring. Costco bundles Success by Sesame care with discounted self-pay branded GLP-1 at Costco Pharmacy. The medication price is genuinely low for a brand-name pen: the Wegovy or Ozempic injection is $349/mo self-pay, with care from $59/mo on the annual plan. The catch is a paid Costco membership, and the bundle has no member outcome record yet.
That said, 9amHealth wins on specific dimensions. 9amHealth treats GLP-1 as one tool inside a broader cardiometabolic program. Strong employer and insurance relationships, branded-first medication strategy, labs included. Best fit for patients with comorbidities, not pure weight-loss buyers.
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Side-by-side
| 9amHealth | Costco / Success by Sesame | |
|---|---|---|
| Starts from | $649/mo (incl. medication) | $408/mo (incl. medication) |
| Monthly cost gap | Costco / Success by Sesame is $441/mo cheaper than 9amHealth | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 5 days | 2 days |
| Consultation type | Live | Video |
| Affiliate network | Direct | CJ |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| 9amHealth | Costco / Success by Sesame | |
|---|---|---|
| Pricing transparency | 7/10 | 7/10 |
| Cancellation terms | 8/10 | 8/10 |
| Onboarding experience | 6/10 | 7/10 |
| Medication options | 7/10 | 7/10 |
| Member reviews | 8.4/10 | 9/10 |
When to choose 9amHealth
Best for diabetes and cardio risk
Patients with diabetes, prediabetes or cardiovascular risk who want GLP-1 inside full-spectrum metabolic care.
9amHealth wins on tied dimensions on the dimensional scoring. The caveat: Healthy BMI-only patients chasing the lowest GLP-1 price.
When to choose Costco / Success by Sesame
Best for Costco members
Existing Costco members who want discounted self-pay branded GLP-1 with light telehealth care attached.
Costco / Success by Sesame wins on onboarding experience, member reviews and runs $441/mo cheaper than 9amHealth at the entry tier ($208 vs $649). Over a year that's $5,292 you keep. The caveat: Anyone who is not a Costco member, wants a compounded option, or wants a long member-review track record.
If cost is your main filter
Costco / Success by Sesame is the cheaper monthly: $208 all-in vs $649 for 9amHealth. That's $441 a month or $5,292a year. The 12-month math matters most if you're planning to maintain on GLP-1 long-term. If you're running a 3-month trial, the $1323 delta is small against the cost of stopping early on the wrong dose. Insurance changes the picture: if either program runs prior auth and your plan covers Wegovy or Zepbound, branded with copay can beat both cash-pay totals.
If lock-in is your main filter
9amHealth (month-to-month) and Costco / Success by Sesame (month-to-month) sit at the same cancellation tier. Read both cancellation policies directly before signing; the on-page summary covers the headline but not the deletion-of-account or refund-window edge cases.
FAQ
Is 9amHealth cheaper than Costco / Success by Sesame?
Can I switch from 9amHealth to Costco / Success by Sesame mid-treatment?
Which program has better member feedback?
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