Some visit links earn us a commission.
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, Sam's Club Member Health wins on specific dimensions. Sam's Club brings the oral Wegovy pill to its pharmacy counter at $149/mo for the starting dose, via the manufacturer's self-pay offer, with a members-only Well app for GLP-1 support. It is a narrow, pharmacy-led offering: branded oral Wegovy only, gated behind a paid membership. For existing members who want the oral pill cheaply, it is a clean option.
Visit Costco / Success by Sesame ↗
Side-by-side
| Costco / Success by Sesame | Sam's Club Member Health | |
|---|---|---|
| Starts from | $408/mo (incl. medication) | $149/mo (incl. medication) |
| Monthly cost gap | Sam's Club Member Health is $59/mo cheaper than Costco / Success by Sesame | |
| Lock-in | Month-to-month | No lock-in |
| Time to prescription | 2 days | 3 days |
| Consultation type | Video | Pharmacy-led: |
| Affiliate network | CJ | Direct |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Costco / Success by Sesame | Sam's Club Member Health | |
|---|---|---|
| Pricing transparency | 7/10 | 7/10 |
| Cancellation terms | 8/10 | 8/10 |
| Onboarding experience | 7/10 | 6/10 |
| Medication options | 7/10 | 5/10 |
| Member reviews | 9/10 | 4/10 |
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, medication options, member reviews on the dimensional scoring. The caveat: Anyone who is not a Costco member, wants a compounded option, or wants a long member-review track record.
When to choose Sam's Club Member Health
Best for members wanting the oral pill
Existing Sam's Club members who want the oral Wegovy pill at a low self-pay price with pharmacist support.
Sam's Club Member Health wins on tied dimensions and runs $59/mo cheaper than Costco / Success by Sesame at the entry tier ($149 vs $208). Over a year that's $708 you keep. The caveat: Non-members, anyone wanting injectable or compounded GLP-1, or anyone wanting a full telehealth care program.
If cost is your main filter
Sam's Club Member Health is the cheaper monthly: $149 all-in vs $208 for Costco / Success by Sesame. That's $59 a month or $708a 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 $177 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
Costco / Success by Sesame (month-to-month) and Sam's Club Member Health (no lock-in) 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 Costco / Success by Sesame cheaper than Sam's Club Member Health?
Can I switch from Costco / Success by Sesame to Sam's Club Member Health mid-treatment?
Which program has better member feedback?
Read the full reviews
All head-to-head comparisons → · Full chart → · Cost guide · Programs guide
