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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, Zealthy wins on specific dimensions. A bundled cash-pay option that folds the membership and compounded semaglutide into one $297/mo price, plus an insurance-coordination route for branded GLP-1s. The all-in bundle is mid-pack; the medication-only teaser ($151/mo on a quarterly supply) excludes the membership and is not the ongoing all-in.
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Side-by-side
| Costco / Success by Sesame | Zealthy | |
|---|---|---|
| Starts from | $408/mo (incl. medication) | $297/mo (incl. medication) |
| Monthly cost gap | Costco / Success by Sesame is $89/mo cheaper than Zealthy | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 2 days | 2 days |
| Consultation type | Video | Online |
| Affiliate network | CJ | - |
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 | Zealthy | |
|---|---|---|
| Pricing transparency | 7/10 | 4/10 |
| Cancellation terms | 8/10 | 4/10 |
| Onboarding experience | 7/10 | 7/10 |
| Medication options | 7/10 | 7/10 |
| Member reviews | 9/10 | 6.4/10 |
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 pricing transparency, cancellation terms, member reviews and runs $89/mo cheaper than Zealthy at the entry tier ($208 vs $297). Over a year that's $1,068 you keep. The caveat: Anyone who is not a Costco member, wants a compounded option, or wants a long member-review track record.
When to choose Zealthy
Best for bundled cash-pay plus insurance help
Cash-pay patients who want the membership and compounded medication billed as one number, or who want help coordinating insurance for a branded GLP-1.
Zealthy wins on tied dimensions on the dimensional scoring. The caveat: Patients who want the lowest possible compounded price, or who do not want a recurring membership. Note also: Regulatory caution: the FDA issued a warning letter to FitRX, LLC (which operates Zealthy) on September 9, 2025 over false or misleading compounded-semaglutide marketing claims.
If cost is your main filter
Costco / Success by Sesame is the cheaper monthly: $208 all-in vs $297 for Zealthy. That's $89 a month or $1,068a 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 $267 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 Zealthy (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 Costco / Success by Sesame cheaper than Zealthy?
Can I switch from Costco / Success by Sesame to Zealthy mid-treatment?
Which program has better member feedback?
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