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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, Found wins on specific dimensions. Found has the broadest medication catalog of any program here, spanning branded GLP-1s, compounded options and Lilly's newly approved oral pill, Foundayo (orforglipron). The 12-month commitment required for the lowest price is the catch.
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Side-by-side
| Found | Costco / Success by Sesame | |
|---|---|---|
| Starts from | $169/mo (incl. medication) | $408/mo (incl. medication) |
| Monthly cost gap | Found is $39/mo cheaper than Costco / Success by Sesame | |
| Lock-in | 12-mo lock-in | Month-to-month |
| Time to prescription | 5 days | 2 days |
| Consultation type | Asynchronous | Video |
| Affiliate network | Impact | CJ |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Found | Costco / Success by Sesame | |
|---|---|---|
| Pricing transparency | 6/10 | 7/10 |
| Cancellation terms | 3/10 | 8/10 |
| Onboarding experience | 8/10 | 7/10 |
| Medication options | 9/10 | 7/10 |
| Member reviews | 7.8/10 | 9/10 |
When to choose Found
Best for complex clinical workups
Patients whose obesity medicine clinician has flagged a non-standard medication path (multiple drug classes, off-label combinations or 503A-compounded options that other programs have exited).
Found wins on onboarding experience, medication options and runs $39/mo cheaper than Costco / Success by Sesame at the entry tier ($169 vs $208). Over a year that's $468 you keep. The caveat: Patients new to GLP-1s who want a simple month-to-month commitment. The 12-month plan required for the lowest price is the most punitive structure short of WeightWatchers Clinic. Note also: Subject to ongoing Lilly compounded-tirzepatide enforcement risk
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 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.
If cost is your main filter
Found is the cheaper monthly: $169 all-in vs $208 for Costco / Success by Sesame. That's $39 a month or $468a 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 $117 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
Found (12-mo lock-in) and Costco / Success by Sesame (month-to-month) sit at different cancellation tiers. If you're first-time on a GLP-1 and unsure how you'll tolerate it, Costco / Success by Sesame's easier cancellation is the safer trial.
FAQ
Is Found cheaper than Costco / Success by Sesame?
Can I switch from Found to Costco / Success by Sesame mid-treatment?
Which program has better member feedback?
Read the full reviews
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