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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, Klarity Health wins on specific dimensions. Klarity offers GLP-1 as one of 100+ conditions handled by their telehealth platform. Less specialized than dedicated GLP-1 programs but works for patients who want one platform for multiple conditions. Per-visit pricing model with brand-name and compounded options.
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Side-by-side
| Klarity Health | Costco / Success by Sesame | |
|---|---|---|
| Starts from | $278/mo (incl. medication) | $408/mo (incl. medication) |
| Monthly cost gap | Costco / Success by Sesame is $70/mo cheaper than Klarity Health | |
| Lock-in | 3-mo minimum | Month-to-month |
| Time to prescription | 3 days | 2 days |
| Consultation type | Video | 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.
| Klarity Health | Costco / Success by Sesame | |
|---|---|---|
| Pricing transparency | 6/10 | 7/10 |
| Cancellation terms | 7/10 | 8/10 |
| Onboarding experience | 7/10 | 7/10 |
| Medication options | 6/10 | 7/10 |
| Member reviews | 9/10 | 9/10 |
When to choose Klarity Health
Best for multi-condition telehealth
Patients who want a multi-condition telehealth platform alongside their GLP-1 prescription. Useful if you also need treatment for ADHD, anxiety, hair loss or other conditions.
Klarity Health wins on tied dimensions on the dimensional scoring. The caveat: Patients wanting deep obesity-medicine specialization or the cheapest cash-pay path.
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, medication options and runs $70/mo cheaper than Klarity Health at the entry tier ($208 vs $278). Over a year that's $840 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 $278 for Klarity Health. That's $70 a month or $840a 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 $210 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
Klarity Health (3-mo minimum) 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 Klarity Health cheaper than Costco / Success by Sesame?
Can I switch from Klarity Health to Costco / Success by Sesame mid-treatment?
Which program has better member feedback?
Read the full reviews
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