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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, Lemonaid Health wins on specific dimensions. Lemonaid is a broad-scope telehealth platform (acquired by 23andMe in 2020) offering GLP-1 weight loss as one of several services including hair loss, hypertension and STI testing. Less specialized than dedicated GLP-1 programs but the multi-condition coverage suits patients who want a single telehealth platform for multiple needs. Mid-tier pricing.
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Side-by-side
| Lemonaid Health | Costco / Success by Sesame | |
|---|---|---|
| Starts from | $298/mo (+ med separate) | $408/mo (incl. medication) |
| Monthly cost gap | Costco / Success by Sesame is $90/mo cheaper than Lemonaid Health | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 3 days | 2 days |
| Consultation type | Asynchronous | 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.
| Lemonaid 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 | 7/10 | 7/10 |
| Member reviews | 8.8/10 | 9/10 |
When to choose Lemonaid Health
Best for multi-condition telehealth in one platform
Patients who already use Lemonaid for another condition or who want one platform handling multiple chronic medications alongside GLP-1.
Lemonaid Health wins on tied dimensions on the dimensional scoring. The caveat: Patients wanting deep obesity-medicine specialization, complex PA cases 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, member reviews and runs $90/mo cheaper than Lemonaid Health at the entry tier ($208 vs $298). Over a year that's $1,080 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 $298 for Lemonaid Health. That's $90 a month or $1,080a 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 $270 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
Lemonaid Health (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 Lemonaid Health cheaper than Costco / Success by Sesame?
Can I switch from Lemonaid Health to Costco / Success by Sesame mid-treatment?
Which program has better member feedback?
Read the full reviews
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