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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, Strut Health wins on specific dimensions. One of the cheapest legitimate compounded options in the US market thanks to a niche oral lozenge format. No membership fee, free shipping, free consults and physician access included. Trade-off: lozenge bioavailability data is thin compared to standard injectable semaglutide.
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Side-by-side
| Strut Health | Costco / Success by Sesame | |
|---|---|---|
| Starts from | $149/mo entry dose (injectable semaglutide) (incl. medication) | $408/mo (incl. medication) |
| Monthly cost gap | Strut Health is $9/mo cheaper than Costco / Success by Sesame | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 3 days | 2 days |
| Consultation type | Async | 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.
| Strut Health | Costco / Success by Sesame | |
|---|---|---|
| Pricing transparency | 9/10 | 7/10 |
| Cancellation terms | 9/10 | 8/10 |
| Onboarding experience | 7/10 | 7/10 |
| Medication options | 4/10 | 7/10 |
| Member reviews | 6.8/10 | 9/10 |
When to choose Strut Health
Best for oral semaglutide entry
Cost-sensitive patients who want needle-free GLP-1 entry under $100/mo and don't mind a less-studied delivery format.
Strut Health wins on pricing transparency, cancellation terms and runs $9/mo cheaper than Costco / Success by Sesame at the entry tier ($199 vs $208). Over a year that's $108 you keep. The caveat: Anyone who wants brand-name FDA-approved semaglutide or insurance-billed care. Note also: Compounded semaglutide is not FDA-approved
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 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.
If cost is your main filter
Strut Health is the cheaper monthly: $199 all-in vs $208 for Costco / Success by Sesame. That's $9 a month or $108a 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 $27 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
Strut 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 Strut Health cheaper than Costco / Success by Sesame?
Can I switch from Strut Health to Costco / Success by Sesame mid-treatment?
Which program has better member feedback?
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