Verdict
Pros
- A low cash price for a brand-name pen: the Wegovy or Ozempic shot at $349/mo.
- Success by Sesame care is $99/mo month to month, or $59/mo for the year, with 10% off for Costco members.
- Care, labs, messages and the script all come together.
- It is a real branded GLP-1, filled at Costco Pharmacy.
- The price of the drug is posted, not shown after you sign up.
Cons
- You need to pay for a Costco membership to get in. The price holds only while you stay a member.
- The Costco cash route is branded only, with nothing compounded.
- The care fee and the drug are billed apart.
People who already belong to Costco and want a cut-price cash branded GLP-1 with light care attached.
Anyone who does not belong to Costco, or who wants a compounded option.
What you pay
$398/mo is the cheapest cash route at maintenance: the $99/mo Success by Sesame plan, billed each month, plus the $299/mo cash Wegovy pill at Costco Pharmacy. Costco members get 10% off the weight-loss program, around $89/mo, so roughly $388 in total. The yearly plan is $59/mo, or $358 in total. The shot route is about $448. Starter pill doses are $149/mo. You need a Costco membership.
| Signup / one-time | None |
| Membership / subscription | $99/mo |
| Medication (varies by dose) | $299–$349/mo |
| All-in, lowest maintenance dose | $398/mo |
Price since we started tracking
| Week | Price |
|---|---|
| May 25 | no public price |
| Jun 1 | no public price |
| Jun 8 | no public price |
| Jun 15 | $408/mo |
| Jun 22 | $408/mo |
| Jun 29 | $408/mo |
| Jul 6 | $408/mo |
| Jul 13 | $408/mo |
| Jul 20 | $408/mo |
| Jul 27 | $408/mo |
| Aug 3 | $408/mo |
| Aug 10 | $408/mo |
| Aug 17 | $408/mo |
| Aug 24 | $408/mo |
| Aug 31 | $358/mo |
Through August 31 we tracked $358/mo, the 12-month plan rate.
From September 4 we publish the month-to-month total, $398/mo. Costco / Success by Sesame did not change its price. We changed which of its published rates we headline. See the full price tracker.
The GLP-1 cost guide has what every other path costs.
Lock-in and how to cancel
- Cancel anytime
The $99 care plan runs month to month. The $59/mo rate ties you in for a year, and a Costco membership is required either way.
How to cancel: Success by Sesame care cancels from your account. You buy the drug at each fill at Costco Pharmacy.
Which drugs you can get
Branded GLP-1 filled self-pay at Costco Pharmacy; care and prescribing run through Success by Sesame. No compounded GLP-1 in the Costco self-pay path.
Each branded GLP-1 is priced separately. The headline $398/mo is the cheapest path; the others cost more.
- Wegovy: Wegovy pill $149/mo at starter doses and $299/mo at maintenance (NovoCare published tiers); Wegovy injection $349/mo self-pay at Costco Pharmacy ($199/mo first two months for new patients).
- Ozempic: Ozempic injection $349/mo self-pay at Costco Pharmacy (50% off traditional cash price).
FDA-approved branded
- Wegovy
- Ozempic
- Zepbound
- Mounjaro
- Saxenda
Compounded
- None offered
Other medications
- Metformin
Read the buyer's guide for the medications Costco / Success by Sesame covers: Wegovy, Ozempic.
The drug comparison table covers semaglutide vs tirzepatide on cost, side effects, and clinical evidence side by side.
How long it takes to start
Days to your first prescription: 2 days.
Visit type: Video visit with a Success by Sesame clinician, with labs and messaging included.
What they ask for: A Costco membership, a Success by Sesame intake and video visit, and labs. A prescription is required..
Costco / Success by Sesame reviews: what members report
Too new as a bundle for a meaningful member-review record. The draw is a low self-pay price on a brand-name pen plus light care; the limit is the required Costco membership and the branded-only path.
What works
- Low self-pay price for a brand-name pen
- Care, labs and prescribing bundled
- Pickup at Costco Pharmacy
- Published medication pricing
What to watch
- Requires a paid Costco membership
- Branded only in the Costco self-pay path
- Care fee is separate from medication
How we scored Costco / Success by Sesame
Five parts, ten points each. The score is the average. Every part names what its number was read from.
Transparency
Terms
Experience
Options
Reviews
How this score was earned
- Pricing transparency 7/10
- Source: sesamecare.com/blog/costco-half-price-ozempic-wegovy, opened in a browser. Checked August 31, 2026. We kept the page we read it from, dated September 4, 2026.
- Cancellation terms 8/10
- Source: the program's published cancellation and refill terms. Checked August 31, 2026.
- Onboarding experience 7/10
- Source: the published intake and consultation pages. Checked August 31, 2026.
- Medication options 7/10
- Source: the program's published medication list and sourcing statement. Checked August 31, 2026.
- Member reviews 9/10
- Source: Trustpilot, 4.5 out of 5. See the profile.
Read how we check a price and keep the receipt →
Frequently asked questions
Is Costco / Success by Sesame legit?
Is Costco / Success by Sesame a scam?
Is there a Costco GLP-1 patch?
Do I need a Costco membership?
How much is the medication?
Is it branded or compounded?
How much does the Wegovy pill cost at Costco?
How does the Costco GLP-1 program work?
Partner programs
If Costco / Success by Sesame isn't the right fit, here are three programs to consider next:
These programs pay GLP Chart a commission when you join. Disclosure
Before committing to a cash-pay path, check whether your insurance covers a GLP-1 at the payer coverage center. On Medicaid, see Medicaid GLP-1 coverage by state first. If you need PA paperwork, the prior authorization letter library has templates for all major plans. Already denied? The appeal letter library has 120 templates by denial reason.
Learn the category before you commit
Read these before signing up for any GLP-1 telehealth program, Costco / Success by Sesame included:
