The $398 is the $99 Success by Sesame plan plus $299 for the Wegovy pill at Costco Pharmacy. Checked September 14. We log every price change on this page.
What a Costco member pays a month
| Drug | Medication | Your month |
|---|---|---|
| Wegovy pill, maintenance dose | $299/mo | $398/mo |
| Wegovy injection | $349/mo | $448/mo |
| Ozempic injection | $349/mo | $448/mo |
Each total is the $99 Success by Sesame plan billed every month plus the medication. A Costco membership is required and is not in these figures. The Wegovy pill costs less at the starter doses, from $149 a month, and new patients pay $199 a month for the injection for their first two months.
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 with a Costco membership who want a brand-name GLP-1 at a posted cash price from the pharmacy counter.
Anyone without a Costco membership, and anyone who wants a compounded GLP-1 or the lowest cash price.
What you pay
At the Costco pharmacy counter the cash price is $349/mo for the Wegovy or Ozempic shot, or $299/mo for the Wegovy pill at maintenance. Starter pill doses are $149/mo at 1.5mg and $199/mo at 4mg. Success by Sesame care adds $99/mo, so the cheapest month-to-month route is $398/mo. The yearly care plan brings that to $358/mo.
| Signup / one-time | None |
| Membership / subscription | $99/mo |
| Medication (varies by drug) | $299 to $349/mo |
| What you pay a month, everything in | $398/mo |
We read sesamecare.com on September 13, 2026.
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 |
| Sep 7 | $398/mo |
| Sep 14 | $398/mo |
Headline maintenance price, checked every Monday. Tracking since May 2026, 17 checks so far. See the full price tracker.
What a GLP-1 pill costs next to the shot.
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). 2026-09-09: cash_ceiling equals cash_monthly on purpose: the top published dose of the pill costs the same as the headline, so the dosing table prints the figure and nothing rises. The headline is the Wegovy pill at NovoCare's maintenance price, and $299 is the top of the pill's own ladder ($149 and $199 are the starter doses). The prior ceiling of $448 was the $349 injection plus the $99 subscription, a different form at a different price and not a higher dose of the pill, so it is not a dose step; the injection total stays in this note. The program's own page lists the pill and the injection as separate products (receipt ops/receipts/2026-09-09/costco-sesame.json).
- 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..
Is Costco / Success by Sesame legit?
Yes. It launched in 2024 for Costco members, and Costco is based in Issaquah, WA. Success by Sesame clinicians write the prescriptions.
Costco / Success by Sesame reviews
Costco / Success by Sesame holds a 4.5 out of 5 rating on Trustpilot. GLP Chart scores it 7.6 out of 10. How we scored it.
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.
the price is
it is to cancel
you start
you can get
say
How this score was earned
- How clear the price is 7/10
- Source: sesamecare.com/blog/costco-half-price-ozempic-wegovy, opened in a browser. Checked September 14, 2026.
- How easy it is to cancel 8/10
- Source: the program's published cancellation and refill terms. Checked September 14, 2026.
- How fast you start 7/10
- Source: the published intake and consultation pages. Checked September 14, 2026.
- What drugs you can get 7/10
- Source: the program's published medication list and sourcing statement. Checked September 14, 2026.
- What members say 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 a scam?
Is there a Costco GLP-1 patch?
Do I need a Costco membership?
What is the Costco GLP-1 price without insurance?
Is it branded or compounded?
How much does the Wegovy pill cost at Costco?
How does the Costco GLP-1 program work?
Three programs to consider next
Read before you sign up
