Verdict
Pros
- Low self-pay price for a brand-name pen: Wegovy or Ozempic injection $349/mo.
- Success by Sesame care from $59/mo on the annual plan, with a 10% Costco member discount.
- Care, labs, messaging and prescribing are bundled.
- Genuine branded GLP-1 filled at Costco Pharmacy.
- Medication pricing is published rather than revealed after sign-up.
Cons
- Requires a paid Costco membership to access the program.
- Branded only in the Costco self-pay path, with no compounded option.
- New combined offering with no member-reported outcome record yet.
- Care fee and medication are billed separately.
- Care benefit and pharmacy pricing depend on staying a Costco member.
Existing Costco members who want discounted self-pay branded GLP-1 with light telehealth care attached.
Anyone who is not a Costco member, wants a compounded option, or wants a long member-review track record.
Pricing
Costco members: Success by Sesame care from $59/mo (annual plan, 10% member discount) plus self-pay branded medication at Costco Pharmacy. Ongoing all-in for the injection is about $408/mo ($59 care + $349 Wegovy or Ozempic). New patients pay $199/mo medication for the first two months. The Wegovy pill is from $149/mo. A Costco membership is required.
| Signup / one-time | None |
| Membership / subscription | $59/mo |
| Medication (varies by dose) | $149–$349/mo |
| All-in, lowest maintenance dose | $408/mo |
Price since we started tracking
Tracking started Jun 20, price held at $408/mo. We check it every Monday. See the full price tracker.
See how Costco / Success by Sesame compares with every path in our GLP-1 cost guide, or check the live price index for the full chart.
Lock-in & cancellation
Month-to-month or annual
Success by Sesame care can be month-to-month or annual; the annual plan locks the $59/mo rate. Medication is bought per fill at Costco Pharmacy. Cancel care from your account. A Costco membership is required to access the program.
How to cancel: Success by Sesame care is a month-to-month or annual subscription you can cancel; medication is bought per fill at Costco Pharmacy. The annual plan locks the lower care rate for the year.
Medication options
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 $408/mo is the cheapest path; the others cost more.
- Wegovy: Wegovy pill from $149/mo; 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.
Onboarding experience
Time to first prescription: 2 days.
Consultation type: Video visit with a Success by Sesame clinician, with labs and messaging included.
Requirements: 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 catch is the required Costco membership and 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
- New combined offering with little track record
- Care fee is separate from medication
How we scored Costco / Success by Sesame
Five dimensions, ten points each, weighted equally. Overall is the simple average.
Transparency
Terms
Experience
Options
Outcomes
Frequently asked questions
Do I need a Costco membership?
How much is the medication?
Is it branded or compounded?
Alternatives to Costco / Success by Sesame
If Costco / Success by Sesame isn't the right fit, here are three programs we'd consider as next options:
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:
Before committing to a cash-pay path, check whether your insurance covers GLP-1s at the payer coverage center. On Medicaid? See Medicaid GLP-1 coverage by stateto confirm your state’s formulary status before choosing a cash-pay program.
Similar programs
The three programs closest to Costco / Success by Sesame on insurance model, medication supply and overall score, for comparison before you commit.
