Without insurance, the $398 a month is $299 for the Wegovy pill plus $99 for the Success by Sesame plan. The $299 is Costco Pharmacy's price at the maintenance dose. Checked November 2, 2026. 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
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 November 2, 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 |
| Sep 21 | $398/mo |
| Sep 28 | $398/mo |
| Oct 5 | $398/mo |
| Oct 12 | $398/mo |
| Oct 19 | $398/mo |
| Oct 26 | $398/mo |
Headline maintenance price, checked every week. Tracking since May 2026, 23 checks so far. See the full price tracker.
What a GLP-1 pill costs next to the shot.
See the Wegovy pill price by dose and seller.
The GLP-1 cost guide has what every other path costs.
Lock-in and how to cancel
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 drug is priced separately. The figures are monthly totals with all fees included.
- Wegovy pill: $398/mo.
- Ozempic: $448/mo.
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 4.6 out of 5 rating on Trustpilot from 4,566 reviews. GLP Chart scores it 6.6 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
What readers say about Costco / Success by Sesame
Ratings from outside review sites, read Oct 22, 2026. Each links to its source. Every program side by side.
- Trustpilot: 4.6 out of 5 from 4,566 reviews, covering all of Sesame, which runs the Costco program. Costco / Success by Sesame on Trustpilot
- BBB: A+ grade, accredited (the whole company). Sesame, Inc. on BBB
- App Store: 4.9 out of 5 from 10,801 ratings, for the whole Sesame app. Sesame: Telehealth Care & More
- Google Play: 4.9 out of 5 from 2,319 ratings, for the whole Sesame app. Sesame: Telehealth Care & More
In their words
“Listened well, quick, and took care of everything I could need.”
5 out of 5, Oct 18, 2026, on Trustpilot
“I’ve had approximately 7–8 appointments canceled or completely no-showed in the last 48 hours.”
1 out of 5, Oct 17, 2026, on Trustpilot
What the last 20 Trustpilot reviews mention
- Customer service: 3 of 20
- Billing: 1 of 20
- Cancelling: 1 of 20
We count keywords, so one review can land under two themes. How we read them.
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
say
How this score was earned
- Price 2
- Source: sesamecare.com/service/online-weight-loss-program, against the lowest drug price on our chart. Checked November 2, 2026.
- How clear the price is 7
- Source: sesamecare.com/service/online-weight-loss-program. Checked November 2, 2026.
- How easy it is to cancel 8
- Source: the program's published cancellation and refill terms. Checked November 2, 2026.
- How fast you start 7
- Source: the published intake and consultation pages. Checked November 2, 2026.
- What members say 9.2
- Source: Trustpilot, 4.6 out of 5. Checked October 22, 2026. See the profile.
Read how we check a price and keep the receipt →
Frequently asked questions
Is Costco / Success by Sesame a scam?
What is the Costco GLP-1 price without insurance?
Is there a Costco GLP-1 patch?
Do I need a Costco membership?
Is it branded or compounded?
What is the Costco Wegovy price?
How much does the Wegovy pill cost at Costco?
How does the Costco GLP-1 program work?
Compare total costs
| Program | First month | First 3 months | Membership or visit fee | Cancel terms | Check price |
|---|---|---|---|---|---|
 Costco / Success by SesameWegovy pill$398 a month | $398 | $1,194 | $99 a month, in the total | Month-to-month | Check price → |
 Collective | $59 | $177 | not listed | Yearly membership | Check price → |
 SnagRx | $99 | $297 | None | Month-to-month | Check price → |
 CoreAge Rx | $79 | $237 | None | Month-to-month | Check price → |
Three programs to consider next
Compounded options on this page are not FDA-approved.