How much is Ozempic at Costco?

Costco members pay $349 per month for Ozempic or Wegovy injections at Costco Pharmacy, roughly half the ~$1,000+ retail cash price. New patients pay $199/month for the first two months at starter doses. No insurance required; it is a self-pay price negotiated directly with Novo Nordisk.

Do you need a Costco membership for the GLP-1 program?

Yes. The discounted $349 pricing and the Sesame weight loss program benefit both require an active Costco membership ($65/year Gold Star or $130/year Executive). Executive members and Costco Visa holders also earn 2% rewards on the medication purchase.

How do you get a GLP-1 prescription through Costco?

Through Success by Sesame, Costco's telehealth partner. You sign up online, have a video consultation with a licensed clinician, and if appropriate they send the prescription to your local Costco Pharmacy. Sesame care costs from $59/month on the annual plan, with a 10% member discount.

What is the total monthly cost of the Costco GLP-1 program?

All-in ongoing cost is about $408/month: $59/month for Sesame care plus $349/month for the medication at Costco Pharmacy. The first two months are cheaper ($199 medication + care). The Wegovy pill runs $149/month at starter doses and $299/month at maintenance through the same program.

Is the Costco GLP-1 program worth it?

It is one of the cheapest ways to get genuine brand-name Ozempic or Wegovy without insurance. The downsides: you need a Costco membership, you pick up at a physical pharmacy, and $408/month all-in is still more than compounded semaglutide telehealth programs ($149 to $299/month). Best for people who specifically want brand-name medication.

Does Costco sell compounded semaglutide?

No. Costco Pharmacy dispenses only brand-name, FDA-approved Ozempic and Wegovy through this program. If you want compounded semaglutide at a lower price, you need a telehealth provider that works with licensed compounding pharmacies.

Can you use insurance with the Costco GLP-1 program?

The $349 price is a self-pay program for people without coverage. If your insurance covers GLP-1s, Costco Pharmacy can bill it normally and your cost depends on your plan; with a manufacturer savings card it can drop to $25/month. The discount program exists specifically for the uninsured and excluded.

Is Costco's Ozempic real?

Yes. It is genuine, FDA-approved Ozempic and Wegovy dispensed by Costco Pharmacy, a licensed US pharmacy, under a direct pricing agreement with Novo Nordisk. This is not compounded or grey-market product.

Does Costco sell tirzepatide (Zepbound or Mounjaro) at a discount?

No. The $349 Costco member price covers Novo Nordisk's Ozempic and Wegovy only. Costco Pharmacy can fill a Zepbound or Mounjaro prescription, but at the standard cash price (roughly $1,000 to $1,100 per month) or with the Lilly savings card if you have commercial insurance. The discounted tirzepatide vials ($349 to $499/month) are sold only through LillyDirect, not Costco.

Does Costco sell GLP-1 patches?

No. There is no FDA-approved GLP-1 patch, and Costco does not sell one. Products marketed as 'GLP-1 patches' or 'semaglutide patches' are supplements or cosmetics with no semaglutide in them. The only approved forms are weekly injections (Ozempic, Wegovy, Mounjaro, Zepbound) and daily pills (Rybelsus, the Wegovy pill).

What is the Costco GLP-1 price per dose?

The $349 price is flat across every Ozempic (0.25 to 2 mg) and Wegovy (0.25 to 2.4 mg) injection dose. The $199 introductory price applies to the first two fills at starter doses for new patients. The Wegovy pill is tiered: $149/month at 1.5 mg and 4 mg starter doses, $299/month at the 9 mg and 25 mg maintenance doses.

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Costco GLP-1 Price 2026: $349 Ozempic/Wegovy, $199 Intro — Is It Worth It?

Costco GLP-1 program cost without insurance by dose, tirzepatide availability, the ~$408 all-in real number, and when telehealth beats it by $200+/month.

September 16, 2026Updated October 8, 2026Healthy-Weight Editorial10 min read

Medically reviewed by Dr. Sarah Chen, MD

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Costco GLP-1 Price 2026: $349 Ozempic/Wegovy, $199 Intro — Is It Worth It?

Costco GLP-1 price in one paragraph

Costco partnered with Novo Nordisk and telehealth provider Sesame to offer members brand-name Ozempic and Wegovy at $349/month self-pay, about half the retail cash price, with new patients paying $199/month for their first two fills. Prescriptions come through Success by Sesame video consultations (~$59/month), and you pick up at your local Costco Pharmacy. All-in ongoing cost: roughly $408/month. The program covers Ozempic and Wegovy only — no tirzepatide, no compounded product, no patches. If brand-name matters to you, it is one of the two cheapest legal routes in the US; if price matters most, compounded telehealth at $119 to $199/month undercuts it by $200+ every month.

Costco GLP-1 price without insurance — by dose

Medication / dose	Costco member price	Notes
Ozempic 0.25 mg, 0.5 mg (starter)	$199/mo (first 2 fills) then $349	New patients only
Ozempic 1 mg, 2 mg	$349/mo	Flat — no dose escalation
Wegovy 0.25 mg, 0.5 mg (starter)	$199/mo (first 2 fills) then $349	New patients only
Wegovy 1 mg, 1.7 mg, 2.4 mg	$349/mo	Flat — no dose escalation
Wegovy pill 1.5 mg, 4 mg	$149/mo	Starter tiers
Wegovy pill 9 mg, 25 mg	$299/mo	Maintenance tiers
Zepbound / Mounjaro (tirzepatide)	Not in program — ~$1,000+ cash	See tirzepatide section below

Verified October 2026 against Costco Pharmacy and NovoCare published self-pay pricing. Prices are per monthly fill and exclude the Sesame care fee and Costco membership.

How it works, step by step

Be a Costco member. Gold Star ($65/yr) or Executive ($130/yr). The discount is a member benefit.
Join Success by Sesame. Online signup, video consult with a licensed clinician, from $59/month on the annual plan (10% member discount).
Get prescribed if appropriate. The clinician evaluates you for Ozempic, Wegovy, or alternatives including the Wegovy pill.
Fill at Costco Pharmacy. $349/month for the injection ($199 first two months for new patients). Wegovy pill: $149 starter, $299 maintenance.

Real cost breakdown

Component	Cost
Costco membership	$65 to $130/year
Sesame care (annual plan)	~$59/month
Ozempic/Wegovy injection	$349/month ($199 first 2 months)
Wegovy pill	$149 starter / $299 maintenance
All-in ongoing (injection)	~$408/month

Costco vs telehealth vs NovoCare direct

Route	All-in monthly	Medication type
Costco + Sesame	~$408	Brand-name injection
NovoCare direct (own Rx)	$349 injection / $149 pill	Brand-name
Telehealth compounded	$149 to $299	Compounded semaglutide
Retail pharmacy cash	$1,000 to $1,400	Brand-name

The honest read: if you already have a prescription, NovoCare direct is cheaper than Costco+Sesame because you skip the $59/month care fee. If you need a prescriber and want brand-name medication, Costco is competitive. If you want the lowest possible price, compounded telehealth wins by $100 to $250/month.

Does Costco carry tirzepatide (Zepbound, Mounjaro)?

Not at a discount. The $349 agreement is between Costco and Novo Nordisk, so it covers semaglutide products only. Costco Pharmacy will fill a Zepbound or Mounjaro prescription at the standard cash price (roughly $1,000 to $1,100 per month) or bill your insurance with the Lilly savings card. Eli Lilly's discounted tirzepatide vials — $349 to $499/month depending on dose — are sold exclusively through LillyDirect, not through Costco. If you want tirzepatide at Costco-level pricing, your realistic options are LillyDirect vials or compounded tirzepatide via telehealth ($199 to $299/month).

"Costco GLP-1 patches" — they do not exist

Searches for GLP-1 patches at Costco spike every few months, usually after a viral ad. There is no FDA-approved GLP-1 patch from any manufacturer, and Costco does not stock one. Anything sold as a "semaglutide patch" or "GLP-1 patch" is a supplement or cosmetic with zero semaglutide — the molecule cannot be absorbed through skin at a therapeutic dose. The only approved delivery forms are weekly injections and daily oral tablets. Read our guide to spotting fake GLP-1 products before buying anything that is not dispensed by a licensed pharmacy.

Costco vs the cheapest legitimate alternatives

Option	Monthly all-in	Product	Best for
Costco + Sesame	~$408	Brand Ozempic/Wegovy	Members wanting brand-name + in-person pickup
NovoCare direct	$349 (own Rx)	Brand Wegovy/Ozempic	Anyone with an existing prescription
LillyDirect vials	$349 to $499	Brand Zepbound	Tirzepatide at brand quality
Compounded telehealth (flat-rate)	$119 to $199	Compounded semaglutide	Lowest monthly cost
Retail cash, no program	$1,000 to $1,400	Brand	Nobody — never pay this

Who the Costco program is best for

Existing Costco members who want brand-name medication without insurance
People who prefer picking up at a physical pharmacy over mail-order
Patients who want a real clinician relationship (Sesame) rather than a pill mill

Who should look elsewhere: anyone whose top priority is lowest cost (compounded telehealth is cheaper), and non-Costco members who would pay $65+ just to access the program.

Compare cheaper GLP-1 programs

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