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. The cheapest maintenance path is the Wegovy pill, $358/mo all-in ($59 care plus $299). The injection path is about $408/mo ($59 plus $349). New patients pay $199/mo medication for the first two months. Starter pill doses start at $149/mo. A Costco membership is required.
| Signup / one-time | None |
| Membership / subscription | $59/mo |
| Medication (varies by dose) | $299–$349/mo |
| All-in, lowest maintenance dose | $358/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 |
Headline maintenance price, read off the program's published pricing every Monday. Tracking since May 2026, 15 checks so far. 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
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 $358/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.
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
Reviews
The member-reviews pillar reflects Costco / Success by Sesame’s Trustpilot rating of 4.5/5. See it on Trustpilot →
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:
