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Wegovy and Ozempic through Costco: what it costs, and what it saves

Costco Pharmacy sells Wegovy and Ozempic at $349 a month to members paying cash, and the Wegovy pill from $149. Sesame, which runs the program and publishes the price, calls that 50% off.

What that is based on

It is worth checking against Novo Nordisk directly: NovoCare sells the same pen for $349 a month, and $199 a month for your first two fills, and the same pill at $149. So the drug is not cheaper through Costco, and on the first two fills it is dearer. What Costco adds is a $65 membership and a care subscription that Sesame prices from $59 a month on an annual plan. What that subscription buys is a prescriber, labs and ongoing care, which NovoCare does not include and which you would otherwise arrange yourself. That is the actual trade, and it is a reasonable one. It is just not a discount on the medicine.

By John Weeks Updated September 4, 2026

The comparison nobody else publishes

Costco Pharmacy, booked through Sesame
$349 Advertised as 50% off
NovoCare, direct from Novo Nordisk
$349 And $199 for the first two fills

It is the same price for the same pen. Half of Novo’s $1,349.02 list would be $674.51, so the discount is not measured against anything Novo publishes. A $65 a year membership and a care subscription from $59 a month sit on top of the Costco route, and what they buy is a prescriber and ongoing review that NovoCare does not include.

Cash price · per month

$149 to $349

Medication only. The pill at the low end, the injection at the high end. A $65 membership and a care subscription sit on top of both.

What it costs at each dose

What Wegovy and Ozempic through Costco: what it costs, and what it saves costs at each dose, with the caveat on each figure.
Route Per month Note
Costco Pharmacy, injection $349 Plus $65 a year membership and the Sesame care fee
NovoCare, injection, first two fills $199 Novo Nordisk direct. Costco does not match this
NovoCare, injection, after two fills $349 The same as Costco, without a membership
Costco Pharmacy, Wegovy pill $149 Sesame states "as little as", so treat it as the lowest tablet strength
NovoCare, 1.5 mg tablet $149 The same number as Costco quotes
  • Costco Pharmacy, injection $349

    Plus $65 a year membership and the Sesame care fee

  • NovoCare, injection, first two fills $199

    Novo Nordisk direct. Costco does not match this

  • NovoCare, injection, after two fills $349

    The same as Costco, without a membership

  • Costco Pharmacy, Wegovy pill $149

    Sesame states "as little as", so treat it as the lowest tablet strength

  • NovoCare, 1.5 mg tablet $149

    The same number as Costco quotes

The Costco rows are Sesame’s figures, published on Sesame’s own site on 4 September 2026, and they are a claim by the partner that earns from the referral rather than by the retailer that takes the payment: costco.com refuses an automated read and publishes no GLP-1 price page we could find in a browser. The NovoCare rows are Novo Nordisk’s own, re-read on 3 September 2026. "50% off the traditional price"does not reconcile with anything Novo publishes: half of the $1,349.02 list is $674.51. Neither price includes the membership or the care fee. Prices move: the NovoCare step to $349 carries a 31 December 2026 date on Novo’s page.

The short version

Wegovy or Ozempic injection, Costco Pharmacy
$349 a month, self-pay, membership required
The same pen, direct from Novo Nordisk
$349 a month, and $199 a month for the first two fills
Wegovy pill
$149 a month at Costco, and $149 at NovoCare. The same number
Costco membership, which is mandatory
$65 a year Gold Star, $130 Executive, plus sales tax
Success by Sesame care fee
From $59 a month, and that is the annual-prepay rate
What the care fee buys that NovoCare does not
A prescriber, labs and ongoing review. NovoCare needs a prescription you already hold

Where you can actually get it

The same medication is sold three ways. The price of the drug is close to identical on the first two, so what actually differs is what comes with it.

  • Costco Pharmacy, booked through Sesame

    $349 a month

    Injection. The Wegovy pill is quoted from $149.

    What that includes
    • A prescriber, labs and ongoing review through Success by Sesame
    • Costco Pharmacy self-pay pricing
    • No insurance and no prior authorization involved
    What it does not include
    • A $65 a year Costco membership, which is mandatory
    • The Sesame care fee, from $59 a month on annual prepay
    • The $199 first-two-fills price Novo offers directly. Costco does not match it

    Referral fee. It never changes what you pay, or the order of these routes. How we make money

    See Sesame pricing (opens in a new tab, we are paid a referral fee)

  • NovoCare, direct from Novo Nordisk

    $349 a month

    $199 a month for the first two fills. The pill is $149.

    What that includes
    • The same pen, from the manufacturer
    • A lower price on the first two fills than Costco quotes
    • No membership and no care subscription
    What it does not include
    • A prescriber. You need a prescription you already hold
    • Labs and ongoing review
    • Any help if a dose changes or a refill stalls
    Compare cash prices

  • Through your insurance plan

    Varies by plan

    A copay where a plan covers it. More than half of weight-management claims are refused at first pass.

    What that includes
    • The lowest possible cost when a plan does pay
    • No membership and no care subscription
    What it does not include
    • Certainty. Coverage for obesity is the exception rather than the rule
    • Speed. A prior authorization takes time and can be refused
    Check what plans cover

Referral fee from some of these. It never changes what you pay. How we make money

Providers offering this medication

More on Semaglutide

Sources

Every claim above is checked against the primary text, and the date is the day we last opened it.

3 cited records
  1. 1
    Costco Weight Loss program, Success by Sesame, and the Costco Pharmacy GLP-1 price

    Sesame Primary text read and checked Checked September 4, 2026

  2. 2
    Join Costco: membership tiers and annual fees

    Costco Wholesale Primary text read and checked Checked September 4, 2026

  3. 3
    Wegovy cost, coverage and savings

    Novo Nordisk (NovoCare) Primary text read and checked Checked September 3, 2026