Costco Wegovy Price (2026): The $349 Sesame Program Explained

Costco sells a lot of things cheaper than everyone else, and that list now includes Wegovy. Through a partnership with telehealth platform Sesame — running since September 2023 — Costco members can fill FDA-approved Wegovy and Ozempic at Costco Pharmacy for about half the usual price, paying cash, no insurance required.

Direct answer: Costco Pharmacy fills Wegovy and Ozempic for $349 per month self-pay — roughly half of Wegovy's ~$1,349 list price. New patients pay $199/month for the first two months on the two lowest (starter) doses, and the Wegovy pill runs as little as $149/month. You need an active Costco membership (Gold Star, $65/year) plus a prescription — either one you already have, or one written after a virtual visit through Success by Sesame, Sesame's weight-loss program priced from $59/month with an annual subscription. The medication is sent to your local Costco Pharmacy for in-store pickup; this route has no home delivery.

The fine print matters, though, because these are Novo Nordisk's own self-pay prices wearing a Costco badge — which means Novo's program rules ride along, and two competing routes get you the same number without a membership card. Here's the whole picture.

How the Costco Wegovy Program Works

The program has two moving parts that people tend to blur together:

1. The discount itself — Novo Nordisk's self-pay pricing for Wegovy and Ozempic, loaded at Costco Pharmacy. If you already have a valid Wegovy prescription, you can self-pay at these rates directly at the pharmacy counter; Sesame states no insurance is needed.
2. The prescription pathway — if you don't have a prescription, Success by Sesame connects you to a licensed clinician by video. If Wegovy is clinically appropriate, the prescription is sent to your local Costco Pharmacy for pickup.

Novo Nordisk's own announcements list Costco among its telehealth partners for the current intro offer, alongside GoodRx, Ro, WeightWatchers, LifeMD, and eMed — useful context, because it confirms the Costco price isn't a Costco-negotiated special. It's the manufacturer's national cash program, with Costco as one storefront.

Costco Wegovy Price: June 2026 Numbers

Notes that keep the table honest:

• A month of pens is 1 box of 4 pens; the pill is a 30-tablet bottle.
• The $199 intro mirrors Novo's national offer for patients new to its programs, on the 0.25 mg and 0.5 mg doses — Novo's pricing pages currently run it through June 30, 2026, and the window has been extended before.
• Because these are Novo self-pay prices, government beneficiaries (Medicare, Medicaid, TRICARE, VA) are excluded under Novo's terms even when paying cash.
• Prices can't be combined with insurance — a fill is either billed to your plan or self-paid.

If your commercial insurance actually covers Wegovy, stop here: the Wegovy savings card gets copays down to $25/month, which beats every cash program in this article.

Do You Need a Costco Membership to Get Wegovy?

For this discount — yes. Sesame frames the $349/$199 pricing as a Costco-member benefit, so budget the $65/year Gold Star membership ($130 for Executive) into the math. Spread across a year of fills, the membership adds about $5.40/month — trivial against a $1,000 saving, but it's a real gate if you weren't already a member.

Membership also discounts the care layer: Costco members get 10% off Sesame services, plus member pricing like $29 primary-care visits on the platform.

Worth knowing: you can reach the identical $349/$199 pricing with no membership at all through NovoCare's home delivery or GoodRx retail pickup — that comparison is below.

How the Sesame Prescription Works (and What It Costs)

If you need a prescriber, the Sesame layer adds its own subscription:

Success by Sesame bundles video consults with a licensed clinician, lab work, messaging, prescriptions for weight-loss medication when appropriate, and ongoing follow-up. The flow: book the virtual visit, complete any labs, and — if Wegovy is clinically appropriate — the clinician sends the prescription to your chosen Costco Pharmacy. You pay the medication price separately at pickup.

If you already have a prescriber managing your weight-loss care, you can skip the subscription entirely and just have your prescription routed to Costco. How transfers between pharmacies work — and which chains honor which cash programs — is covered in GLP-1s at pharmacies.

Wegovy at Costco: Pickup vs Delivery

The Costco route is pickup-only: your medication is sent to your local Costco Pharmacy and you collect it in store. That's a feature if you want the drug today and a warehouse run is routine; it's a drawback if the nearest Costco is 40 minutes away — Wegovy is a refrigerated product and a monthly errand.

If you want it shipped, the same money buys free scheduled home delivery from NovoCare Pharmacy, Novo's own mail-order channel, with 90-day fills available — full walkthrough in our NovoCare Pharmacy Wegovy guide.

Costco Wegovy vs NovoCare vs GoodRx

Same manufacturer pricing, three different counters:

The honest conclusion: pick the counter, not the price — the price is the same. Costco wins if you're already a member and like pickup; NovoCare wins for delivery and 90-day fills; GoodRx wins for chain flexibility (the two-tier GoodRx trap is explained in our GoodRx GLP-1 breakdown). Multi-month subscriptions through Ro, WeightWatchers, and LifeMD can drop the pen to $249-$329/month with commitment — those and every other legitimate discount are ranked in the Wegovy coupon guide, with the broader cash landscape in cheapest GLP-1.

Still more than you can spend? Yücca telehealth — online evaluation, doctor-prescribed compounded Semaglutide+ or Tirzepatide+ filled by a licensed US pharmacy, from $146/month. (Partner link: we may earn a commission, at no extra cost to you.)

Frequently Asked Questions

How much is Wegovy at Costco without insurance? $349 per month self-pay for the pens — about half the ~$1,349 list price — with new patients paying $199/month for the first two months on the starter doses. The Wegovy pill starts at $149/month.

Do you need a Costco membership to buy Wegovy at Costco? For the $349/$199 program pricing, yes — it's positioned as a member benefit (Gold Star is $65/year). The identical Novo pricing is available without a membership via NovoCare home delivery or GoodRx at other pharmacies.

Do I have to use Sesame to get the Costco price? No. Sesame is the prescription pathway if you don't have one — Success by Sesame runs from $59/month with an annual plan. With an existing valid prescription, you can self-pay at Costco Pharmacy directly.

Can I get Ozempic at Costco for $349? Yes — the program covers Ozempic at $349/month self-pay (vs ~$968 list), with the same $199 new-patient intro on starter doses. See the Wegovy guide if you're weighing the two semaglutide labels.

Does Costco deliver Wegovy? Not on this program — medication goes to your local Costco Pharmacy for in-store pickup. For free home delivery at the same price, use NovoCare Pharmacy instead.

Can Medicare or Medicaid patients use the Costco Wegovy program? No. The prices are Novo Nordisk's self-pay program, and Novo's terms exclude government beneficiaries even when paying cash. Novo has announced $50/month Medicare access starting July 1, 2026, pending CMS determination.

Last reviewed: June 13, 2026

Sources

• Costco Members Can Now Get Half-Priced Ozempic & Wegovy Prescriptions Through Sesame — Sesame
• Costco Weight Loss Program: Latest Status, Pricing & More — Sesame
• Wegovy (semaglutide) Online Pharmacy — NovoCare
• NovoCare Pharmacy — NovoCare
• Novo Nordisk Rolls Out $199 Intro Offer for Wegovy and Ozempic — Pharmaceutical Commerce
• What is the difference between each type of membership? — Costco Customer Service

References

1. WEGOVY (semaglutide) injection - Highlights of Prescribing Information. U.S. Food and Drug Administration. FDA label
2. OZEMPIC (semaglutide) injection - Highlights of Prescribing Information. U.S. Food and Drug Administration. FDA label