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 — an offer Novo now runs through December 31, 2026 — and the Wegovy pill runs $149/month at the 1.5 mg starting dose, $299/month once you reach the 25 mg maintenance dose. 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.

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Costco Wegovy Price: August 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 the Wegovy Savings Offer or NovoCare Pharmacy, on the 0.25 mg and 0.5 mg doses. It covers 2 monthly fills, and Novo's current price guide runs it through December 31, 2026 — the window has already been extended once, from June 30.
• Sesame advertises a flat $349 for both drugs. Novo's own price guide is more granular: $349 covers Wegovy 0.25-2.4 mg and Ozempic 0.25-1 mg, while Ozempic 2 mg is $499 and Wegovy HD 7.2 mg is $399. Confirm the price for your exact dose at the pharmacy counter before you plan around $349.
• 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.
• The list prices in the right-hand column are Novo's own published WAC: $1,349.02 per Wegovy package (any strength, pen or bottle) and $1,027.51 per Ozempic pen or 30-tablet bottle. On February 24, 2026 Novo announced it will drop the list price of Wegovy and Ozempic to $675/month effective January 1, 2027, and stated the change does not affect self-pay prices — so it moves the coinsurance math for insured patients, not the $349.

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.

Wegovy Pill at Costco: Price by Dose

"$149 Wegovy pill" is the headline number, and it is real — for your first 30 days. Wegovy tablets titrate through four strengths, and the self-pay price climbs with the dose. Novo's own price guide, checked August 2026:

So the honest sticker on the pill is $299/month at the dose you actually stay on, not $149. Sesame's Costco page phrases it as "as little as $149 per month," which is the 30-day starting dose.

Start now and run twelve months at these prices: the pill costs $149 + $199 + ten months at $299 = $3,338, against $199 + $199 + ten months at $349 = $3,888 for the pens. The pill saves roughly $550 in year one and $50/month at maintenance — real money, but not the 50%-off story the starting price implies.

Two things to weigh before you switch formats on price alone:

• The tablets are a daily routine with rules. One tablet, once a day, on an empty stomach, with no more than 4 ounces of plain water, then nothing to eat, drink or swallow for at least 30 minutes. The pens are one injection a week.
• 25 mg is the maintenance dose, and Wegovy's label directs patients who cannot tolerate it to switch to the 1.7 mg injection rather than sit at a lower tablet dose.

The Wegovy pill is dispensed as a 30-tablet bottle, and Novo counts that bottle as one month for both the self-pay price and the $25 commercial-copay offer.

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. If you hold the Executive tier ($130/year) or the Costco Anywhere Visa, Sesame says you earn an extra 2% reward on the medication purchase — on twelve $349 fills that is $83.76 a year, which more than covers the $65 Executive upgrade.

One distinction people get wrong: Costco Pharmacy itself is not members-only. Costco's own customer service states you don't need to be a member to buy Costco Pharmacy prescriptions, online or in the warehouse. What the membership gates is the Sesame-brokered program pricing and the Sesame discounts — not the pharmacy counter.

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.

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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 (that offer runs through December 31, 2026). The Wegovy pill is $149/month at the 1.5 mg starting dose and $299/month at the 25 mg maintenance dose.

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). Costco Pharmacy will fill a prescription for a non-member — Costco says so directly — but the program price is marketed to members. The identical Novo pricing is available without a membership via NovoCare home delivery or GoodRx at other pharmacies.

How much is the Wegovy pill at Costco? $149/month for the 1.5 mg starting dose, $199/month at 4 mg (that dose is $149 through August 31, 2026), and $299/month at both 9 mg and the 25 mg maintenance dose. Budget $299/month for the dose you stay on, not $149.

Can I get the Wegovy pill instead of the pens at Costco? Yes — the tablets are a separate prescription your clinician writes, dispensed as a 30-tablet bottle. Sesame lists the Wegovy pill alongside the injections for Costco members. At maintenance it runs $50/month less than the pens, in exchange for a daily empty-stomach dosing routine.

Is the $199 Costco price still available? Yes as of August 2026. Novo's current price guide runs the $199 introductory price for 2 monthly fills through December 31, 2026, for patients new to the Wegovy Savings Offer or NovoCare Pharmacy, on the 0.25 mg and 0.5 mg doses only.

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 for the 0.25, 0.5 and 1 mg pens (vs $1,027.51 list), with the same $199 new-patient intro on starter doses. Novo prices the 2 mg pen at $499/month, so check your dose. 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. There is now a separate route: the Medicare GLP-1 Bridge, a CMS demonstration running July 1, 2026 through December 31, 2027, puts Wegovy (injection or tablet) at a $50/month copay for eligible Part D enrollees, with no enrollment step. Eligibility runs on BMI (35+, or 30+ with certain heart, blood-pressure or kidney conditions, or 27+ with prediabetes or a prior cardiovascular event) — and it excludes people whose plan already covers a GLP-1 and people with type 2 diabetes, sleep apnea or fatty liver disease, who are supposed to get coverage through the plan itself.

Last reviewed: August 21, 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
• Do I need a membership to purchase prescription drugs? — Costco Customer Service
• Wegovy pen, HD pen and pill price guide (PDF) — NovoCare
• Ozempic pill and pen price guide (PDF) — NovoCare
• Wegovy list price (WAC) — Novo Nordisk pricing
• Ozempic list price (WAC) — Novo Nordisk pricing
• Novo Nordisk announces significant reduction in US list price for Wegovy, Ozempic and Rybelsus, February 24, 2026 — Novo Nordisk
• Medicare Part D information: $50/month Wegovy and the Medicare GLP-1 Bridge — Wegovy.com
• Medicare GLP-1 Bridge: GLP-1 drugs for $50 a month (PDF fact sheet) — Medicare.gov

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