Costco Weight Loss Services 2026: Prices, Programs, FAQs
Latest updates on Costco's weight loss offerings: from discounted programs to pharmacy access for GLP-1 medications like Ozempic and Wegovy.
Costco, the popular warehouse club, has made significant moves in the weight loss space, partnering with telehealth provider Sesame to offer affordable access to weight management programs and GLP-1 medications like Ozempic and Wegovy. Initially launched with steep discounts, the offerings have evolved due to high demand and supply issues. While the original three-month bundled program at $179 has ended for new enrollees, current options remain cost-effective for members seeking clinical oversight, prescriptions, and discounted drugs at Costco pharmacies.
What Happened to Costco’s Original Weight Loss Program?
In 2024, Costco introduced a groundbreaking weight loss management program through Sesame, available exclusively to members. For $179 over three months ($60/month), participants received clinical oversight from weight loss specialists, prescriptions for GLP-1 drugs such as semaglutide (generic for Ozempic and Wegovy), and unlimited messaging support. This was positioned as a personalized approach, with physicians evaluating each patient’s suitability for medications or other interventions.
The program gained massive popularity amid the GLP-1 boom, but after just five months, Sesame halted new enrollments. Existing members can continue at the same $179/3-month rate with no changes to benefits, including discounted GLP-1 access. The decision was driven by overwhelming demand and supply constraints on compounded medications, though Costco members still enjoy broad Sesame discounts.
Current Weight Loss Options for Costco Members
Costco members retain access to Sesame’s services at exclusive rates. Here’s what’s available:
- $29 virtual primary care visits: Convenient consultations without insurance.
- $79 virtual therapy visits: Mental health support, crucial for sustainable weight loss.
- $72 health check-ups: Includes standard lab panels and clinician consults.
- $45/month prescription skincare: Complementary wellness add-on.
- $65/month mental health medication management: Ongoing psychiatric care.
- 10% off specialty visits: Including weight loss programs.
Sesame’s Success by Sesame weight loss program is now the go-to for new Costco members interested in structured support. Priced at $99/month, it includes video consults with licensed clinicians, lab work, unlimited messaging, and prescriptions for proven medications like GLP-1s. This is more than the original but still competitive, with a high Net Promoter Score of 82 from users.
Weight Loss Medications at Costco: Ozempic, Wegovy, and More
Costco pharmacies are a major draw, offering self-pay discounts on brand-name GLP-1 drugs without insurance:
| Medication | Cost at Costco (Self-Pay/Month) | Notes |
|---|---|---|
| Ozempic (semaglutide injection) | $349 | Originally for type 2 diabetes; widely used off-label for weight loss. |
| Wegovy (semaglutide injection) | $349 | FDA-approved for obesity; reduces ‘food noise’ and improves satiety. |
| Wegovy (pill form) | As low as $149 | Available via Sesame prescriptions; oral alternative. |
| Compounded semaglutide (via Sesame $249/mo plan) | Included in plan | Four pre-measured syringes shipped monthly; no insurance needed. |
These prices undercut competitors like Novo Nordisk’s direct $499/month option and avoid insurance denials common for weight loss use. Ozempic lowers cardiovascular risks in diabetics, while Wegovy targets obesity directly. Experts emphasize personalization: not everyone qualifies, as factors like thyroid issues affect suitability.
For non-GLP-1 options, Sesame providers may prescribe alternatives like Zepbound based on consults. Always require a valid prescription; Costco’s 800+ pharmacies make pickup easy.
How Sesame’s Partnership with Costco Works
Announced in September 2023, the collaboration expanded in 2024 to weight loss amid rising obesity concerns. Sesame connects patients to care without insurance hurdles, touting 60% prescription savings. Costco members activate via the Membership Perks page for instant discounts. The partnership’s success is evident in its world-class user satisfaction.
Success by Sesame emphasizes comprehensive care: initial assessments determine medication fit, followed by monitoring. Providers address complexities beyond ‘calories in, calories out,’ treating weight as a vital sign.
Pros and Cons of Costco’s Weight Loss Services
| Pros | Cons |
|---|---|
| Affordable without insurance | Original $179 deal ended for new users |
| Convenient pharmacy access to FDA-approved drugs | GLP-1s not suitable for all; side effects possible |
| Personalized clinical oversight | Supply shortages may affect availability |
| High member satisfaction (NPS 82) | Requires membership ($60-$120/year) |
Is Weight Loss Medication Right for You?
GLP-1 agonists like Ozempic mimic hormones to curb appetite and regulate blood sugar. Effective for obesity and diabetes, they yield 15-20% body weight loss in trials. However, they’re adjuncts to diet/exercise, with potential side effects like nausea. Consult providers rule out contraindications.
Costco’s model ‘meets people where they are’ via trusted pharmacies, reducing reliance on risky compounded versions flagged by FDA.
How to Get Started with Costco Weight Loss Services
- Verify membership: Active Costco membership required.
- Access Sesame: Visit Costco Membership Perks page to activate discounts.
- Enroll in Success by Sesame: $99/mo for full program; or book standalone visits.
- Get prescribed: Virtual consult leads to e-prescription.
- Fill at Costco Pharmacy: Self-pay Ozempic/Wegovy for $349/mo.
No insurance? Opt for Sesame’s $249/mo plan with shipped compounded semaglutide. Track progress via messaging.
Frequently Asked Questions (FAQs)
Can I still join the original $179 Costco weight loss program?
No new enrollments, but existing members continue unchanged. Switch to Success by Sesame at $99/mo.
How much is Ozempic at Costco without insurance?
$349 per month for self-pay with a prescription.
Does Costco sell Wegovy?
Yes, at $349/mo self-pay; pill version as low as $149 via Sesame.
Is a Costco membership required for these services?
Yes for discounts; non-members pay full Sesame rates.
What if I have insurance?
Sesame’s $89/mo option sends prescriptions to your pharmacy; check coverage as many plans deny weight loss use.
Are GLP-1 drugs safe?
FDA-approved when prescribed appropriately; discuss risks with a clinician.
Why Costco is Revolutionizing Weight Loss Access
As obesity affects 42% of U.S. adults, affordable options like Costco’s bridge gaps in insurance coverage. By combining telehealth and in-store pharmacies, it simplifies care. Future expansions may include more medications amid ongoing shortages.
Stay informed: Programs evolve quickly. Check Costco’s site or Sesame for updates.
References
- Costco Quietly Killed Ozempic Discounts—Here’s What We Know — Delish. 2024-10. https://www.delish.com/food-news/a64339681/costco-kills-weight-loss-management-program/
- Costco to offer weight loss program with medical partner Sesame — Yahoo Finance (YouTube). 2024-04-05. https://www.youtube.com/watch?v=a_aKspKoKlo
- Costco Weight Loss Program: Latest Status, Pricing & More — Sesamecare.com. 2024. https://sesamecare.com/blog/sesame-weight-loss-announcement
- Costco adds weight-loss drugs to its shelves — Politico. 2025-10-07. https://www.politico.com/newsletters/future-pulse/2025/10/07/weight-loss-meds-at-costco-00595880
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