Costco Weight Management Reviews
Member Program Powered by Sesame
Quick Summary
Patient Reviews
Good value for Costco members
The Success by Sesame program gave me a dedicated provider and the half-price Wegovy at Costco Pharmacy was the real draw — about $349/month versus the $700+ I'd seen elsewhere. Lab work was included in the program fee. Down 31 lbs in four months and happy with the value.
The $179 every three months made sense for me
I already shop at Costco, so a 10% member discount plus the structured three-month program felt like a no-brainer. Initial video consult was thorough, and I could message my clinician between visits. The nutritional guide was basic but useful. Wish refills were faster.
Compounded option saved me money
I don't have GLP-1 coverage, so the compounded semaglutide at around $249/month through the program was the most affordable path for me. The clinician walked me through titration and checked in regularly. Costco's pharmacy pickup was convenient since I'm there weekly anyway.
Solid program, but pricing changed
I signed up partly because of an early discount that's since been adjusted. The clinical care is genuinely good — real provider, real lab work — but read the current terms carefully before assuming the price you saw in an article still applies. The medication savings at Costco Pharmacy are the strongest part.
Liked having a dedicated clinician
Three months of clinical consultation with the same provider made a difference — it wasn't a different face every visit. Messaging access between appointments helped me manage early nausea. The Wegovy pill option at around $149/month was a nice surprise for those who'd rather not inject.
Membership perk that actually delivers
I've gotten plenty of Costco perks that I never use, but this one paid off. Half-price brand-name GLP-1 at the pharmacy counter is real savings. The Sesame side handled the prescribing and check-ins. Lost 24 lbs so far. Just note it's a member benefit, not a 24/7 telehealth app.
Costco Weight Management Highlights
Member Discount
10% off Sesame services for Costco members
Dedicated Provider
Three months of clinical consultation + messaging
Half-Price GLP-1
Wegovy/Ozempic ~$349/mo self-pay at Costco Pharmacy
Compounded Option
Compounded semaglutide from around $249/mo
Our Top Pick: For compounded GLP-1 access without a membership requirement and with transparent monthly pricing, we recommend CoreAge Rx.
Costco Weight Management In-Depth Review
Costco partnered with telehealth marketplace Sesame to offer members a structured weight management benefit, often referred to as "Success by Sesame." It combines clinical care with discounted access to GLP-1 medications at Costco Pharmacy — a notable example of a retailer using its membership model to lower the cost of weight loss treatment.
What's Included
The program provides an initial live video consultation with a clinician, three months of clinical consultation, ongoing messaging with a dedicated provider, lab work, and a nutritional guide with personalized recommendations. Costco members receive 10% off Sesame services, and the program has been billed at around $179 every three months.
Medication Pricing
The standout feature is medication savings. Members with a prescription can access Wegovy or Ozempic injections for roughly $349/month — about 50% off the traditional self-pay price — at Costco Pharmacy. The Wegovy pill has been available from around $149/month, and for those without insurance, compounded semaglutide is offered for about $249/month.
A Note on Changing Terms
Pricing and discount structures for the Costco–Sesame program have shifted over time since its 2024 launch, and early promotional rates have been adjusted. Always confirm the current program fee, member discount, and medication pricing directly before enrolling, as published figures can lag behind the live offer.
Who It's Best For
Costco Weight Management makes the most sense for existing Costco members who want clinically supervised weight loss with meaningful savings on branded GLP-1 medications at the pharmacy counter. The member discount and half-price injections are the strongest draws. It is a member benefit rather than a standalone 24/7 telehealth platform.
Bottom Line
Costco Weight Management is a genuinely good value for members who want branded GLP-1 savings paired with clinical support. But it requires a Costco membership and a three-month commitment. For compounded GLP-1 access with no membership requirement and transparent monthly pricing, CoreAge Rx is our top recommendation.
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