semaglutide through Costco / Success by Sesame

$208

a month all-in, once titrated

✓ verified 2026-09-05

Last updated 2026-09-05 — the price on this page. Read and dated by Alex Seot.

Can you get semaglutide through Costco / Success by Sesame, and what does it cost?

Costco / Success by Sesame supplies semaglutide as the branded, FDA-approved product. halfrx records $208 a month all-in once titrated, added by halfrx on 2026-09-05 from the membership fee and the medication price it publishes separately. That is the maintenance figure rather than an introductory rate, because the starting dose is not the dose anyone stays on. It is not the only route: halfrx records 5 verified ways to buy semaglutide, and 4 of them are cheaper — the lowest at $99 a month. Nothing sits on Costco / Success by Sesame's public record here: no FTC action, no state action, no failing BBB grade and no matched FDA warning letter. The commitment is month to month.

What Costco / Success by Sesame gets right, and what it does not

Each line is read from a cited source rather than from a reviewer's impression, and these are Costco / Success by Sesame's own — nothing here is shared with the other sellers of this molecule.

+Flat price that does not escalate with dose — at maintenance doses this beats the dose-scaled programmes it looks expensive against.
+Branded Wegovy injection, the formulation with the stronger trial record than the pill.

−$408 is the second-highest flat price tracked.
−Requires a paid Costco membership on top.
−Cash only, no insurance route.

What semaglutide does, on the trial evidence

14.9% average weight loss in STEP 1, Study 2 on the label (NCT03548935), 68 weeks: 14.9% mean weight loss at 2.4 mg against 2.4% on placebo, intention-to-treat., the trial behind Wegovy, the approved product built on this molecule.

FDA status of the approved product: FDA approved for cardiovascular risk reduction, chronic weight management from age 12, and noncirrhotic MASH with moderate to advanced liver fibrosis at stages F2 to F3 — the last under accelerated approval, which the label says may be contingent on a confirmatory trial., since 2021-06-04.

List price of the approved product is $1,349 a month, against $208 here — a gap of $1,141 a month, or $13,692 a year, which is the whole reason this route exists.

Which products semaglutide is sold as, and what each costs direct

Product	Direct price	Maintenance dose	Checked
Ozempic	$199	0.5 mg to 2 mg once weekly	2026-06-10
Wegovy pill	$299	—	2026-09-04
Wegovy	$349	2.4 mg once weekly, or 1.7 mg	2026-08-19

Costco / Success by Sesame publishes one figure covering all 3 of these, which is why this page is keyed on the molecule rather than a brand: a per-brand page would be repeating the same verified number under 3 different titles.

What you are actually buying each month

Ozempic

One injection a week. The label puts 5 weeks between the first dose and the maintenance dose, so an advertised monthly figure buys a starting dose for the first few months and the maintenance dose after that — which is why the price above is the maintenance one.

Weeks	Dose	Note
1–4	0.25 mg	Initiation. Not a dose for glycaemic control.
5–8	0.5 mg	—
9–12	1 mg	Also the dose used for kidney and cardiovascular risk reduction.
13 and on	2 mg	Only if more glycaemic control is needed.

Maintenance: 0.5 mg to 2 mg once weekly. FDA prescribing information for Ozempic (semaglutide) injection, diabetes label

Wegovy

One injection a week. The label puts 17 weeks between the first dose and the maintenance dose, so an advertised monthly figure buys a starting dose for the first few months and the maintenance dose after that — which is why the price above is the maintenance one.

Weeks	Dose	Note
1–4	0.25 mg	Initiation.
5–8	0.5 mg	—
9–12	1 mg	—
13–16	1.7 mg	Also a permitted maintenance dose.
17 and on	2.4 mg	The recommended maintenance dose; 1.7 mg is the alternative if 2.4 is not tolerated.
21 and on, optional	7.2 mg (Wegovy HD)	Weight reduction in adults only: after at least 4 weeks tolerated at 2.4 mg, and only if more weight reduction is clinically indicated. Not a dose for cardiovascular risk reduction; not established under 18 or in MASH.

Maintenance: 2.4 mg once weekly, or 1.7 mg. FDA prescribing information for Wegovy (semaglutide)

Why Costco / Success by Sesame rather than the cheapest route

Computed for this seller against every other verified route to the same molecule, so it is a different answer on every one of these pages.

Where it sits on price: 5th of 5 verified routes, $109 a month above Strut Health at $99 — $1,308 over a year, which is the number the choice actually turns on.
Like for like: 1 of the cheaper routes is the same kind of product — Ozempic — so the gap is not explained by brand versus compounded.
What leaving costs: Month to month, so leaving costs one month.
What the money buys besides the drug: Care model: pharmacy. Where a direct-from-maker route is cheaper, that is the difference being paid for — a pharmacy ships a box, a provider also employs the clinician who writes the script.

Other verified routes to semaglutide

The pages ranking for this question cover one seller. Cheapest first, each with the date it was read.

Route	A month	What it is	Checked
Strut Health	$99	compounded, not FDA approved	2026-09-04
Mochi Health	$178	compounded, not FDA approved	2026-08-19
Compounded semaglutide	$199	compounded, not FDA approved	2026-06-10
Ozempic	$199	direct from the maker	2026-06-10

Go to Costco / Success by Sesame ↗

Everything on Costco / Success by Sesame

Ozempic cost without insurance →Is Costco / Success by Sesame legit? →Costco / Success by Sesame terms and sources →Everything ranked by price →

This page exists only where Costco / Success by Sesame actually supplies semaglutide in the same form the medication is sold in — sharing a molecule is not the same as selling the product. Every figure carries its source and the date it was read.