Provider

Costco / Success by Sesame

Item: Costco / Success by Sesame
Rating: 5.9
Author: halfrx

$59 a month of care on a 12-month commitment, plus medication from $149 — Sesame's public program, the same page anyone reaches.

All-in, per month

$208

estimated 2026-09-22 — the seller publishes no single all-in figureVisit Costco / Success by Sesame ↗

Medication: brand
Commitment: 12-month
Insurance: insurance option
Price checked: 2026-09-22

Read from Sesame's Costco pages on 5 September 2026. The Costco member perk list is $29 for a virtual primary care visit, $79 for therapy, $99 a month for fertility, $72 for a health check-up, $45 a month for skincare, $49 a month for women's health, $65 a month for mental health medication, plus 10% off other services — and it contains no weight-loss or GLP-1 price at all. The weight-loss link on the Costco page goes to Sesame's ordinary public program, $59 a month for care plus medication from $149 a month, which is the same page a non-member reaches. Read 13 September 2026, that page reads "labs & messaging for as low as $59/mo" and "Cash-pay GLP-1 medications as low as $149/mo"; rendered in a browser, the same page reads "$59 /mo* for care + medication from $149/mo (paid separately)". Every one of those pages carries Sesame's own line that "The site is operated by Sesame, not by Costco." So there is no Costco-exclusive weight-loss price. The $408 held here until today was a tracker figure with nothing behind it, and the $208 this page supports replaced it on 5 September 2026.

What this page used to say

2026-09-11 — A point in its favor that no longer stood, withdrawn. Was: Flat price that does not escalate with dose — at maintenance doses this beats the dose-scaled programs it looks expensive against.
2026-09-11 — A drawback that no longer stood, withdrawn. Was: Requires a paid Costco membership on top.
2026-09-11 — Scored on a starting price, as month-to-month and cash only. Was: $208 a month all-in once titrated, month-to-month, cash only. Now: $59 of care on a 12-month commitment plus medication from $149, with no maintenance price published; insurance accepted for the medication.
2026-09-11 — A con quoting a price the card no longer holds. Was: $408 is the second-highest flat price tracked. Now: $208 a month all in — a $59 membership plus medication from $149 — and the medication half is a starting price, so higher doses cost more.
2026-09-11 — A drawback that no longer stood. Was: Cash only, no insurance route. Now: Sesame's page says insurance is accepted for weight-loss medications, so the cash figure is not the only route.
2026-09-06 — Our daily price check now reads a page that publishes the price. Was: The price check read the brand's own homepage, which carries no figure. Now: https://sesamecare.com/service/online-weight-loss-program.
2026-09-05 — Whether there is a Costco weight-loss price, and what it is. Was: Flat. Requires Costco membership. $408 a month. Now: Costco's perk list carries no weight-loss or GLP-1 price; the weight-loss link goes to Sesame's ordinary public program at $59 a month for care plus medication from $149 a month.

Every correction on this site, dated →

How this monthly figure is built

$59membership — their pricing page

+ $149cheapest published medication tile, read 2026-09-05 — source

$208a month, all in

Costco / Success by Sesame does not publish this total. Its own page quotes the membership only — medication is billed separately, so we add the two and show both sources.

What does Costco / Success by Sesame actually charge?

halfrx records Costco / Success by Sesame at $208 a month all-in, an estimate made on 2026-09-22, because the seller publishes no single all-in figure of its own. What it costs once titrated is not published, which is a fact about the seller rather than a gap in the data. It commits you for 12 months. No FTC action, state action, BBB F grade or FDA warning letter is recorded against it. It scores 5.9 out of 10 on a published formula that is arithmetic over the facts on this page, not an editor's opinion. Insurance is optional here, so the cash figure and the covered figure are different questions. The medication is the branded, FDA-approved product rather than a compounded copy. It supplies the prescription; sourcing the medication is left to you. The page rests on 3 cited sources, at least one of them a manufacturer, regulator or journal. Molecule: semaglutide.

What it has cost

Down $200 a month since 2026-06-10

1 approved change, each checked by a person against its source.

2026-09-05Sesame's own page, $59 care plus $149 medication, read 2026-09-05 → $208

No clinician has reviewed this page. Label and trial statements are quoted from the FDA label or the trial cited beside them. General guidance is marked as such, and every price carries the date it was verified. That is sourcing, not medical review. What we do and do not check · Who checked the price

Maintenance price unpublishedMedication billed on top of membershipPrice estimated

What is good about Costco / Success by Sesame?

+Branded Wegovy injection, the formulation with the stronger trial record than the pill.[1]

What are the downsides of Costco / Success by Sesame?

−$208 a month all in — a $59 membership plus medication from $149 — and the medication half is a starting price, so higher doses cost more.[1]
−Sesame's page says insurance is accepted for weight-loss medications, so the cash figure is not the only route.[1]

How this score is built

0.0/2.5Cost — publishes titration pricing only — what you pay once titrated is not published, so no points
2.5/2.5Medication — FDA-approved branded medication
0.8/1What they supply — strongest molecule offered: semaglutide
0.0/1Commitment — twelve-month contract
0.6/1Care around the prescription — a clinician writes the prescription, with little program around it
2.0/2Conduct — no penalties on file

The full formula →

The public record

Lawsuits, regulator actions, FDA warning letters and BBB grade, each with the document behind it. Is Costco / Success by Sesame legit? →

Sources

[1] Sesame for Costco members — perk list, no weight-loss priceprimary archived 2026-05-19
[2] Success by Sesame weight loss — $59/mo care plus medication from $149/moprimary archived 2026-08-05
[3] GLP-1 Telehealth Price Report 2026secondary

Visit Costco / Success by Sesame ↗

Information only, not medical advice. Prices and terms change; the date above is when we last verified this one.

The registers and documents behind this page

The public record on Costco / Success by Sesame is the result of searching these. They are named so the search can be repeated.

Warning letters, U.S. Food and Drug Administration — The register searched for every seller on this site. A letter found here is linked from the seller's page to the original.
Cases and proceedings, Federal Trade Commission — The register searched for advertising and billing actions against a seller.