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How much does Costco GLP-1 cost? A detailed breakdown for members

4 min read

As of October 2025, Costco members paying out-of-pocket can access a discounted rate on select GLP-1 medications like Ozempic and Wegovy. This partnership with drugmaker Novo Nordisk directly answers the widespread question: how much does Costco GLP-1 cost?.

Quick Summary

Costco members with a valid prescription can purchase a four-week supply of Ozempic or Wegovy for $499 through the Member Prescription Program, but this price is for self-pay customers and not covered by insurance. This discounted rate was announced in October 2025 as a new benefit for members.

Key Points

  • $499 Monthly Price: For self-paying members with a prescription, a 4-week supply of Ozempic or Wegovy is $499.

  • Membership is Required: You must be a Costco member and enrolled in the Member Prescription Program to access the discounted rate.

  • Significant Savings: The $499 price is a considerable reduction from the typical out-of-pocket list price, which can exceed $1,000 per month.

  • Branded and FDA-Approved: The offer is for authentic, FDA-approved Ozempic and Wegovy, not for unapproved compounded versions.

  • Additional Member Discounts: Executive Members and Citibank Visa cardholders may qualify for an extra 2% back on their pharmacy purchases.

  • Cash Pay Only: The $499 offer applies to self-paying customers; the cost will vary for those using insurance.

  • Available Elsewhere: The $499 manufacturer's price is also offered at other retailers like CVS and Walmart, and on Novo Nordisk's website.

In This Article

The $499 Price Point: What Members Pay Out-of-Pocket

For Costco members paying out-of-pocket, the price for popular GLP-1 medications Ozempic and Wegovy is set at $499 for a four-week supply. This significant discount is made possible through a strategic partnership between Costco and Novo Nordisk, the pharmaceutical company that manufactures both drugs. To access this pricing, members must have a valid prescription from a healthcare provider and fill it at one of the participating Costco pharmacies.

This offer is specifically designed to provide a more accessible price point for individuals who are not covered by their insurance plans for these medications. Since many insurance providers do not cover GLP-1s for weight management, a large segment of the population pays full price, which can often be prohibitive. The $499 price represents a substantial reduction from the drugs' typical list prices, making a difference for many cash-paying patients seeking treatment. For example, the list price for Ozempic can be twice as high, and Wegovy's list price is even higher.

The Role of Membership in Getting Discounts

Accessing the $499 price at Costco requires an active Costco membership. This benefit is extended to members who are enrolled in the Costco Member Prescription Program. The program leverages Costco's bulk purchasing power to secure lower prices on prescription medications for its members, much like it does for other retail goods.

Beyond the standard membership, Costco offers additional benefits for certain cardholders:

  • Executive Members: Members with an Executive membership receive an additional 2% cash back reward on eligible pharmacy purchases, including GLP-1 medications, subject to program terms.
  • Costco Citibank Visa Cardholders: Those who use the co-branded credit card for their purchases can also earn extra cash back, providing another layer of savings.

These combined benefits incentivize members to utilize Costco's pharmacy services, reinforcing the company's value proposition. However, it is crucial for members to check the specific terms and conditions for both the membership tier and credit card perks to understand how much they can save on their prescriptions.

Comparing Costs: Costco's GLP-1 vs. Other Options

When considering medication costs, it is helpful to compare Costco's pricing with other available options, including brand-name alternatives and compounded versions. This comparison helps illustrate where Costco’s offer sits in the broader market.

Branded vs. Compounded Medications

  • Brand-Name GLP-1s (Ozempic/Wegovy): Costco's $499 price is for the FDA-approved, authentic medications produced by Novo Nordisk. This price is notably lower than the drugs' typical list prices, which can be over $1,000 per month. The FDA-approved status means these products have undergone rigorous testing for safety, purity, and efficacy.
  • Compounded GLP-1s: These are non-FDA-approved alternatives prepared by specialized pharmacies. They can be significantly cheaper, with some telehealth providers offering versions for $199-$400 per month. However, these compounded drugs are not the same as their branded counterparts and have not been reviewed by the FDA for safety or effectiveness. They may also use different active ingredient formulations, such as semaglutide salts instead of the base compound, which is a key distinction.

Costco vs. Other Retailers

It is also important to note that Costco is not the only place offering this $499 deal for brand-name GLP-1s. Novo Nordisk has expanded the same self-pay offer to its direct-to-consumer website, NovoCare Pharmacy, and other major retailers like CVS and Walmart. This indicates a broader strategy by the manufacturer to increase access and market share for its branded products amid competition from compounded versions and other emerging weight loss treatments.

Cost Comparison Table

Medication Type Retailer/Provider Cost for 4-Week Supply Notes
Brand-Name GLP-1s (Self-Pay) Costco Pharmacy $499 Requires valid prescription and Costco membership
Brand-Name GLP-1s (Self-Pay) NovoCare, CVS, Walmart $499 Manufacturer's self-pay offer, requires prescription
Brand-Name GLP-1s (List Price) Standard Retail Pharmacy $900-$1,500+ Price without insurance or discounts
Compounded Semaglutide Telehealth Providers (e.g., Mochi Health) $99-$400 Not FDA-approved, may use different formulations

How to Get Started with GLP-1 Medications at Costco

If you are interested in acquiring FDA-approved GLP-1s through Costco's program, here is a simple guide:

  1. Consult a Healthcare Provider: Your first step is to speak with a doctor or endocrinologist. They will assess your health, determine if a GLP-1 medication like Ozempic or Wegovy is appropriate for you, and provide a valid prescription.
  2. Ensure Costco Membership: Verify that your Costco membership is current. If not, you will need to sign up to access the pharmacy program's benefits.
  3. Enroll in Member Prescription Program: Enroll in the free Costco Member Prescription Program (CMPP) to take advantage of the discount.
  4. Fill Prescription: Present your valid prescription at a Costco pharmacy to fill your medication. Make sure to specify that you will be paying out-of-pocket to receive the $499 rate.
  5. Utilize Cardholder Benefits (Optional): If you are an Executive Member or have a Costco Citibank Visa card, ensure you use the associated card to qualify for any additional cash back rewards.

Important Considerations

While Costco's discounted offer is a positive development for many, it is not a magic solution to the affordability crisis of GLP-1s. The $499 monthly price, while lower, is still out of reach for a significant portion of the population. It is essential to discuss your financial situation and treatment options thoroughly with your healthcare provider to find the most suitable path for you. The difference between branded and compounded medications is also a critical factor, and patients should be aware of the varying regulatory statuses and risks involved.

Conclusion

For cash-paying members seeking FDA-approved GLP-1 medications, Costco's $499 monthly price for Ozempic and Wegovy provides a welcome, discounted option. The offer, a result of a direct partnership with Novo Nordisk, makes these highly-sought-after drugs more accessible than their standard list prices. While this is a significant step towards addressing cost barriers, it does not solve the broader issues of insurance coverage and overall affordability. Patients should consult their doctor, consider all their options, including potentially cheaper but less regulated compounded alternatives, and understand the terms of the Costco membership program before proceeding with a purchase.

Frequently Asked Questions

A four-week supply of either Ozempic or Wegovy costs $499 for a Costco member who is paying out-of-pocket and has a valid prescription.

Yes, to take advantage of the $499 price, you must be a Costco member and enrolled in the free Costco Member Prescription Program.

The $499 price is for self-paying customers. If you have insurance, the final cost will depend on your specific plan's coverage, copayments, and deductible.

The GLP-1 medications offered at Costco under this program, Ozempic and Wegovy, are the authentic, FDA-approved brand-name versions manufactured by Novo Nordisk.

Yes, Costco Executive Members who purchase eligible prescriptions can receive an additional 2% cash back, subject to program rules.

Yes, Novo Nordisk also makes the $499 self-pay offer available through its own website (NovoCare) and at other major retailers, including CVS and Walmart.

You must first obtain a valid prescription from your healthcare provider. You can then fill the prescription at any Costco pharmacy that carries the medication, ensuring your membership is active.

Compounded GLP-1 versions are not FDA-approved and do not undergo the same testing for safety and efficacy as brand-name drugs, allowing them to be sold at a lower cost.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.