Weight-loss drugs such as Ozempic and Wegovy linked to rare vision loss cases
Health & Business

Costco Ozempic $499: Half Price GLP-1 Deal Still “Out of Reach” for Many, Doctors Say- Calculate Your Savings

Interactive tool to understand pricing, coverage, and safety considerations for Wegovy and Ozempic at Costco pharmacies

Costco shoppers can now access popular weight-loss medications Wegovy and Ozempic for $499 per four-week supply without insurance through a new partnership with Novo Nordisk, maker of these FDA-approved medications. While this represents roughly half the typical retail price, experts warn the cost remains out of reach for many who need these medications most. Understanding your options requires navigating insurance coverage rules, safety considerations around potential side effects, and FDA warnings about compounded alternatives.

Calculate Your Monthly Cost

Select Your Coverage Status

💳
No Insurance / Self-Pay
Paying out-of-pocket without coverage
🏥
Insured
Have private or employer insurance

Price Comparison: Costco vs. Traditional Retail

Purchase Option Monthly Cost Savings
Costco Self-Pay Program $499 Save ~50%
Traditional Retail (No Insurance) $1,000-$1,600
With Insurance Coverage $25 average Best Value
CVS, Walmart & Other Retailers $499 Varies by location

Check Which Indications May Be Covered

Select your primary condition to see typical coverage status. Coverage varies by state and plan.

Obesity/Weight Management
BMI ≥30 or BMI ≥27 with related conditions
Type 2 Diabetes
Blood sugar management with Ozempic
Cardiovascular Disease
Reduce risk of heart attack/stroke with Wegovy
Liver Disease (MASH)
Noncirrhotic MASH with fibrosis
⚠️ Important Safety & Access Information
A prescription is required for all GLP-1 medications. The FDA declared the semaglutide shortage resolved on February 21, 2025, and provided grace periods for compounding pharmacies (until April 22, 2025 for 503A pharmacies and May 22, 2025 for 503B facilities) to stop compounding copies of FDA-approved products. Avoid unverified compounded drugs or social media “GLP-1 patches” that may pose safety risks. Common side effects include nausea, diarrhea, and constipation. Learn more about treatment effectiveness and potential risks.

The Costco program increases access points for GLP-1 medications beyond traditional pharmacies and telehealth services. According to recent state Medicaid updates, coverage continues for FDA-approved indications including cardiovascular risk reduction with Wegovy, and as of August 2025, treatment of noncirrhotic MASH with moderate to advanced fibrosis, even as some states discontinue obesity-only coverage. The availability of the $499 self-pay option was announced alongside ongoing clinical development of oral GLP-1 formulations. For more context on medication effects, see information about dosing safety considerations.

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