As of 2025, the cash price for Ozempic at Costco ranges from $850 to $1,050 per month, depending on your dosage and location. This includes one prefilled pen with four once-weekly doses, typically enough for …

How much is Ozempic at Costco?
As of 2025, the cash price for Ozempic at Costco ranges from $850 to $1,050 per month, depending on your dosage and location. This includes one prefilled pen with four once-weekly doses, typically enough for 28 days of treatment.
Costco’s pharmacy is known for offering competitive prices, and you do not need a membership to use their pharmacy services in most states.
1. Ozempic pricing at Costco (no insurance)
Here’s a general estimate of what you might pay without insurance:
- 0.25 mg / 0.5 mg dose pen: ~$850–$950/month
- 1 mg dose pen: ~$950–$1,050/month
- 2 mg dose pen: May be higher depending on availability
Ozempic (semaglutide) is a prescription-only injectable used for Type 2 diabetes and increasingly for off-label weight loss, though it’s not FDA-approved for that use.
2. Do you need a Costco membership?
No—you don’t need to be a Costco member to fill prescriptions at their pharmacy in most U.S. states. Simply bring your Ozempic prescription and valid ID to the pharmacy counter.
However, if you are a Costco member, you may access additional discounts through their Costco Member Prescription Program (CMPP).
3. Insurance coverage at Costco
If you have private/commercial insurance and a diagnosis of Type 2 diabetes, you may be able to:
- Use the Ozempic savings card for a $25/month copay (if eligible)
- Use Costco’s pharmacy to bill your plan directly
- Submit for reimbursement through your insurer if needed
If you’re using Ozempic off-label for weight loss, most insurance plans won’t cover it, and the savings card won’t apply.
4. How to save on Ozempic at Costco
If you’re paying out of pocket, consider these savings tips:
- Ask your provider about lower starting doses, which may cost less
- Compare cash price at Costco vs. other pharmacies
- Consider switching to Wegovy (FDA-approved for weight loss), which may have better insurance support
- Ask your urgent care or weight loss clinic about compounded semaglutide, which may cost only $250–$400/month
These compounded versions are not FDA-approved but are commonly prescribed by licensed providers when name-brand Ozempic is unaffordable or out of stock.
5. Supply may be limited
Due to high demand, Ozempic is often on backorder at many locations. Costco tends to have better supply consistency, but it’s best to:
- Call ahead and ask for availability
- Be flexible with your pickup location
- Consider joining a waitlist if it’s out of stock
Urgent care providers can sometimes connect you with compounding pharmacies if brand-name supplies are unavailable.
Final thought
Ozempic costs about $850 to $1,050/month at Costco without insurance, but prices can vary by dose and state. You don’t need a Costco membership to use their pharmacy, and you can often find better pricing there than at other retail chains. If you’re using Ozempic for weight loss, talk to a provider about safe and more affordable alternatives.
If symptoms get worse or don’t improve, visit your local urgent care provider for professional evaluation.
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