Ozempic Price at Costco (2026)

How Much Does Ozempic Cost at Costco in 2026?

The typical cash price for brand-name Ozempic at Costco pharmacies in 2026 is approximately $890 per monthfor a monthly pen (all doses: 0.25mg, 0.5mg, 1mg, 2mg). This is about $45 below Novo Nordisk's 2026 wholesale acquisition cost of $935.77 and roughly $60 below average CVS/Walgreens pricing — making Costco the cheapest large-chain retail option for brand Ozempic.

Costco is able to undercut rivals because its pharmacy operates on razor-thin margins as a member-loyalty driver rather than a profit center. Important: by federal law, Costco pharmacies must serve non-members — you do not need a Costco card to fill an Ozempic prescription. Simply walk in and identify yourself as a non-member at the pharmacy counter.

Prices vary slightly by state. Costco warehouses in Washington, Oregon, and Texas often quote in the $880–$895 range, while Northeast and California locations can reach $895–$905. Call your nearest Costco pharmacy directly to confirm current cash pricing before transferring a prescription.

Costco Ozempic Cost With Insurance (2026)

With commercial insurance, Costco Ozempic copays typically range from $25 to $150 per monthdepending on your plan's formulary tier, preferred vs. non-preferred status, and whether step therapy applies. Preferred-tier plans stacked with the NovoCare savings card can reduce out-of-pocket to $25/month.

High-deductible health plan enrollees pay the full $890 cash price (which is already lower than most chains) until meeting their deductible. Medicare Part D plans cover Ozempic for type 2 diabetes only at Costco, with typical copays $40–$95/month. Weight-loss coverage through Medicare for Wegovy/Zepbound begins July 2026 under the federal bridge program.

Can You Use the NovoCare Savings Card at Costco?

Yes.The NovoCare Ozempic Savings Offer — which can reduce eligible commercially insured patients' copays to as little as $25/month for up to 24 months — is accepted at all Costco pharmacies nationwide. Enrollment is free at NovoCare.com with a valid Ozempic prescription.

Eligibility is limited to patients with commercial (private) insurance that covers Ozempic. Medicare, Medicaid, TRICARE, VA, and other government-funded program enrollees are not eligible. The savings card cannot lower the cash price for uninsured patients — it only offsets copays on existing commercial coverage.

Cheaper Alternatives to Ozempic at Costco

Even at Costco's industry-leading $890/month cash price, several FDA-approved alternatives cost less:

• Compounded semaglutide ($200–$400/month): Available via telehealth providers (not retail pharmacies). FDA enforcement against compounders has intensified in 2025–2026.
• Zepbound via LillyDirect ($349/month):Eli Lilly's self-pay program ships tirzepatide directly to patients. Clinical trials suggest stronger weight loss than semaglutide.
• Oral Wegovy ($149/month):Novo Nordisk's daily semaglutide tablet available direct-to-consumer. Same active ingredient as Ozempic in pill form.

See more options in our Ozempic savings programs guide and Ozempic without insurance breakdown.