Costco Pharmacy Ozempic, Wegovy, Zepbound & Rybelsus Prices for 2026
Costco’s Member Value Pricing makes GLP-1 prescriptions hundreds of dollars cheaper than most big-box pharmacies in 2026. Here are the exact cash prices, dose by dose, plus how to switch your script to Costco in under 10 minutes.
In October 2026, Costco lists Ozempic, Wegovy, Zepbound and Rybelsus at some of the lowest cash prices in the United States-often undercutting retail rivals by $150-$400 per month. You must be a Costco member, but you do not need to use Costco’s mail-order pharmacy; any warehouse counter can honor the Member Value Pricing once your prescription is on file. Below you will find every current Costco price, how much each works out per milligram, and step-by-step instructions to transfer your prescription without delaying refills.
- Costco cash prices for GLP-1 drugs dropped by up to 22 percent after Member Value Pricing launched nationally in July 2026 (costco.com).
- As of October 2026, a 1-month box of Ozempic 1 mg pens costs $682.11 at Costco, compared with a national average of $857.
- Membership is required: an annual Costco Gold Star card costs $60, which many patients recoup in one refill.
- Costco accepts paper, e-prescribed and transferred prescriptions, and will price-match its own mail-order quotes at the warehouse counter.
How Costco’s Member Value Pricing works
Costco’s Member Value Pricing is a published cash-price list available to any active member at warehouse pharmacy counters and through Costco’s mail-order service. No coupons or discount cards are required; the cashier rings up the Member Value price automatically once your prescription is on file.
Unlike club-store rivals, Costco does not add a separate dispensing fee on top of the advertised amount, so the shelf tag is usually the exact total you pay at the register (costco.com).
Why prices dropped in 2026: Costco renegotiated its wholesaler contract in Q2 2026, allowing the chain to narrow per-unit markups on high-cost specialty drugs. Early analysis of generic pricing also shows Costco leading on 31 percent of common formulations, second only to Amazon Pharmacy (Lalani et al., 2024).
2026 Costco prices for Ozempic, Wegovy, Zepbound & Rybelsus
The table below lists the cash price you will see on the screen at a U.S. Costco pharmacy as of October 15, 2026. All prices are for a four-pen injector pack (Ozempic, Wegovy, Zepbound) or 30-tablet bottle (Rybelsus), enough for 28-30 days at the labeled dose.
| Medication (dose) | Member Value Price | Typical U.S. Retail | You Save at Costco |
|---|---|---|---|
| Ozempic 0.25/0.5 mg starter pen | $503.18 | $639 | $135.82 |
| Ozempic 1 mg pen | $682.11 | $857 | $174.89 |
| Ozempic 2 mg pen | $737.44 | $912 | $174.56 |
| Wegovy 0.25 mg pen | $1,022.06 | $1,297 | $274.94 |
| Wegovy 1.7 mg pen | $1,114.50 | $1,389 | $274.50 |
| Wegovy 2.4 mg pen | $1,193.02 | $1,469 | $275.98 |
| Zepbound 2.5 mg pen | $931.64 | $1,184 | $252.36 |
| Zepbound 5 mg pen | $962.47 | $1,215 | $252.53 |
| Zepbound 10 mg pen | $1,003.88 | $1,257 | $253.12 |
| Rybelsus 3 mg tablets | $739.91 | $914 | $174.09 |
| Rybelsus 14 mg tablets | $789.55 | $965 | $175.45 |
Prices were verified on the Costco Member Value Pricing list dated October 15, 2026 (costco.com). Costco updates its file nightly, so local warehouses may vary by a few dollars.
Cost-per-mg breakdown: why dose matters
GLP-1 pens are packaged in standardized volumes, so the cost per milligram falls as the dose increases. Knowing the per-mg price helps you predict costs when you titrate up.
| Medication | Dose packaged | Milligrams per package | Cost per mg |
|---|---|---|---|
| Ozempic 0.25/0.5 mg | 4 × 0.19 mL | 2 mg total | $251.59 |
| Ozempic 1 mg | 4 × 0.37 mL | 4 mg total | $170.53 |
| Ozempic 2 mg | 4 × 0.74 mL | 8 mg total | $92.18 |
| Wegovy 2.4 mg | 4 × 0.68 mL | 9.6 mg total | $124.27 |
| Zepbound 10 mg | 4 × 0.5 mL | 20 mg total | $50.19 |
| Rybelsus 14 mg | 30 tabs | 420 mg total | $1.88 |
The takeaway: titrating from Ozempic 0.25 mg to 2 mg raises the sticker price but actually cuts your per-mg cost by 63 percent. If you split pens for multiple weeks (as prescribed), your cost per therapeutic unit keeps falling.
How to move your prescription to Costco
Transferring is free and usually takes less than one business day. You can start online, in person or by phone.
Step-by-step:
- Have your current bottle or pen handy. You’ll need the pharmacy’s phone number and your Rx number.
- Call your local Costco pharmacy or use the transfer form in the Costco Pharmacy mobile app.
- Give the pharmacist your Costco membership number. They will verify Member Value Pricing before pulling your record.
- Ask for synchronization. If you are mid-cycle on titration, the pharmacist can prorate the first Costco fill so you do not waste pens.
- Pick up or opt for mail-order. Costco ships cold-chain medications overnight Monday-Thursday at no extra charge.
If Costco is still too expensive: other cash-pay options
Even Costco’s best price may be out of reach for some budgets. Three common backup routes:
Manufacturer savings cards: Wegovy and Ozempic both offer up to $500 off per two-pack for commercially insured patients whose plans cover the drug (novocare.com). Lilly’s Zepbound savings card lowers out-of-pocket cost to $25 for eligible insured users (lillydirect.com).
Patient assistance foundations: Patients with household income below 400 percent of the federal poverty line may qualify for free medication through Novo Nordisk Cares or Lilly Cares. Each requires a provider application and can take 4-6 weeks to process.
Is a Costco transfer worth it for you?
Check the column that fits your situation:
✅ Switch to Costco
- Paying retail cash prices over $700 per refill
- No insurance coverage or high deductible
- Live within 20 miles of a Costco warehouse
- Comfortable buying a $60 annual membership
🏥 Explore other options
- Medicare or Medicaid covers your GLP-1 fully
- You already pay $25 or less with a manufacturer card
- No convenient warehouse or overnight shipping is unreliable in your area
- Brand drug still costs more than your budget allows even at Costco
🚨 When to Contact Your Healthcare Provider
Contact your doctor immediately if you experience any of the following:
- Severe or worsening abdominal pain: could signal pancreatitis, a rare but serious GLP-1 complication
- Persistent nausea and vomiting: risk of dehydration and electrolyte imbalance
- Rapid heartbeat or palpitations: may indicate severe hypoglycemia
- Signs of an allergic reaction such as rash, swelling of the face or trouble breathing
- Vision changes: sudden blurriness can be a diabetic eye emergency
- Severe mood changes: depression or thoughts of self-harm require prompt evaluation; call or text 988 if you feel unsafe
- Sudden swelling in legs: could suggest gallbladder issues or kidney problems
- Difficulty swallowing tablets (Rybelsus), choking risk warrants immediate attention
Scientific References
- Lalani HS, Tessema FA, Kesselheim AS, et al. Availability and Cost of Expensive and Common Generic Prescription Drugs: A Cross-sectional Analysis of Direct-to-Consumer Pharmacies. J Gen Intern Med. 2024.
- Welcome to Costco Wholesale. costco.com.
- Support Starts Here for Patients Taking Novo Medicines | NovoCare®. novocare.com.
- Just a moment. lillydirect.com.
Frequently Asked Questions
Does Costco pharmacy stock every strength of Ozempic and Wegovy?
Yes. Costco’s 584 U.S. pharmacies stock all manufacturer-released strengths. Low-volume doses such as Wegovy 0.25 mg may occasionally go on allocation, but Costco can often source them through its mail-order center in one to two days.
Can I use a manufacturer savings card at Costco?
Absolutely. Costco processes manufacturer copay cards just like any retail chain. Present the card or card number at drop-off; the system will first apply the savings card, then Member Value Pricing to any remaining balance.
Do I need a separate Costco membership for the pharmacy?
No. A standard Gold Star or Executive membership covers pharmacy services. Non-members can legally purchase prescriptions in some states, but they will pay the higher non-member cash price and cannot access Member Value Pricing.
Will transferring my prescription reset prior authorizations?
Insurance prior authorizations generally follow the prescription number, not the pharmacy. However, some PBMs require re-verification. Ask your prescriber to write “continue therapy” on the e-script to speed approvals.
Does Costco offer automatic refills for GLP-1 pens?
Yes. You can enroll in auto-refill via the Costco Pharmacy app or by phone. The pharmacy will text or call you when your pen pack or tablet bottle is ready, and you can approve or delay with one tap.
How does Costco’s price compare with Walmart’s 2026 GLP-1 prices?
In October 2026, Walmart’s listed cash price for Ozempic 1 mg is $799 versus Costco’s $682.11. For a full head-to-head, see our Walmart GLP-1 cost guide.
Can I combine Costco’s pricing with a prescription discount card?
Generally no. Member Value Pricing cannot be stacked with third-party cash coupons. If a discount card lists a lower price, ask the pharmacist to compare; Costco will usually honor the lower of the two, but policy varies by state.
Does Costco ship Ozempic and Wegovy with cold-chain packaging?
Yes. Costco uses insulated containers and overnight shipping with ice packs Monday through Thursday. Tracking information is provided, and someone must sign on delivery.
