How Much Does Ozempic Cost at Costco Without Insurance?

TL;DR

• Ozempic costs $349 per month at Costco without insurance, with first two months available at $199 for new patients on starter doses.

• The $349 self pay price is same at Costco, CVS, Walmart, and through NovoCare, so no single pharmacy has a pricing advantage.

• Patients with commercial insurance can use Novo Nordisk savings card to pay as low as $25 per month for up to 13 fills per year.

How Did Costco Get Price This Low?

Costco did not negotiate a special price on its own. In late 2025, Novo Nordisk (the company that makes Ozempic) rolled out a new cash-pay pricing program for self-pay patients across the United States. This brought monthly cost of Ozempic down to $349 for a four-week supply at participating pharmacies, including Costco, CVS, and Walmart.

Before this program launched, Costco had been selling Ozempic at $499 per month through a partnership announced in October 2025. The November 2025 price cut from Novo Nordisk reduced it further to $349. The introductory price of $199 per month for new patients applies to first two fills only (the 0.25 mg and 0.5 mg starter doses).

Costco Executive Members and Costco Citibank Visa cardholders can also earn cash back rewards on their pharmacy purchases, which brings effective cost down slightly more. You do not need a Costco membership to use their pharmacy in most states, but cash back perks do require membership.

How Does This Compare to Other Pharmacies?

The $349 monthly price is same at Costco, CVS, Walmart, and through Novo Nordisk's own NovoCare website. The introductory $199 price for first two months is also consistent across these locations. So if you are comparing just base medication price, there is no advantage to choosing one pharmacy over another.

Where Costco can save you a little extra is through Costco Member Prescription Program (CMPP), which sometimes offers additional discounts on certain medications. It is worth checking CMPP price alongside Novo Nordisk self-pay price to see which is lower for your specific dose. Prices can vary slightly by dose strength, with 2 mg pen sometimes priced differently than the lower doses.

If you are also exploring Mounjaro (tirzepatide) as an alternative, the pricing structure is different. Eli Lilly focuses its self-pay discounts on Zepbound rather than Mounjaro. This guide on Mounjaro savings card options explains how those savings programs work in comparison.

What Do You Need to Get Ozempic at Costco?

You need a valid prescription from a licensed healthcare provider. Costco pharmacies will not fill Ozempic without one. If you do not have a prescription, you can get one through a telehealth provider or your primary care doctor.

Ozempic is FDA-approved for type 2 diabetes management and for reducing cardiovascular risk in adults with type 2 diabetes and established heart disease. It is not FDA-approved for weight loss, though doctors frequently prescribe it off-label for that purpose. You can review the approved uses and safety information on the FDA Ozempic prescribing label.

The self-pay price at Costco is only available for patients who are not using government insurance like Medicare or Medicaid. Federal law prohibits manufacturer discount programs from being applied to government-funded prescriptions. If you have Medicare Part D, your coverage and copay will depend on your specific plan and whether Ozempic is on formulary for your diagnosis.

Are There Ways to Pay Even Less?

A few options exist, though each comes with trade-offs.

Pharmacy discount cards from services like GoodRx sometimes match or come close to $349 Novo Nordisk price. It is worth running your prescription through a discount card tool to compare, especially if you are on a higher dose where pricing may vary.

If you have commercial (private) insurance that covers Ozempic, Novo Nordisk savings card can bring your copay down to as low as $25 per month. This only works with commercial plans, not government insurance, and applies for up to 13 fills per year. For patients with insurance coverage, this is significantly cheaper than $349 cash-pay price.

If cost is still a barrier, Novo Nordisk's patient assistance program (NovoCare) may provide Ozempic for free to qualifying low income patients. Eligibility depends on your household income and insurance status.

What About Side Effects at Higher Doses?

As you move up to higher doses of Ozempic, side effects can become more noticeable. Nausea, diarrhea, and digestive discomfort are most common. Some patients also report sulfur-tasting burps, which is a lesser-known but frequently mentioned side effect. If that sounds familiar, this article on sulfur burps from Ozempic explains why it happens and how to manage it.

Conclusion

Ozempic costs $349 per month at Costco without insurance, with an introductory price of $199 for first two fills on starter doses. This pricing comes from Novo Nordisk's self-pay program and is same at CVS, Walmart, and NovoCare website. Costco Executive Members may earn additional cash back. For patients with commercial insurance, manufacturer savings card can bring cost down to $25 per month. If you are uninsured and $349 price is still too high, check whether you qualify for Novo Nordisk's patient assistance program.