LillyDirect (Eli Lilly) vs Costco Pharmacy: GLP-1 Prices Compared

Advertised price: self-pay cash, lowest dose; ~$25/mo with commercial coverage through the savings card, which ends Dec 31, 2026

Maintenance terms: Self-Pay Journey price for 14.5 mg and 17.2 mg with a refill within 45 days; regular price $349. Eligibility, additional taxes and fees may apply.

LillyDirect self-pay ladder, each a 30-day supply: $149 (0.8 mg), $199 (2.5 mg), $299 (5.5 and 9 mg), $299 (14.5 and 17.2 mg with a 45-day refill, else $349); the 2.5 mg and 5.5 mg doses are temporarily $149 and $199 through Dec 31, 2026.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: self-pay cash, by dose ($299 / $399 / $449)

Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

Each pen holds four doses, one month's (28-day) supply. $299 at 2.5 mg and $399 at 5 mg; $449 at 7.5 to 15 mg under the Self Pay Journey offer, which holds only with a refill within 45 days.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: self-pay cash, starting dose

Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

Self-pay only, available exclusively through LillyDirect Pharmacy. Lilly states that 2.5 mg starts treatment and is not a maintenance dose.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: self-pay, four weekly pens; published starting rate at each dose

Maintenance terms: The same starting rate is published for 0.75, 1.5, 3 and 4.5 mg. Taxes and additional fees may apply.

The self-pay program requires a prescription for an approved use, age 18+, and US or Puerto Rico residence. Purchases cannot be submitted to insurance or counted toward deductibles or out-of-pocket limits. LillyDirect defines a month's supply as four single-dose pens, one a week, so a fill covers 28 days.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: self-pay cash

Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

Self-pay only, available exclusively through LillyDirect Pharmacy.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: self-pay cash, higher doses

Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

The $449 rate is the Self Pay Journey Program price and holds only with a refill within 45 days; miss the window and the higher doses revert to the regular single-dose vial price of $499 (7.5 mg) or $699 (10 mg, 12.5 mg, and 15 mg).

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: self-pay, four weekly pens; published starting rate at each dose

Maintenance terms: The same starting rate is published for all six strengths, 2.5-15 mg. Taxes and additional fees may apply.

The self-pay program requires a prescription for an approved use, age 18+, and US or Puerto Rico residence. Purchases cannot be submitted to insurance or counted toward deductibles or out-of-pocket limits. LillyDirect defines a month's supply as four single-dose pens, one a week, so a fill covers 28 days.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: Costco Member Value Pricing, 0.25 to 0.5 mg, limited to 2 fills; $349/mo after Dec 31, 2026; shipping not included

Maintenance terms: Costco's card labels its 1 mg ($349) and 2 mg ($499) prices "Ozempic Tablets", but Ozempic tablets come in 1.5, 4 and 9 mg; 1 mg and 2 mg are pen doses, and the prices match Novo Nordisk's pen prices.

For Costco members paying cash; not insurance, and not usable with Medicare, Medicaid or private insurance claims. FDA-approved product.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: Costco Member Value Pricing, 1 to 2.4 mg; shipping not included

Maintenance terms: Costco states one price for 1 to 2.4 mg.

Costco also lists $199 a month at 0.25 to 0.5 mg, limited to 2 fills, and $349 a month at those doses after Dec 31, 2026. For Costco members paying cash; not insurance, and not usable with Medicare, Medicaid or private insurance claims. FDA-approved product.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

Advertised price: Costco Member Value Pricing, 9 to 25 mg; shipping not included

Maintenance terms: Costco states one price for 9 to 25 mg.

Costco also lists $149 a month at 1.5 mg ($199 a month after Dec 31, 2026) and no price at 4 mg. For Costco members paying cash; not insurance, and not usable with Medicare, Medicaid or private insurance claims. FDA-approved product.

Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.