Compounding Pharmacy · , · Retail

Costco Pharmacy Review

Costco Pharmacy is a national membership-warehouse retail pharmacy that dispenses FDA-approved branded GLP-1 medications (not compounded). Through a direct deal with Novo Nordisk, self-pay members with a valid prescription can fill injectable Ozempic or Wegovy for roughly $349 per month, and the oral Wegovy pill for as little as $149 per month; new patients can access the lowest two doses for about $199 per month for the first two months. Costco also offers discounted access to Ozempic and Wegovy through a partnership with Sesame.

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Retail
Location: ,
States licensed: 0
7.0
★★★★☆3.5/5

Editorial score · methodology

Top-Rated GLP-1 Partners

Not sourced from Costco Pharmacy — these are our highest-scored vetted telehealth partners for compounded GLP-1s, if you'd rather start with a provider we've walked through end to end.

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No insurance needed · HSA/FSA eligible · vetted by our editors

7.8

Care Bare Rx

LGBTQ+-inclusive compounded GLP-1 telehealth

Starting price: $199/mo

Get started →Read review Care Bare Rx →
8.2

Enhance MD

Lab-monitored compounded GLP-1 with mandatory video visit

Starting price: $112/mo

Get started →Read review Enhance MD →
7.1

MEDVi

Switching between compounded and brand-name GLP-1 through one provider

Starting price: $179/mo

Get started →Read review MEDVi →
7.3

Liv Body

Compounded GLP-1 paired with a muscle-preservation supplement stack

Starting price: $99/mo

Get started →Read review Liv Body →

Certifications & Compliance

All sterile compounding pharmacies in the United States are required to follow United States Pharmacopeia General Chapter <797> sterile compounding standards[4], with finished preparations evaluated against USP <71> sterility testing[5] and USP <85> bacterial endotoxin testing[6] as appropriate for the product type.

We have not verified any third-party accreditations for this pharmacy beyond its state pharmacy license.

Drugs Produced

Compounding pharmacies' ability to produce semaglutide or tirzepatide depends on the FDA Drug Shortage List status for each reference product; compounding eligibility can change when a drug moves on or off the shortage list[7].

Semaglutide
Compounded semaglutide produced
Tirzepatide
Not produced

States Licensed

Costco Pharmacy has not published a state-by-state licensure list. Verify licensure for your state directly with your state board of pharmacy before filling a prescription here.

Regulatory Actions

No public FDA enforcement actions or recalls are on file in our records for Costco Pharmacy. Regulatory status can change — verify with the FDA and your state board of pharmacy before relying on this information.

Weight Loss Rankings Score Breakdown

Accreditation & Compliance6/10
Regulatory Standing9/10
State Coverage0/10
GLP-1 Production5/10
Track Record5/10

Scores are independently researched. See our methodology for details.

High confidence · Last verified 2026-06-04 via manual · How we verify provider data

Frequently Asked Questions

Costco Pharmacy is a Retail compounding pharmacy based in , . It operates under state board of pharmacy licensure. We are not aware of any recent public FDA enforcement actions against the pharmacy, though compounding pharmacy regulatory history can change. Always verify current status with your state board of pharmacy.
Costco Pharmacy is headquartered in , . The pharmacy is licensed to ship to 0 US states.
Costco Pharmacy produces compounded semaglutide in addition to other compounded preparations. As a Retail pharmacy, it dispenses compounded medications in response to individual patient prescriptions under state board of pharmacy oversight.
503A pharmacies prepare compounded medications for individual patients in response to specific prescriptions and are regulated primarily by state boards of pharmacy under USP <797> sterile compounding standards. 503B outsourcing facilities register directly with the FDA, follow current Good Manufacturing Practices (cGMP), and can produce compounded medications in larger batches without patient-specific prescriptions. 503B facilities are subject to FDA inspection.

Key terms, explained

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See Top Semaglutide ProvidersAll Pharmacies
Sources & methodology — as of September 2026
  1. 1.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  2. 2.FDA — 503B Outsourcing Facility Registration and Requirements— U.S. Food & Drug Administration.
  3. 3.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  4. 4.USP General Chapter <797> — Pharmaceutical Compounding: Sterile Preparations— United States Pharmacopeia.
  5. 5.USP General Chapter <71> — Sterility Tests— United States Pharmacopeia.
  6. 6.USP General Chapter <85> — Bacterial Endotoxins Test— United States Pharmacopeia.
  7. 7.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.