GlidedosePrices checked October 24, 2026. All amounts in Canadian dollars.
How much do GLP-1 medications cost in Canada?
Short answer: brand-name Ozempic runs about $250 to $340 a month cash, Wegovy $380 to $570, Mounjaro $330 to $750 depending on strength, and generic semaglutide about $83 to $103 per pen. Your real cost depends on insurance, savings cards and which pharmacy you use.
Cash prices per four-week supply (October 2026)
| Medication | Ingredient | Typical cash price | Notes |
|---|---|---|---|
| Ozempic | semaglutide | $250–$340 | Novo Nordisk savings card can bring cash price near generic level |
| Generic semaglutide (Apo-Semaglutide) | semaglutide | $83–$103 per pen | Launched May 2026; supply still uneven |
| Wegovy | semaglutide | $380–$570 | Higher pen strengths for weight management |
| Mounjaro | tirzepatide | $330–$750 | KwikPen only; price rises with strength |
| Zepbound | tirzepatide | $315–$570 | Lilly savings program for cash and insured patients |
| Rybelsus | oral semaglutide | $235–$320 | Daily tablet |
Ranges combine published pharmacy price surveys (GLP1Costs.ca, GLP1Prices), Maple, and The Globe and Mail. Always ask your pharmacy for a current quote.
Monthly cost calculator
This only does arithmetic on the numbers you enter. It doesn't know your plan or your dose.
What changes your out-of-pocket cost
- Private insurance. Many employer plans cover semaglutide for type 2 diabetes; coverage for weight management varies and may need prior authorization. Your share is usually a co-pay percentage plus the dispensing fee.
- Provincial plans. Public drug plans set their own criteria. Brand tirzepatide products are not publicly covered.
- Manufacturer savings cards. Novo Nordisk Care, mymounjaro and myzepbound reduce cash or co-pay costs for eligible patients. They usually cannot be combined with public plans.
- Generic substitution. Where a generic is available and your prescriber allows substitution, your plan may pay only the generic price.
- Dispensing fees. They vary by chain and province. Ask for a price including the fee.
Track the real number over a year
Pen prices, co-pays and savings-card amounts change every few months. The easiest way to know your true cost is to log each fill: what the pharmacy charged, what insurance paid, and how many doses it covers. Glidedose does that math and shows your monthly spend and when your supply will run out.
Frequently asked questions
How much is Ozempic per month in Canada without insurance?
In October 2026 most Canadian pharmacies charge roughly $250 to $340 cash for a four-week supply of brand-name Ozempic, including the dispensing fee. Costco and Walmart are usually at the low end. Novo Nordisk also offers a savings card that lowers the price for people paying cash.
Is generic semaglutide cheaper?
Yes. Apotex launched Apo-Semaglutide in May 2026 with a wholesale price of $78.14 per four-week supply, about a third of brand Ozempic. Pharmacy cash prices reported in October 2026 are around $83 to $103 per pen.
Do provincial drug plans cover GLP-1 medications?
Public plans generally list semaglutide for type 2 diabetes under specific criteria, not for weight management. Mounjaro and Zepbound are not covered by provincial plans. Coverage rules differ by province, so check with your plan or pharmacist.
Why does my pharmacy charge more than another one?
The drug price is regulated, but dispensing fees and markups vary by chain and province. The difference for the same pen can be $50 or more per month.