Semaglutide in Canada
Real Canadian pricing, plain-language clinical research, and honest reviews of the providers prescribing Ozempic, Wegovy, and the newly launched generic semaglutide.
Health Canada approved. Apotex's generic semaglutide is in Canadian pharmacies; Dr. Reddy's has been off the market since an August 2026 recall.
What You Need to Know in 2026
Semaglutide is the active ingredient in both Ozempic (approved for type 2 diabetes) and Wegovy (approved for weight management). It works by mimicking the GLP-1 hormone, which slows gastric emptying, reduces appetite, and helps regulate blood sugar. In the landmark STEP 1 trial, participants lost an average of 14.9% of their body weight over 68 weeks.
The biggest shift this year is that generic semaglutide is now available in Canada. After Novo Nordisk's data exclusivity expired on January 4, 2026, Health Canada authorized Dr. Reddy's on April 28, 2026 and Apotex on May 1, 2026. Both reached Canadian pharmacies in May 2026, but Dr. Reddy's has been off the market since an August 2026 recall, so today it is Apotex's Apo-Semaglutide on shelves, at about $88–$120 CAD per month, with Costco Pharmacy the lowest at roughly $88–$99. More applications from Sandoz, Teva Canada and others are under Health Canada review, which should push prices lower still as they launch through 2026.
Brand-name Ozempic still lists at $250–$310 per month and Wegovy at $376–$493 without insurance, though Novo Nordisk now offers an Ozempic savings card that brings brand Ozempic in line with the generic price for patients without coverage. Provincial plans mostly cover semaglutide for diabetes only (Special Authority required), while private insurance often covers it. Telehealth platforms have made getting a prescription faster than the clinic route, and several now dispense the generic at $149 a month. Our 2026 top pick in Ontario, BC, Alberta and Saskatchewan is BirchRx, which charges nothing for the assessment and nothing at all unless a physician approves you. MyRocky is cheaper across a full year and covers all 10 provinces, and Felix Health and Maple round out the list.
Where Canadians get semaglutide online
Platforms where a Canadian patient can consult a physician and have semaglutide prescribed online. Prices are medication cost, not consultation fees.
| Provider | Brand Ozempic / mo | Generic / mo | Coverage | Consult & fees | |
|---|---|---|---|---|---|
| BirchRx Top pick | Not offered | $149 first mo then $199 | ON, BC, AB, SK only | Free assessment; pay only if approved | |
| MyRocky Best 12-month value | From $200 | $149 + $60 program fee | All 10 provinces (incl. QC) | $99 consult, labs incl.; $60/mo program fee | |
| $149 | $149 per pen | All provinces (excl. QC) | $99 setup + $40 / quarter | ||
| Via pharmacy | Via pharmacy | 9 provinces + Yukon | $49–$79 per visit or membership; labs separate | ||
| From $149 | From $149 | ON, BC, AB (expanding) | Included in program |
BirchRx prescribes in Ontario, British Columbia, Alberta and Saskatchewan only, and is the cheapest way to start at $149 for month one against $248 elsewhere. MyRocky remains the pick in the other six provinces and for brand-name GLP-1s. Maple prescribes but does not dispense, so its medication cost is whatever your pharmacy charges. Provider names link to our full review.
Track every new generic semaglutide launch in Canada
Generic semaglutide is now available from Apotex, and Dr. Reddy's is off the market after an August 2026 recall. We'll email you as each new manufacturer (Sandoz, Teva and others) ships, pharmacy pricing drops, and provincial coverage changes.
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Generic semaglutide launched in Canadian pharmacies in May 2026. Apotex's Apo-Semaglutide is on shelves at roughly $88/month at Costco, about a third the cost of brand Ozempic; Dr. Reddy's has been off the market since an August 2026 recall. Here's where to buy it, how it compares to brand-name, and what's next.
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