Mounjaro (tirzepatide) is Eli Lilly's dual GIP/GLP-1 receptor agonist — a different drug class from semaglutide with consistently higher weight-loss results in clinical trials.[1] This guide covers Mounjaro pricing in 2026, the myMounjaro savings card, pharmacy-chain comparisons, provincial coverage, and how it stacks up against Ozempic on total cost of treatment.
For semaglutide options (Ozempic, Wegovy, Rybelsus), see the semaglutide cost comparison.
Generic semaglutide (a different drug from Mounjaro) launched in Canada in May 2026 at ~$88/month at Costco. Mounjaro is tirzepatide and has no generic equivalent yet — Eli Lilly's patents extend through the mid-2030s. If your prescriber considers semaglutide clinically suitable for you (Ozempic-equivalent doses, type 2 diabetes), generic semaglutide is now significantly cheaper. → Read the full guide to generic semaglutide in Canada.
Mounjaro Pricing in Canada
Price by dose (2.5mg through 15mg)
Mounjaro comes in single-dose pre-filled pens, sold as a box of 4 (a 4-week supply). Pricing scales with dose strength — unlike Wegovy, where all doses cost the same.[2]
| Dose | Monthly Cost (Retail) | Annual Cost | Titration Phase |
|---|---|---|---|
| 2.5mg weekly | $326–$366 | $3,912–$4,392 | Weeks 1–4 |
| 5mg weekly | $326–$366 | $3,912–$4,392 | Weeks 5–8 |
| 7.5mg weekly | $454–$509 | $5,448–$6,108 | Weeks 9–12 |
| 10mg weekly | $454–$509 | $5,448–$6,108 | Weeks 13–16 |
| 12.5mg weekly | $582–$650 | $6,984–$7,800 | Weeks 17–20 |
| 15mg weekly | $582–$650 | $6,984–$7,800 | Week 21+ |
Many patients stabilize at 10mg or 12.5mg and never titrate to 15mg. Stopping at 10mg keeps maintenance cost in the $454–$509 range; 12.5mg sits in the same top tier as 15mg, at $582–$650.
Pharmacy comparison (10mg dose)
| Pharmacy | 10mg Monthly Price | Dispensing Fee | Total |
|---|---|---|---|
| Costco Pharmacy | $454 | $4.49 | $458 |
| Rexall | $494 | $12.99 | $507 |
| Walmart Pharmacy | $499 | $11.99 | $511 |
| Shoppers Drug Mart | $509 | $13.99 | $523 |
| Independent pharmacy | varies by pharmacy | $8–$15 | ask before you fill |
Costco Pharmacy is consistently the cheapest — roughly $55 per month less than Shoppers Drug Mart, or $660 per year. Costco Canada does not require a membership to use the pharmacy.
Online Providers Cost Comparison
Most Canadians now start a Mounjaro prescription through telehealth. Some providers default to off-label semaglutide (Ozempic) rather than tirzepatide, so the table below flags which actively prescribe Mounjaro.
| Provider | Prescribes Mounjaro | Monthly Medication Cost | Consultation Fee | Coverage | Learn More |
|---|---|---|---|---|---|
| MyRocky | Yes | From $465 | $99 one-time (includes lab work and first prescription) | All 10 provinces (including QC and NB) | Visit MyRocky |
| Felix Health | Yes | $351–$502 (dose-dependent) | Free (first), $40 follow-up | All provinces except QC & NB | Visit Felix |
| Maple | Yes | $326–$650 (by dose, at your pharmacy) | $69 one-time | All provinces + territories | Visit Maple |
| Hims Canada | No | Not offered | Included in plan | ON, BC, AB (expanding 2026) | Visit Hims |
| Jill Health | Limited (prefers Ozempic) | Pricing on assessment | Pricing on assessment | Select provinces | Visit Jill |
| DooU | Case-by-case | Pricing on assessment | $45 one-time | All provinces + territories | Visit DooU |
| Raven | Limited (prefers Ozempic) | Pricing on assessment | Pricing on assessment | ON, BC, AB, NB, NL, NS, PEI, MB, SK | Visit Raven |
MyRocky
MyRocky prescribes and dispenses Mounjaro from its own licensed pharmacy, and it is the only option here that reaches all ten provinces. Pricing starts at $465 a month, with a one-time $99 consult covering lab work and the first prescription. See the full MyRocky review.
Felix Health
Felix Health actively prescribes Mounjaro and is the most common telehealth route for tirzepatide. Felix dispenses the pen itself at $351–$502 depending on dose. See the full Felix Health review.
Maple
Maple covers every province and territory — the default for QC and NB patients. Their GP network prescribes Mounjaro where clinically appropriate. See the full Maple review.
Hims Canada
Hims Canada launched in early 2026 with tirzepatide on the formulary. Coverage is expanding beyond ON/BC/AB. See the full Hims Canada review.
Jill Health, DooU and Raven
Three additional services — Jill Health, DooU, and Raven — primarily prescribe off-label Ozempic rather than Mounjaro. For patients specifically targeting tirzepatide, Felix, Maple, or Hims are the better fits.
The myMounjaro Savings Card
Eli Lilly Canada offers the myMounjaro patient savings program — one of the more generous assistance programs in the Canadian GLP-1 market.[3] Registration happens through mymounjaro.ca or the prescribing clinic, and the card works at most major Canadian pharmacy chains.
Eligibility
- Valid Canadian prescription for Mounjaro.
- Canadian address.
- Not covered by a government drug plan for this medication. Private-insurance patients can use the card against their copay.
Real-world out-of-pocket scenarios
| Scenario | Insurance Covers | Savings Card Covers | Patient Pays |
|---|---|---|---|
| Private insurance (80% coverage) | $261–$520 | Up to card max | $0–$130 |
| Private insurance (70% coverage) | $228–$455 | Up to card max | $0–$195 |
| No insurance | $0 | Up to card max | $176–$550 |
| Government plan covers it | Full or most | Card not eligible | Copay only |
The card historically offsets in the $100–$150/month range, but exact amounts can change — verify current terms at mymounjaro.ca before budgeting. Combined with private insurance, monthly out-of-pocket can be near zero for some patients.
Coverage, Insurance & Cost Comparisons
Provincial coverage (for Type 2 diabetes only)
Mounjaro coverage is newer and less universal than Ozempic.[4] Ontario and Alberta have added Mounjaro with Special Authority requirements; BC PharmaCare is still evaluating. No province covers Mounjaro for weight loss alone.
Private insurance
Many private insurers cover Mounjaro for Type 2 diabetes; weight-management coverage varies. Because tirzepatide is a newer drug, some plans have not yet added it to their formulary. Call the insurer specifically about tirzepatide. If coverage is declined, a letter of medical necessity documenting tirzepatide's dual mechanism of action often succeeds on appeal.
Mounjaro vs. Ozempic
| Factor | Mounjaro (tirzepatide) | Ozempic (semaglutide) |
|---|---|---|
| Drug class | Dual GIP/GLP-1 agonist | GLP-1 agonist only |
| Monthly cost (mid-dose) | $454–$509 | $290–$340 |
| Savings card | Yes (myMounjaro) | No equivalent |
| Provincial coverage | Limited (newer) | Broadly covered for T2D |
| Avg. weight loss in trials | 15–22% body weight | 10–15% body weight |
Mounjaro is more expensive at retail, but the myMounjaro card can close the gap significantly. Tirzepatide consistently showed greater weight loss than semaglutide in head-to-head data, likely because it works on two hormone pathways instead of one.[5] Full Ozempic detail in the Ozempic cost guide.
How generic semaglutide in 2026 changes the math
Worth factoring in: generic semaglutide is now available in Canada (launched May 2026). Data exclusivity expired January 4, 2026, the key Canadian patent has lapsed. Only Apotex is supplied today, after Dr. Reddy's August 2026 recall. Two manufacturers (Dr. Reddy's, Apotex) launched in May 2026 at $100–$150/month.
Eli Lilly's tirzepatide patent remains in force in Canada, so generic Mounjaro is years away. That widens the cost gap considerably: a patient who tolerates semaglutide now pays roughly $88–$150/month for the generic versus $400+ for Mounjaro. For price-sensitive patients this is a meaningful consideration — full timeline in the generic semaglutide guide.
Generic Semaglutide at In-Person Canadian Pharmacies
Cash retail prices for generic semaglutide at Canadian pharmacies are now coming in below the telehealth alternatives, based on early Canadian consumer reports. Costco Pharmacy is the lowest reliable option at roughly $88 to $99 per month (confirmed pickups: $88.88 GTA, $88 Ontario, $99 Laval, $91 Medicine Hat). Walmart and Loblaws No Frills typically come in around $95 to $110 per month. Shoppers Drug Mart, Rexall and London Drugs are running roughly $100 to $120 per month (one Halifax-area Shoppers fill reported $113 for the 0.25mg starter dose). Apotex's Apo-Semaglutide Injection began shipping to Canadian pharmacies on May 20, 2026, while Dr. Reddy's generic, which also launched in May 2026, has been off the market since an August 2026 recall.
That makes in-person pharmacies — especially Costco — meaningfully cheaper than telehealth providers for generic semaglutide. Felix Health and Hims Canada both list $149 per month all-in for the same generic Apo-Semaglutide on their public pricing pages. For most Canadians with a valid prescription, walking it into a local pharmacy is now the cheapest reliable path.
Pricing context: per the Globe and Mail, Apotex's published wholesale price is $78.14 for a four-week supply — roughly one-third of brand-name Ozempic's $240.48 wholesale price. Retail estimates above reflect that wholesale plus each chain's standard dispensing fee and markup. See also coverage from CBC News on the Canadian launch. Note: This generic launch is for semaglutide (Ozempic-equivalent), not tirzepatide. Generic Mounjaro is still years away — Eli Lilly's patents on tirzepatide extend through 2036+. Under the pan-Canadian Pharmaceutical Alliance framework, the maximum public drug plan price for generic semaglutide is approximately $114 per four-week supply with two manufacturers approved, dropping to roughly $80 once a third manufacturer launches.
How to Lower Your Mounjaro Cost
- Always use the myMounjaro savings card — the single biggest lever. The card can stack on top of private insurance in most cases.
- Fill at Costco Pharmacy — $4.49 dispensing fee and lower markup save $30–$40 per month versus Shoppers Drug Mart.
- Find the minimum effective dose — Mounjaro pricing scales with dose. If 10mg hits clinical targets, holding there instead of titrating to 15mg saves $100–$150/month.
- Coordinate insurance + savings card — submit claims to private insurance first, then apply the myMounjaro card to the remaining copay.
- Claim on your tax return — out-of-pocket prescription costs exceeding the lesser of 3% of net income or $2,834 (2026 tax year) qualify for the Medical Expense Tax Credit.[7]
FAQ
How much does Mounjaro cost per month in Canada?
Mounjaro costs $326 to $650 per month depending on dose. Starter (2.5mg) is $326–$366; maximum (15mg) is $582–$650. Most maintenance patients on 10–12.5mg pay $454 to $650 before insurance or savings-card discounts.
Is Mounjaro the same as Ozempic?
No. Mounjaro contains tirzepatide (dual GIP/GLP-1 receptor agonist). Ozempic contains semaglutide (GLP-1 agonist only). Different drug classes, different manufacturers. Mounjaro works on two gut hormone pathways, which likely explains its higher weight-loss results in clinical trials.
Does the myMounjaro savings card work in all provinces?
Yes, but it cannot be combined with government drug plan coverage. If a province already covers Mounjaro for the patient, the savings card does not apply — it is designed for out-of-pocket and private-insurance patients.
Is Mounjaro cheaper than Wegovy?
At the starter tier, yes. Mounjaro at 2.5–5mg ($326–$366) undercuts Wegovy at any dose ($376–$493). From 7.5mg up it costs more, and at 15mg ($582–$650), Mounjaro is the more expensive of the two. The myMounjaro savings card narrows the gap at the doses it covers.
Is there a generic Mounjaro in Canada?
Not in the near term. Eli Lilly's tirzepatide patent remains in force. Generic semaglutide (Ozempic's active ingredient) is the one now available in Canada at $100–$150/month — tirzepatide patients do not have that option coming.
Sources
- Health Canada Drug Product Database — Mounjaro — Product listing, approval dates, and dose specifications.
- Pharmacy pricing research — Aggregated retail pricing from Costco Pharmacy, Shoppers Drug Mart, Rexall, Walmart Pharmacy, and independent pharmacies across Ontario, British Columbia, and Alberta (April 2026).
- Eli Lilly Canada — myMounjaro patient support — Savings card eligibility and program details.
- Ontario Drug Benefit Formulary — Mounjaro Special Authority listing for Type 2 diabetes.
- SURMOUNT-1 Clinical Trial (NEJM, 2022) — Tirzepatide efficacy data showing 15–22% average weight loss.
- Health Canada — Semaglutide data exclusivity and patent status — Data exclusivity expired Jan 4, 2026; two generic manufacturers approved (Dr. Reddy's, Apotex) and launched in May 2026, with seven additional submissions still under review.
- Canada Revenue Agency — Medical Expense Tax Credit — 2026 tax year threshold: lesser of 3% of net income or $2,834.