This is a local guide to getting Mounjaro (tirzepatide) in Montreal, Quebec. I cover where to fill your prescription, RAMQ and private insurance through Desjardins Insurance or Beneva, telehealth options available to Montrealers, the myMounjaro savings card and how Mounjaro compares to Ozempic and Wegovy on cost. Pricing reflects April 2026 quotes from local pharmacies.
For the full provincial view, read Mounjaro in Quebec. For national pricing, see Cheapest Mounjaro in Canada and Mounjaro at Costco Canada.
- Approved use: Mounjaro is Health Canada-approved for type 2 diabetes only. Weight management is off-label until Eli Lilly’s tirzepatide weight-loss brand (Zepbound, marketed in the US) launches in Canada. [1]
- RAMQ coverage: Restricted coverage for type 2 diabetes only. Off-label weight use is not eligible. [2]
- Retail pricing: Mounjaro in Montreal runs $280 to $310 per month at 2.5 mg starter dose, scaling to $500 to $550 at the 15 mg maintenance dose. Costco Pharmacy is consistently cheapest.
- Savings card: Eli Lilly Canada’s myMounjaro patient-support program offsets $100 to $150 per month for eligible patients without provincial drug-plan coverage. [3]
- Telehealth: Maple, Jill Health, DooU and Raven serve Montrealers. Felix Health and Hims Canada do not operate in Quebec.
How to Get Mounjaro in Montreal
Montrealers have three realistic paths to a tirzepatide prescription:
- Family doctor or walk-in clinic: Montreal has many family practices and walk-in clinics comfortable prescribing Mounjaro for type 2 diabetes. Off-label weight-management requests are handled case-by-case. A first appointment with your existing primary-care provider is usually the cheapest path because there is no telehealth fee.
- Canadian telehealth: Maple is the best telehealth option in Montreal because Felix Health and Hims Canada do not operate in Quebec. Jill Health, DooU and Raven default to off-label semaglutide and only sometimes prescribe tirzepatide.
- Endocrinologist or obesity-medicine specialist: Centre hospitalier de l’Université de Montréal (CHUM) and the McGill University Health Centre run the main endocrinology services. The Institut universitaire de cardiologie et de pneumologie de Québec handles tertiary obesity-medicine referrals. Non-urgent endocrinology and obesity-medicine wait times are 16 to 28 weeks as of April 2026.
Felix Health and Hims Canada do not operate in Quebec. Maple is the strongest telehealth option for Montreal because it offers French-language consults and handles RAMQ exception-drug paperwork for Quebec-registered patients. Jill Health is the asynchronous alternative.
Where to Fill Your Mounjaro Prescription in Montreal
Montreal has pharmacies in every neighbourhood filling Mounjaro, but prices vary by $20 to $50 per month at the same dose depending on where you go [4]. Here’s the shortlist.
Costco Pharmacy Locations
Costco is consistently the cheapest in-person option in Montreal at $390 to $410 per month for the 10 mg dose (and roughly $280 to $300 at 2.5 mg starter). You do not need a Costco membership to use the pharmacy in Canada [6]. Montreal-area Costco warehouses: Saint-Hubert (Boulevard Taschereau); Anjou (Boulevard Wilfrid-Hamel); Boucherville (de Montarville); Laval (Boulevard Le Corbusier).
Chain Pharmacies and Independents (10 mg dose)
| Pharmacy | 10 mg Monthly Price (April 2026) | Notes |
|---|---|---|
| Costco (Montreal) | $390 to $410 | Lowest in-person price; no membership needed |
| Walmart | $410 to $435 | Wide coverage; often the runner-up |
| Shoppers Drug Mart | $420 to $450 | Every neighbourhood; PC Optimum points |
| Rexall | $415 to $445 | Higher default markup; watch for promos |
| Independent pharmacies | Varies | Some in Plateau Mont-Royal and Mile End price-match Costco |
Dose-by-Dose Retail Pricing in Montreal
| Dose | Monthly Cost (Retail) | Annual Cost | Titration Phase |
|---|---|---|---|
| 2.5 mg weekly | $280 to $310 | $3,360 to $3,720 | Weeks 1 to 4 |
| 5 mg weekly | $310 to $350 | $3,720 to $4,200 | Weeks 5 to 8 |
| 7.5 mg weekly | $360 to $400 | $4,320 to $4,800 | Weeks 9 to 12 |
| 10 mg weekly | $400 to $450 | $4,800 to $5,400 | Weeks 13 to 16 |
| 12.5 mg weekly | $450 to $500 | $5,400 to $6,000 | Weeks 17 to 20 |
| 15 mg weekly | $500 to $550 | $6,000 to $6,600 | Week 21+ |
Many Montrealers stabilize at 10 mg or 12.5 mg and never titrate to 15 mg. Holding at the lower effective dose saves $50 to $150 per month versus the maximum dose - worth discussing with your prescriber once your weight or A1C plateau.
Neighbourhoods With the Most Pharmacy Density
Plateau Mont-Royal, Mile End, Griffintown, Rosemont, Verdun and 2 other Montreal neighbourhoods all have multiple Mounjaro-filling pharmacies within walking distance. If you live in a newer suburb, the nearest Costco or Walmart is usually the best combination of price and pen availability across all six dose strengths.
Online Mounjaro Providers Serving Montreal
Telehealth is often the fastest path to a Mounjaro prescription in Montreal, especially because endocrinology and obesity-medicine wait lists run long. Here are the six Canadian providers I track - note that not all of them prescribe Mounjaro, and provincial availability varies.
Top pick: MyRocky (operated by Rocky Health Inc.) is our highest-rated Canadian GLP-1 provider in 2026 (9.4/10). Per-pen pricing is roughly comparable across the major Canadian telehealth services - what MyRocky wins on is total value: the $99 one-time consult includes lab work and the first prescription, there are no recurring quarterly fees, free fast delivery is included, and it operates its own LegitScript-certified pharmacy in Mississauga. MyRocky also serves all 10 provinces (Felix and Hims do not operate in Quebec) and has been trusted by 350,000+ Canadians. Visit MyRocky or read our full MyRocky review.
| Provider | Monthly Cost (Mounjaro) | Consultation Fee | Coverage | Learn More |
|---|---|---|---|---|
| MyRocky ⭐ Top Pick | $300–$310 | $99 once (lab work included) | All 10 provinces | Visit MyRocky |
| Felix Health | Brand $250–$310 / Generic $149+ | $99 setup + $40 quarterly | All provinces except QC | Visit Felix |
| Maple | $270–$320 | $69 per consult | All provinces | Visit Maple |
| Hims Canada | Generic semaglutide available — pricing on consult | Included | Select provinces | Visit Hims |
| Jill Health | Pricing on assessment | Included in program | Most provinces | Visit Jill |
| DooU | Pricing on assessment | Included in program | Most provinces | Visit DooU |
| Raven | Pricing on assessment | Included in program | Most provinces | Visit Raven |
Generic semaglutide is now also available in-person at Canadian pharmacies including Shoppers Drug Mart, Rexall, Costco, and Walmart, typically priced at $85 to $120 per month depending on the pharmacy — with Costco usually lowest. That makes the in-person retail route generally cheaper than telehealth providers like Felix Health, which charges $149 per month for the same generic.
Provider reviews: MyRocky (top pick), Felix, Maple, Hims Canada, Jill Health, DooU and Raven.
Coverage gap: Felix Health, Hims Canada are not available in Montreal as of April 2026 because these services do not operate in Quebec. Maple is the strongest remaining option.
Mail-Order Delivery Timing to Montreal
If you order Mounjaro through a Canadian telehealth service, expect 1 to 3 business days inside the Island of Montreal and 2 to 5 business days to Laval, the South Shore and the West Island. Refrigeration during transit is standard. Your first shipment usually arrives faster than subsequent refills.
For a full scenario-by-scenario provider comparison, read Best Mounjaro Providers in Canada.
Does RAMQ Cover Mounjaro for Montreal Residents?
RAMQ lists Mounjaro as an exception drug for type 2 diabetes only. Coverage requires A1C above 7 percent despite metformin, and the prescriber submits an exception-drug request to RAMQ before the pharmacy can fill at the public-plan price. Off-label weight use is not covered. Montreal RAMQ subscribers can access tirzepatide through this pathway once the request is approved. [2]
For full provincial rules, read the parent guide at Mounjaro in Quebec. For nationwide coverage detail, see Mounjaro Insurance Coverage in Canada.
Private Insurance Coverage for Mounjaro in Montreal
If you have employer benefits or individual health insurance in Montreal, that is usually the cheapest realistic path. The major insurers active here are Desjardins Insurance, Beneva, iA Financial, Manulife and Sun Life [3]. Coverage is rarely automatic - prior authorization is required almost universally for tirzepatide.
- Confirmed type 2 diabetes diagnosis (most common path). For weight management: BMI 30 or higher, or 27 or higher with a comorbidity such as hypertension, dyslipidemia or sleep apnea.
- Step-therapy documentation showing prior trial of metformin (for T2D) or another anti-obesity medication (for weight management).
- Recent A1C, fasting glucose and lipid-panel results.
- Prescriber letter outlining the clinical rationale for choosing tirzepatide over a cheaper alternative.
If approved, most plans reimburse 70 to 90 percent of the pen cost. Typical out-of-pocket after prior auth is $40 to $135 per month, down from the $280 to $550 retail range.
myMounjaro Savings Card for Montreal Residents
Eli Lilly Canada runs the myMounjaro patient-support program - one of the more generous savings cards in the Canadian GLP-1 market. Registration is online at mymounjaro.ca or through the prescribing clinic, and the card is accepted at most major Canadian pharmacy chains. [3]
Eligibility
- Valid Canadian prescription for Mounjaro.
- Quebec residential address.
- Not currently covered by a government drug plan for Mounjaro - private-insurance patients can still apply the card against their copay.
Real-World Out-of-Pocket Scenarios in Montreal
| Scenario | Insurance Covers | Savings Card Covers | Patient Pays |
|---|---|---|---|
| Private insurance (80% coverage) | $240 to $440 | Up to card maximum | $0 to $60 |
| Private insurance (70% coverage) | $196 to $385 | Up to card maximum | $0 to $115 |
| No insurance | $0 | Up to card maximum | $130 to $400 |
| RAMQ covers Mounjaro | Full or most | Card not eligible | Provincial copay only |
The card historically offsets in the $100 to $150 per month range. Combined with private insurance, monthly out-of-pocket for Montrealers can sit near zero. Verify current terms at mymounjaro.ca before budgeting because Eli Lilly adjusts the program annually.
Medical Expense Tax Credit for Montreal Residents
Out-of-pocket spending on Mounjaro counts as an eligible medical expense for the federal Medical Expense Tax Credit (METC) [7]. For the 2026 tax year, the threshold is the lesser of $2,834 or 3 percent of net income. Because Mounjaro runs $280 to $550 per month, a full year of out-of-pocket tirzepatide easily clears the METC floor for most Montrealers. Quebec adds a provincial tax-credit component on top of the federal METC. Keep every pharmacy receipt - the CRA accepts them as supporting documentation. Couples can pool eligible medical expenses on whichever spouse has the lower net income to maximize the claim.
FAQ
Which pharmacy in Montreal has the cheapest Mounjaro?
Costco Pharmacy. Across Montreal, Costco prices the 10 mg Mounjaro pen around $390 to $410 per month. Walmart runs a close second at $410 to $435. You do not need a Costco membership to use the pharmacy in Canada.
Can I get Mounjaro delivered to Montreal?
Yes. Canadian telehealth services including Maple, Jill Health, DooU and Raven mail-order Mounjaro in refrigerated packaging. Expect 1 to 3 business days inside the Island of Montreal and 2 to 5 business days to Laval, the South Shore and the West Island.
Does RAMQ cover Mounjaro in Montreal?
Yes, but only for type 2 diabetes with restrictions. RAMQ lists Mounjaro as an exception drug for type 2 diabetes only. Off-label weight-management use is not covered.
How do I get Mounjaro covered by private insurance in Montreal?
Ask your prescriber to submit a prior-authorization form to your insurer. Include lab work, your A1C if T2D, BMI documentation if weight-related, prior-therapy history (metformin trial or anti-obesity drug trial) and a prescriber letter explaining why tirzepatide is medically appropriate. Most Montreal insurers approve T2D claims within two to four weeks; weight-management claims take longer and have higher denial rates.
Can I use Mounjaro for off-label weight loss in Montreal?
Yes, off-label. Health Canada has approved Mounjaro for type 2 diabetes only, but Canadian physicians can prescribe it off-label for weight management when BMI criteria are met. Eli Lilly has not yet launched the on-label weight-management brand (Zepbound) in Canada. Maple regularly handles these prescriptions in Quebec.
Are Montreal endocrinology referrals fast?
Centre hospitalier de l’Université de Montréal (CHUM) and the McGill University Health Centre run the main endocrinology services. The Institut universitaire de cardiologie et de pneumologie de Québec handles tertiary obesity-medicine referrals. Non-urgent endocrinology and obesity-medicine wait times are 16 to 28 weeks as of April 2026.
When will generic Mounjaro be available?
Not in this decade. Eli Lilly’s tirzepatide patents are in force in Canada well into the 2030s. The generic launching in 2026 is semaglutide (Ozempic and eventually Wegovy), not tirzepatide. Patients prioritizing low cost can now consider generic semaglutide, available in Canadian pharmacies since May 2026 at roughly $88 per month at Costco.
This article is informational and is not a substitute for medical advice from your prescribing clinician. Always confirm pricing and coverage directly with the pharmacy and your insurer before filling.
Sources
- Health Canada Drug Product Database: Mounjaro (tirzepatide): Official Canadian Mounjaro product listing including approved indication, dose-by-pen pricing structure and titration schedule.
- Régie de l’assurance maladie du Québec Public Prescription Drug Insurance Plan: Official Program Information: Full provincial plan guide for Quebec including coverage rules, prior authorization and copays.
- Eli Lilly Canada: myMounjaro Patient Support Program: myMounjaro savings card eligibility criteria, monthly savings range and enrollment process.
- Pharmacy Pricing Survey: Tirzepatide in Canada (April 2026): Canada-wide retail pricing data for Mounjaro by dose strength.
- Benefits Canada: Plan Sponsors and GLP-1 Coverage in 2026: Industry reporting on prior-authorization criteria used by Canadian private insurers for tirzepatide and semaglutide.
- Costco Canada: Pharmacy Services: Costco Canada pharmacy access does not require a warehouse membership under provincial pharmacy regulation.
- Canada Revenue Agency: Medical Expense Tax Credit: 2026 tax-year METC threshold of $2,834 and prescription-drug eligible-expense rules.
- SURMOUNT-1 Clinical Trial: Tirzepatide for Weight Loss (NEJM, 2022): 72-week phase-3 weight-management trial of tirzepatide showing 15 to 22 percent average body-weight reduction.
- Drug Shortages Canada: Mounjaro Supply Status: Health Canada-run site tracking current Mounjaro and tirzepatide supply status by pen strength.
- Pan-Canadian Pharmaceutical Alliance: Mounjaro Negotiation Status: pCPA negotiation outcomes that drive provincial-formulary listing decisions for tirzepatide.