Ozempic Cost in Canada 2026: Dose-by-Dose Pricing, Pharmacy Comparison and Coverage

Ozempic is one of the most widely prescribed GLP-1 medications in Canada, and its cost varies significantly based on pharmacy, province, and insurance situation. This guide breaks down Ozempic pricing in 2026, the cheapest pharmacies, provincial formulary coverage, private insurance strategies, and how the arrival of generic semaglutide will reshape the cost landscape this year.[1]

If you want a broader comparison across all semaglutide brands (Wegovy, Rybelsus), see the semaglutide cost comparison.

Ozempic Price by Dose in Canada

Ozempic is sold as a multi-dose injection pen and priced by strength. A single pen typically provides a 4-week supply depending on the prescribed dose. Retail pricing at Canadian pharmacies as of April 2026:[1]

Unlike Wegovy (flat pricing regardless of dose), Ozempic scales slightly with dose strength. Patients stabilizing at 1mg or 2mg should budget for $290–$380 per month before any insurance or pharmacy savings.

Online Providers Cost Comparison

Most Canadians now access Ozempic through telehealth providers rather than in-person clinics. Below is how the main Canadian online providers compare for Ozempic prescribing.

Felix Health

Felix Health is the most popular entry point for Canadians seeking Ozempic, offering a free first consultation and coverage in 8 provinces. Prescription costs flow through to a Canadian pharmacy at the $250–$310 range. See the full Felix Health review.

Maple

Maple covers every Canadian province and territory, making it the default option for Quebec and New Brunswick residents. Their one-time $69 consultation fee connects patients to licensed GPs who prescribe Ozempic where clinically appropriate. See the full Maple review.

Hims Canada

Hims Canada launched its weight-loss program in Canada in early 2026 following the Livewell acquisition. Coverage is expanding beyond Ontario, BC, and Alberta over the course of 2026, with pricing expected to mirror the US Hims & Hers structure. See the full Hims Canada review.

Jill Health, DooU and Raven

Three additional Canadian telehealth services prescribe Ozempic, typically for weight management. Jill Health focuses on women's health; DooU offers a $45 one-time consultation with nationwide coverage; and Raven serves weight-loss patients in 9 provinces. All three disclose medication pricing only after an intake assessment.

Generic Semaglutide Is Now Available in Canada

The biggest cost story for Canadian Ozempic patients in 2026: generic semaglutide has launched. Novo Nordisk's data exclusivity on semaglutide expired January 4, 2026, and the key Canadian patent has lapsed.[2] Two generic manufacturers (Dr. Reddy's and Apotex) launched in Canadian pharmacies in May 2026, with seven additional submissions (including Sandoz and Teva Canada) still under Health Canada review.

• Expected launch window: May 2026.

• Projected pricing: $100–$150 CAD per month once three or more generics are approved.

• Patent status: data exclusivity expired Jan 4, 2026; core Canadian patent has lapsed.

For the full breakdown of manufacturers, timeline, and what to ask your prescriber, see 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, with Dr. Reddy's generic also launching in May 2026.

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. 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.

Pharmacy Price Comparison for Ozempic

Pharmacy prices for Ozempic (1mg dose) vary by chain due to differences in markup and dispensing fee structures:[3]

Costco Pharmacy delivers the lowest total — roughly $40 per month less than Shoppers Drug Mart, or $480+ per year. Costco pharmacies in Canada do not require a membership.

Coverage, Insurance & Patient Support

Provincial formulary coverage

Ozempic is covered for Type 2 diabetes under every provincial drug plan in Canada, but almost always with Special Authority requirements.[4] No province covers Ozempic for weight loss.

• Ontario Drug Benefit: Limited Use code required; patient must have failed metformin plus at least one other oral agent.

• BC PharmaCare: Special Authority; HbA1c must be above target despite metformin.

• Alberta Drug Benefit: Special Authorization; similar clinical criteria.

• Quebec (RAMQ): Médicament d'exception; requires physician attestation of prior therapy failure.

Private insurance strategies

• Verify formulary status directly — call the insurer and ask about Ozempic under your specific plan tier, not the general formulary.

• Request a medical necessity letter if your plan does not list Ozempic, with lab results and prior therapy documentation.

• Appeal first-round denials — they are common and frequently overturned with additional clinical documentation.

• Use your HSA or Wellness Spending Account — Ozempic prescriptions are eligible expenses, effectively saving 20–40% depending on tax bracket.

Novo Nordisk Canada patient support

Novo Nordisk Canada offers a patient support program that may provide injection training, insurance-navigation help, and in some cases financial assistance for patients with limited coverage. Eligibility and benefits vary by province. Ask the prescribing clinician or pharmacist to flag Novo Nordisk patient support at the initial consultation, and confirm current program terms directly with Novo Nordisk Canada.

How to Lower Your Ozempic Cost

• Fill at Costco Pharmacy — saves roughly $40 per month versus Shoppers Drug Mart on the 1mg dose.

• Ask about 3-month supply fills — some pharmacies reduce the per-pen price slightly for larger dispense quantities.

• Stay at the lowest effective dose — if 1mg achieves clinical targets, there is no cost reason to titrate to 2mg.

• 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.[5]

• Plan for generics — With generic semaglutide now available in Canada (Dr. Reddy's and Apotex), monthly cost is projected to drop to $100–$150.

FAQ

How much does Ozempic cost per month in Canada?

Ozempic costs $250 to $380 per month at most Canadian pharmacies depending on dose, plus a dispensing fee of $4.49 (Costco) to $11.99 (Shoppers Drug Mart). Patients at 1mg maintenance typically pay $290–$340 before insurance or pharmacy-chain savings.

Is Ozempic covered by OHIP or other provincial plans?

Ozempic is covered under every provincial drug plan for Type 2 diabetes, but requires Special Authority and clinical criteria (typically HbA1c above target despite metformin, with prior therapy failure documented). No province covers Ozempic for weight loss.

Which pharmacy is cheapest for Ozempic?

Costco Pharmacy consistently offers the lowest Ozempic price in Canada, with a $4.49 dispensing fee (lowest in the country) and lower drug markup than major chain pharmacies. A Costco membership is not required to use the pharmacy.

Cheaper still since May 2026: generic semaglutide. Generic Apo-Semaglutide (the Ozempic molecule) runs about $88 to $99 per month at Costco Pharmacy, well under the brand pen. Ask your pharmacist about substituting the generic. See our generic semaglutide guide.

Is there a generic version of Ozempic in Canada?

Yes. Novo Nordisk's data exclusivity on semaglutide expired January 4, 2026, and the key Canadian patent has lapsed. Apotex's Apo-Semaglutide and Dr. Reddy's generic launched in Canadian pharmacies in May 2026, with more manufacturers still under Health Canada review. Generic semaglutide now runs roughly $88 to $99/month at Costco Pharmacy, the cheapest cash option in Canada. Full details in the generic semaglutide guide.

Sources

• Health Canada Drug Product Database — Ozempic — Product listing, approval dates, and dose specifications.

• Health Canada — Semaglutide data exclusivity and patent status — Data exclusivity expired Jan 4, 2026; Canadian patent lapsed; two generic manufacturers approved (Dr. Reddy's, Apotex) and now launched, with seven additional submissions still under review.

• Pharmacy pricing research — Aggregated retail pricing from Costco Pharmacy, Walmart Pharmacy, Shoppers Drug Mart, Rexall, and London Drugs across Ontario, British Columbia, and Alberta (April 2026).

• Ontario Drug Benefit Formulary — Ozempic Limited Use code and clinical criteria.

• Canada Revenue Agency — Medical Expense Tax Credit — 2026 tax year threshold: lesser of 3% of net income or $2,834.