If you searched “Ozempic cost at Costco Canada”, you’ve probably seen everything from $179/month to $400+/month. Those numbers are usually pulled from US pricing or outdated sources.

Below is a clear, Canada‑specific breakdown of what Ozempic, Mounjaro, and Wegovy actually cost at Costco in 2026, how it compares to other pharmacies, and how to keep your total monthly spend as low as possible.

Quick Verdict

Ozempic at Costco Canada costs approximately $253/month (cash price, early 2026).
That’s typically cheaper than Walmart, Shoppers Drug Mart, Rexall, and most telehealth‑bundled pharmacies. You usually do not need a Costco membership to use the pharmacy in most provinces. The widely quoted $179 Ozempic at Costco price is a US figure, not Canadian.

What Does Ozempic Cost at Costco Canada?

At Costco pharmacies across Canada, Ozempic (semaglutide) 1 mg/dose pen runs about $253 per month as a cash price without insurance. [1]

Key points that affect what you pay:

  • Location: Prices can vary slightly between stores. A Costco in Toronto might differ by a few dollars from one in Calgary or Vancouver.
  • Dispensing fee: Each province regulates or influences dispensing fees differently, so the final price at the till can shift a bit. [7]
  • Insurance coverage: People using Ozempic for Type 2 diabetes may qualify for provincial drug coverage or have private insurance that lowers their out-of-pocket cost. Coverage does not apply when Ozempic is prescribed off-label for weight management.

That persistent “$179 Ozempic at Costco” number you see online is US pricing. In Canada, drug prices are influenced by the Patented Medicine Prices Review Board (PMPRB) and provincial formularies, which creates a different price landscape than in the US. [2]

Generic Semaglutide Is Now Available at Costco Pharmacy

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.

Approximate Costco Ozempic price (Canada, 2026):

  • Ozempic 1 mg/dose pen: ~$253/month (cash)

Mounjaro Cost at Costco Canada

Mounjaro (tirzepatide) is also available at many Costco pharmacies. Pricing is dose‑dependent:

  • Lower doses (2.5 mg, 5 mg): ~$301/month
  • Higher doses (10 mg, 12.5 mg, 15 mg): ~$502/month

Across all dose levels, Mounjaro is more expensive than Ozempic. If your prescriber feels either medication could work for you, this price gap is worth discussing, especially if you’re paying out of pocket. [3]

Wegovy Cost at Costco Canada

Wegovy (semaglutide for weight management) is newer and somewhat harder to price consistently across Costco locations. Based on available data, you can expect:

  • Wegovy at Costco Canada: approximately $530–$545 per month

This is roughly double the cost of Ozempic, even though the active ingredient (semaglutide) is the same. The difference is driven by: [4]

  • Health Canada approval specifically for weight management
  • A different dosing schedule and strengths
  • How Novo Nordisk prices Wegovy versus Ozempic

For a province‑by‑province breakdown, see our dedicated guide: Wegovy Cost in Canada 2026.

Pharmacy Price Comparison: Where Is Ozempic Cheapest?

Here’s how Costco compares to other major Canadian pharmacies for a 1 mg Ozempic dose, one‑month supply, cash price:

| Pharmacy | Approx. Monthly Cost (CAD) | Notes |

|----------|---------------------------|-------|

| Costco | ~$253 | No membership needed for pharmacy in most provinces |

| Walmart | ~$270–$290 | Varies by location |

| Shoppers Drug Mart | ~$290–$310 | PC Optimum points can offset some cost |

| Rexall | ~$295–$315 | Watch for in‑store promotions |

| Online (telehealth bundled) | $312+ per pen | Often includes consultation and service fees |

Over a year, choosing Costco over a higher‑priced chain like Shoppers can save roughly $450–$700 if you’re paying cash. [5]

Why Is Costco Pharmacy Sometimes Cheaper?

Costco uses a low‑markup, low‑fee model for its pharmacy, similar to its approach with other products. [6]

Further Reading

For full context on semaglutide brands and how they work, read our complete guide to semaglutide in Canada. For Wegovy-specific pricing across provinces, see Wegovy cost in Canada 2026. If you want to skip the pharmacy and get everything online, our Felix Health review explains the process.

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Sources

  • Novo Nordisk Canada — Products — Manufacturer's Canadian product portfolio listing Ozempic and Wegovy, the two semaglutide brands sold in Canada under different indications and pricing.