This is a practical guide to getting Ozempic in Quebec. I cover RAMQ coverage criteria, what to expect at the pharmacy counter, the best online providers for Quebecers, and how the generic semaglutide launch in May 2026 will change your options. Pricing reflects April 2026 quotes.
If you’re new to Ozempic, start at /ozempic/ for the full overview. If you already have a prescription and want the lowest price, read /ozempic/cheapest/. If you want to compare online providers for Quebecers, go to /ozempic/best/.
How to Get Ozempic in Quebec
Quebecers have three realistic paths to an Ozempic prescription:
- Your family doctor or nurse practitioner. If you already see one regularly, ask about Ozempic at your next appointment. This is the cheapest path because there’s no telehealth consult fee.
- A Canadian telehealth service. Felix, Maple, Hims Canada and a handful of others run clinical assessments online and issue a prescription if you qualify.
- A local endocrinologist or diabetes clinic. If your type 2 diabetes is complex or your A1C is poorly controlled, a referral may give you faster access to intensive support.
Once you have a prescription, you fill it at any licensed Canadian pharmacy. Felix Health and Hims Canada are not available in Quebec. For telehealth access, Maple is the most reliable option because it is active province-wide and offers French-language consults.
Ozempic Coverage Under RAMQ
Régie de l’assurance maladie du Québec Public Prescription Drug Insurance Plan covers Ozempic as a Medication of Exception benefit for eligible patients [1]. Here are the rules that matter:
Who Qualifies for Coverage
RAMQ reimburses Ozempic as a medication of exception for type 2 diabetes when your prescriber attests that you have not reached your glycemic target with metformin and another antidiabetic agent. Weight-management use is never covered by RAMQ.
What You Pay if Approved
If you are registered with RAMQ’s Public Plan and your exception request is approved, you pay the standard RAMQ monthly deductible and co-insurance up to the annual contribution cap.
What’s Changed Recently
Quebec’s INESSS has recommended a two-year pilot project to test public coverage of GLP-1 medications for obesity. As of April 2026 the pilot has not launched. Weight-management use is still private pay. [2]
Quebec residents with private insurance must enroll in their private plan first (under the Quebec drug insurance model) before falling back on RAMQ. See /ozempic/coverage/ for the nationwide view of provincial drug plans.
Best Online Providers for Quebecers
Telehealth is often the fastest path to Ozempic in Quebec, especially if you don’t have a family doctor. Here are the six Canadian online providers I compared.
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 Program Cost | 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+ / 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 |
Provider reviews: MyRocky (top pick), Felix, Maple, Hims Canada, Jill Health, DooU and Raven.
Coverage gap: Felix Health, Hims Canada are not available in Quebec as of April 2026. Quebecers should focus on the remaining options above.
For a full scenario-by-scenario breakdown across all provinces, read /ozempic/best/.
Pharmacy Options and Pricing in Quebec
Ozempic sticker price in Quebec typically runs $250 to $375 per month for the 1.0 mg dose, depending on the pharmacy [3]. Here’s how the major chains compare.
| Pharmacy | 1.0 mg Price (April 2026) | Membership Required? | Notes |
|---|---|---|---|
| Costco | $250 to $260 | No (for pharmacy use) | Lowest in-person price in most cities |
| Walmart | $270 to $290 | No | Wide network across the province |
| Shoppers Drug Mart | $310 to $345 | No | Most locations; PC Optimum points |
| Rexall | $305 to $340 | No | Higher default markup; watch for promos |
| Independent pharmacies | $270 to $360 | No | Varies; some price-match Costco |
You do not need a Costco membership to use Costco’s pharmacy in Canada [4]. See /ozempic/costco/ for provincial pricing detail.
Major Quebec Cities With Ozempic-Filling Pharmacies
Montreal, Quebec City, Laval, Gatineau, Sherbrooke and 2 other urban centres all have multiple licensed pharmacies filling Ozempic. If you live in a rural area, your local independent pharmacy or a mail-order dispense from a telehealth provider is typically the easiest route.
Medical Expense Tax Credit for Ozempic Spending
Out-of-pocket costs for Ozempic count as eligible medical expenses for the federal Medical Expense Tax Credit (METC) [5]. For the 2026 tax year, the threshold is the lesser of $2,834 or 3% of net income. Keep every pharmacy receipt. Quebec also has a provincial tax credit component that stacks on top of the federal METC.
Generic Semaglutide Now Available in Quebec
Novo Nordisk’s Canadian data exclusivity on semaglutide expired on January 4, 2026 [6]. Health Canada has now authorized two generic manufacturers — Dr. Reddy's Laboratories (April 28, 2026) and Apotex Inc. (May 1, 2026). Additional applications from Sandoz, Teva Canada and other manufacturers remain under review. Industry timelines point to the first generic semaglutide reaching Canadian pharmacies in May 2026, priced around $100 to $150 per month.
For Quebecers, that means three things:
- Out-of-pocket cost for Ozempic alternatives drops sharply once generics reach pharmacy shelves.
- RAMQ may list the generic for coverage ahead of or alongside Ozempic once formulary review completes.
- Your telehealth provider or pharmacist can switch you from Ozempic to generic semaglutide once both are available, as long as your prescriber agrees.
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.
FAQ
Is Ozempic covered by RAMQ?
RAMQ covers Ozempic as a Medication of Exception benefit for type 2 diabetes when specific clinical criteria are met. Weight-management use is not covered.
How do I submit a medication of exception request?
Your prescriber submits the request on your behalf using the provincial eForm or fax form. Quebec expects documentation of type 2 diabetes and at least one (or two, in Manitoba) prior antidiabetic drug trial. Approval is usually faster when submitted electronically.
Does Felix or Maple ship Ozempic to Quebec?
Maple does. Felix Health is not active in Quebec as of April 2026.
What’s the cheapest pharmacy in Quebec for Ozempic?
Costco typically runs $250 to $260 for the 1.0 mg dose in Quebec, about $50 to $80 below Shoppers Drug Mart or Rexall. You do not need a Costco membership to use the pharmacy.
Since the May 2026 generic launch, the cheapest way to get the Ozempic molecule in Quebec is generic semaglutide (Apo-Semaglutide), roughly $88 to $99 per month at Costco Pharmacy, well below the brand price. Ask your pharmacist about substituting the generic. See our generic semaglutide guide.
Is generic semaglutide covered by my provincial plan?
Health Canada has approved Dr. Reddy's and Apotex (April–May 2026), and RAMQ is updating its formulary listings through June 2026 (typical timeline for new generic listings). When listed, generic semaglutide is expected to be covered at a substantially lower cost than brand Ozempic. Expect listing to follow the launch by a few months.
Can I use Ozempic for weight loss in Quebec?
Off-label weight-management use is legal and common in Canada, but RAMQ will not cover Ozempic for weight loss. Wegovy is the on-label weight-management option, though provincial coverage for Wegovy is similarly limited.
Where can I track supply of Ozempic in Canada?
Health Canada’s Drug Shortages Canada website lists current supply status for Ozempic and other GLP-1 medications. As of April 2026 availability has largely normalized after the 2023 and 2024 shortages.
This article is informational and is not a substitute for medical advice from your prescribing clinician. Always confirm pricing directly with the pharmacy before filling.
Sources
- Régie de l’assurance maladie du Québec Public Prescription Drug Insurance Plan: Official Program Information: Provincial drug plan rules, eligibility and enrolment details for Quebec.
- RAMQ Formulary: Semaglutide Listing: Check current formulary listing and coverage conditions for Ozempic in Quebec.
- Health Canada: Drug Product Database for Ozempic (semaglutide): Official Canadian listing of approved Ozempic products, DINs and product monograph.
- Costco Canada: Pharmacy Services: Costco Canada pharmacy does not require a membership under Canadian regulation.
- Canada Revenue Agency: Medical Expense Tax Credit: 2026 tax-year METC threshold of $2,834 and eligible medical-expense rules.
- Patented Medicine Prices Review Board: Generic Drug Pipeline (2026): Industry reporting on generic semaglutide submissions under Health Canada review.
- SUSTAIN 6: Semaglutide and Cardiovascular Outcomes in Type 2 Diabetes (NEJM, 2016): Landmark cardiovascular outcomes trial for Ozempic.
- Canadian Agency for Drugs and Technologies in Health (CADTH): Semaglutide Reimbursement Review: CADTH reimbursement guidance used by provincial drug plans.
- Drug Shortages Canada: Health Canada-run site tracking current Ozempic and semaglutide supply status.