Wegovy cost at Costco Canada ranges from roughly $290 to $545 per month depending on your dose, making Costco one of the most affordable pharmacy options in the country for this weight-loss injection. In this guide, I break down Costco's pricing by dose tier, explain whether you actually need a membership to fill your prescription, compare Costco pharmacy prices against Shoppers Drug Mart, Walmart, and other Canadian chains, and share real ways to lower your out-of-pocket costs in 2026.

This article is for informational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting, stopping, or changing any medication. Pricing data is approximate and may vary by province and location.

Generic semaglutide launched in Canada in May 2026 — but it covers the Ozempic indication only. Apotex's Apo-Semaglutide and Dr. Reddy's generic are now ~$88/month at Costco, much cheaper than brand Wegovy ($540+/month). Generic Wegovy (semaglutide 2.4 mg for chronic weight management) is not yet available — Novo Nordisk holds additional patents on the high-dose formulation. Some Canadians with off-label prescriptions can switch to generic semaglutide; talk to your prescriber. → Read the full guide to generic semaglutide in Canada.

What Is Wegovy and Why Does It Cost So Much in Canada?

Wegovy (semaglutide 2.4 mg) is a GLP-1 receptor agonist approved by Health Canada for chronic weight management in adults with obesity or overweight with at least one weight-related comorbidity (Health Canada, Drug Product Database, 2024). It works by mimicking a natural gut hormone that reduces appetite and slows gastric emptying. [1]

The price tag on Wegovy reflects the fact that it is a biologic injection manufactured by Novo Nordisk, a Danish pharmaceutical company. Biologics are expensive to produce, and Novo Nordisk holds the patent in Canada. The first generic semaglutide recently received authorization by Health Canada (Dr. Reddy's, April 28, 2026; Apotex, May 1, 2026), with more applications currently under review. As these generics enter the market, semaglutide prices are expected to become more competitive. Even then, final retail costs will still vary by pharmacy, depending on dispensing fees and markup policies. [7]

This is exactly why so many Canadians search for "wegovy cost costco canada" each month. Costco pharmacies have a reputation for low dispensing fees and minimal markups, and that reputation is well earned. Let me walk you through exactly what you can expect to pay.

If you want a broader look at pricing across Canada, check out our full Wegovy cost breakdown.

Costco Wegovy Pricing by Dose in 2026

Wegovy uses a dose-escalation schedule. You start low and increase every four weeks until you reach the maintenance dose of 2.4 mg weekly. Each dose tier comes in a box of four pre-filled pens (a one-month supply).

Here is what Costco pharmacies across Canada are currently charging for each dose level.

| Dose (Weekly Injection) | Pen Count per Box | Approximate Costco Price (CAD) | Price per Pen |

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

| 0.25 mg (Month 1) | 4 pens | $290 - $310 | ~$73 - $78 |

| 0.5 mg (Month 2) | 4 pens | $295 - $315 | ~$74 - $79 |

| 1.0 mg (Months 3-4) | 4 pens | $340 - $360 | ~$85 - $90 |

| 1.7 mg (Months 5-6) | 4 pens | $385 - $410 | ~$96 - $103 |

| 2.4 mg (Maintenance) | 4 pens | $530 - $545 | ~$132 - $136 |

A few things to keep in mind about these numbers. Prices vary slightly between provinces because provincial pharmacy regulations set different rules around markups and dispensing fees. Alberta Costco locations, for example, tend to be a few dollars cheaper than Ontario locations due to lower dispensing fee caps. These prices also do not include any insurance reimbursement or manufacturer savings programs. [3]

For those interested in the most affordable semaglutide options in Canada overall, we have a dedicated guide on the cheapest semaglutide available.

Full Wegovy Titration Cost at Costco Canada

One of the biggest questions people ask is: "How much will I spend from start to maintenance dose?" The titration schedule for Wegovy takes about five months before you reach the full 2.4 mg dose. After that, you stay on 2.4 mg indefinitely.

Here is a month-by-month cost estimate for the full titration at Costco.

| Month | Dose | Approximate Costco Cost (CAD) | Cumulative Total |

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

| Month 1 | 0.25 mg | $300 | $300 |

| Month 2 | 0.5 mg | $305 | $605 |

| Month 3 | 1.0 mg | $350 | $955 |

| Month 4 | 1.0 mg | $350 | $1,305 |

| Month 5 | 1.7 mg | $395 | $1,700 |

| Month 6 | 2.4 mg (maintenance begins) | $540 | $2,240 |

| Months 7-12 | 2.4 mg | $540/month | $5,480 |

That puts your first full year of Wegovy at Costco at roughly $5,300 to $5,600 before insurance. It is not cheap. But compared to other pharmacies, Costco can save you $200 to $700 over that same period. [4]

The reason these savings add up is Costco's dispensing fee structure. Most Costco pharmacies in Canada charge a dispensing fee between $4.49 and $7.49, while chains like Shoppers Drug Mart and Rexall charge $11 to $14 per fill. Over 12 fills in a year, that difference alone accounts for $50 to $100 in savings. The bigger savings come from Costco's lower markup percentages on the drug itself. [5]

Do You Need a Costco Membership to Use the Pharmacy?

This is one of the most common misconceptions about Costco in Canada, and I am glad to clear it up.

No, you do not need a Costco membership to use the pharmacy in Canada.

Under Canadian provincial pharmacy regulations, pharmacies must be accessible to the public. Since Costco operates licensed pharmacies, they cannot restrict access based on a warehouse membership. This applies in every province and territory where Costco has a pharmacy. [6]

Here is a breakdown of the rules.

| Rule | Details |

|---|---|

| Membership required for pharmacy? | No, in any Canadian province |

| Can you walk in without a membership card? | Yes. Tell the greeter you are visiting the pharmacy. |

| Can you browse the store while there? | No, you are only permitted to access the pharmacy area. |

| Do members get a lower drug price? | No, the prescription price is the same for everyone. |

| Do members get other pharmacy perks? | Some locations offer free blood pressure checks and immunizations to all. |

| Can you use Costco's optical without membership? | No, optical requires membership in most provinces. |

| Do you need membership for the Costco online pharmacy? | Costco does not operate an online mail-order pharmacy in Canada as of 2026. |

So even if you have never set foot in a Costco warehouse, you can walk in, hand over your Wegovy prescription, and fill it at the pharmacy counter. You will pay the same price as an Executive Member.

This is a big deal for Canadians on a tight budget. You get Costco's low pricing without the $65 to $130 annual membership fee.

---

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. Note: The May 2026 generic launch covers the Ozempic indication for type 2 diabetes only. Generic Wegovy (semaglutide 2.4 mg for chronic weight management) is not yet available — Novo Nordisk holds additional patents on the high-dose formulation. 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.

Sources

  • Novo Nordisk Canada — Products — Manufacturer's Canadian product portfolio confirming Wegovy and Ozempic as the two semaglutide brands marketed in Canada, with no Health Canada-approved generic semaglutide injection available.
  • pan-Canadian Pharmaceutical Alliance (pCPA) — Negotiates listing prices for brand drugs (including GLP-1 receptor agonists) on behalf of Canadian public drug plans, shaping the wholesale cost retail pharmacies pay.