Zepbound in New Brunswick costs $300 to $540 for a four-week KwikPen, with the final figure set by your dose and your pharmacy. Because the New Brunswick Drug Plans do not pay for weight-loss GLP-1s, most New Brunswickers pay cash or lean on a workplace plan. This page lays out the dose-by-dose price, where to fill from Moncton to Bathurst, and the ways residents actually bring the monthly cost down.
Our top pick: MyRocky is our highest-rated GLP-1 provider in Canada. They prescribe and fill Zepbound (tirzepatide) online, plus generic semaglutide from $149 a month as a lower-cost option, with a one-time $99 consult that includes lab work and service in all 10 provinces. Check current MyRocky pricing.
For the national picture, start with our Zepbound hub, then check the full cost breakdown for the pricing math and the cheapest Zepbound guide for the lowest-cost routes into New Brunswick.
- Cash price: $300 for 2.5 and 5 mg, $420 for 7.5 and 10 mg, and $540 for 12.5 and 15 mg per four-week pen, at Lilly list prices set December 29, 2025 [1].
- Cheapest counter: Costco Pharmacy in Moncton tends to sell 2.5 and 5 mg pens for about $279 to $283, under the $300 list, but it is the only Costco in the province.
- Public coverage: the New Brunswick Drug Plans do not list Zepbound for weight loss, the same as every other provincial plan in Canada [8].
- Private coverage: roughly 31 percent of employer plans include some GLP-1 weight-loss coverage, almost always with prior authorization [7].
- Delivery matters: with one warehouse pharmacy province-wide, mail-order and telehealth do the heavy lifting for most New Brunswickers outside Moncton.
How Much Does Zepbound Cost in New Brunswick?
Zepbound in New Brunswick carries the same national list prices Lilly set on December 29, 2025, a reduction of more than 20 percent from launch [1]. Business press covered the cut as a wider move across Lilly's Canadian tirzepatide products [2]. Zepbound comes only as a multi-dose KwikPen, and one pen holds four weekly injections, so a single pen covers four weeks [4]. Here is the price by dose you will hear quoted at New Brunswick pharmacies.
| Weekly dose | List price per 4-week KwikPen |
|---|---|
| 2.5 mg | $300 |
| 5 mg | $300 |
| 7.5 mg | $420 |
| 10 mg | $420 |
| 12.5 mg | $540 |
| 15 mg | $540 |
List price is where the counter starts, then each pharmacy adds a markup and dispensing fee. Costco in Moncton tends to sell the 2.5 mg and 5 mg starter pens below list, around $279 to $283, while Shoppers Drug Mart and Rexall counters in Fredericton, Saint John and smaller towns tend to run higher, closer to $357 to $370 for the 5 mg pen. Plan on roughly $280 to $370 for the starter doses depending on where you fill, and confirm before you commit. On the 7.5 mg tier and up, anchor on the list prices in the table, because we have not verified per-pharmacy numbers on the higher strengths. Our Costco page covers whether a membership is needed and how stock has held up.
Watch the calendar math too. A KwikPen lasts 28 days, and a year holds 13 four-week cycles, not 12, so weekly dosing means 13 pens a year. Add one extra pen to any annual budget you build in calendar months, or you will fall a few hundred dollars short by December.
Where to Fill Your Zepbound Prescription in New Brunswick
New Brunswick spreads a smaller population across a large area, so where you fill depends a lot on where you live. Moncton anchors the south-east and holds the only Costco warehouse in the province, whose pharmacy posts the lowest starter-pen prices. Fredericton, Saint John, Bathurst, Miramichi and the Acadian Peninsula are served by Shoppers Drug Mart, Jean Coutu, Pharmasave, Walmart and independent pharmacies, though prices at those counters tend to sit at or above list.
Here is the practical part. With one warehouse pharmacy in the whole province, the Costco advantage is out of reach for most New Brunswickers unless they travel to Moncton. That makes mail delivery the smarter play. Most chains and every telehealth service will ship a cold-pack Zepbound pen to a rural New Brunswick address, which levels the field for anyone living outside a city. Ask your pharmacy what it charges to deliver, then compare that against a flat telehealth price.
Online Zepbound Providers Serving New Brunswick
Telehealth carries real weight in New Brunswick precisely because in-person pharmacy prices are higher outside Moncton. One accuracy note before the table: MyRocky prescribes and fills Zepbound (tirzepatide) online, and also fills generic semaglutide at $149 a month as a lower-cost option. Our full MyRocky review covers how the service works from consult to doorstep.
| Provider | Tirzepatide access | Consult fee | Get started |
|---|---|---|---|
| MyRocky ⭐ Top Pick | Zepbound (tirzepatide), plus generic semaglutide from $149/month | $99 one time, includes lab work | Visit MyRocky |
| Felix Health | GLP-1 weight-loss program; confirm current Zepbound availability at intake | Program fees vary by plan | Visit Felix |
| Maple | General telehealth; the doctor sends a Zepbound prescription to your local pharmacy | Per-visit fee | Book through the Maple app |
| Hims & Hers Canada | Weight-loss GLP-1 program, confirm tirzepatide | Consult and program fees vary | Read our Hims review |
| Phoenix | Men's telehealth for weight-loss GLP-1s, confirm tirzepatide | Consult fees vary | Read our Phoenix review |
| Raven | Women's telehealth for weight-loss GLP-1s, confirm tirzepatide | Consult fees vary | Read our Raven review |
MyRocky and other national services register a New Brunswick address and mail the pen straight to you, which sidesteps the higher small-town counter prices. A consult fee does not change the pen price, so weigh it against the trip to Moncton or the delivery fee your local pharmacy quotes. If you want to see the same molecule under its diabetes label, our Mounjaro cost page lists those prices.
Do the New Brunswick Drug Plans Cover Zepbound?
No. The New Brunswick Drug Plans do not cover Zepbound when it is prescribed for weight loss, and no other public plan in Canada does either [8]. Provincial formularies exclude GLP-1 medications used for weight management on their own, so a New Brunswick public plan card will not offset the pen price for someone using Zepbound to treat obesity.
The lone file to watch nationally is in British Columbia, where PharmaCare is reviewing a tirzepatide submission. That review only affects BC residents and has no bearing on New Brunswick. For the province-by-province rundown, our Zepbound coverage guide tracks where each plan stands.
Private Insurance Coverage for Zepbound in New Brunswick
Private benefits are the realistic route to coverage in New Brunswick. About 31 percent of Canadian employer plans include some GLP-1 weight-loss coverage [7]. A large share of Atlantic workplace plans are administered by Medavie Blue Cross, headquartered in Moncton, so New Brunswickers with employer benefits should read the drug portion of the booklet closely. Look under weight management or anti-obesity medication.
Prior-Authorization Criteria to Expect
Plans that cover Zepbound almost always require prior authorization, and the criteria usually track the label: a body mass index of 30 or higher, or 27 or higher with at least one weight-related condition such as high blood pressure or type 2 diabetes [7]. Your prescriber submits a form, sometimes backed by recent lab results and a documented weight history, and the insurer reviews it before it will pay.
What Approval Usually Looks Like
Once a claim is approved, the plan pays its portion and you settle the rest at the counter. Layer the myZepbound card on top and an insured New Brunswicker can pay as little as about $30 a month for the pen [5]. If the answer is no, request the denial reason in writing. Most rejections trace back to a missing BMI number or an incomplete form, and your prescriber can resubmit either one.
myZepbound Savings Card for New Brunswick Residents
Lilly runs a Canadian savings program called myZepbound, open to any New Brunswick resident with a Zepbound prescription. You self-enroll at myzepbound.ca or by phone at 1-833-382-8639 [6]. Without private insurance, the card lets you start Zepbound for as low as about $300 a month [5]. With a private plan that covers the drug, Lilly reports patients pay less than $1 a day on average, about $30 a month [5]. The program also helps with prior-authorization paperwork, useful in a province where employer coverage is the main path. Our savings card guide covers enrollment step by step.
Medical Expense Tax Credit for New Brunswick Residents
Whatever you pay out of pocket, some of it comes back at tax time. Prescribed Zepbound counts as an eligible medical expense under line 33099 of your federal return [9], and that rule applies the same way in New Brunswick as anywhere else in Canada. For a rural New Brunswick household paying cash, a full year of pen receipts can build into a credit worth claiming once the total clears the income threshold. Keep every pharmacy receipt for the year, because the credit applies to the portion of your medical costs that exceeds the annual minimum. The CRA eligible medical expenses page spells out how the math works and what receipts you need to keep.
A Cheaper Option: Generic Semaglutide in New Brunswick
If price is the deciding factor in New Brunswick, one lower-cost route is worth raising with your doctor. There is no generic Zepbound. Tirzepatide sits under patent, so no cheaper copy exists, and none is coming for years. Generic semaglutide is a different molecule that does a similar job. It is the generic of Ozempic, a once-weekly injection, and it now sells for about $88 to $120 a month at Canadian pharmacies. MyRocky fills it online at $149 a month all-in, consult and follow-up included, and ships to every address in New Brunswick. Our generic semaglutide guide compares pharmacy prices across the country. Talk to your prescriber before switching molecules, since tirzepatide and semaglutide dose differently and results vary from person to person.
FAQ
How much does Zepbound cost in New Brunswick?
Between $300 and $540 per four-week pen at list price, depending on dose [1]. Costco in Moncton tends to sell the 2.5 and 5 mg starter pens for about $279 to $283, and the myZepbound card can hold an uninsured start near $300 a month [5].
Do the New Brunswick Drug Plans cover Zepbound?
No. The New Brunswick Drug Plans do not cover Zepbound or any GLP-1 for weight loss, the same as every provincial plan in Canada [8]. Employer coverage is the realistic path, and roughly 1 in 3 workplace plans includes it [7].
Where is the cheapest Zepbound in New Brunswick?
Costco in Moncton usually posts the lowest starter-pen price, near $279 to $283, but it is the only warehouse in the province. If you are not near Moncton, a flat-price telehealth service that mails the pen often beats the higher counter prices in smaller towns.
Can I get Zepbound delivered anywhere in New Brunswick?
Yes. Most chain pharmacies and every telehealth service ship a cold-pack Zepbound pen to any New Brunswick address, usually within a few business days once the prescription clears. That is the practical option for anyone living outside Moncton, Fredericton or Saint John.
Is there a myZepbound savings card for New Brunswick residents?
Yes. Any Canadian resident with a prescription can enroll at myzepbound.ca or by phone at 1-833-382-8639 [6]. It starts uninsured patients near $300 a month and drops insured copays to about $30 [5].
Is generic Zepbound available in New Brunswick?
No. There is no generic tirzepatide in Canada, and none is expected for years. The cheaper alternative is generic semaglutide, the generic of Ozempic, at $88 to $120 a month in pharmacies or $149 all-in online through MyRocky. It is a different molecule, so ask your prescriber first.
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
- Eli Lilly & Co. cuts price of popular diabetes and weight-loss drugs in Canada: The Globe and Mail on the Zepbound list-price cut effective December 29, 2025.
- Eli Lilly cuts Canadian obesity drug prices: Benefits and Pensions Monitor coverage of the same reduction.
- Zepbound KwikPen (tirzepatide injection) now approved and available in Canada: Lilly Canada launch announcement via Newswire, July 9, 2025.
- Zepbound Product Monograph: Lilly Canada monograph covering the KwikPen format, strengths and dosing.
- Zepbound KwikPen patient support and savings FAQ: Lilly Canada details on the myZepbound program, pricing and enrollment.
- myZepbound Savings and Support Program: Lilly Canada enrollment page and program phone line, 1-833-382-8639.
- Are weight-loss medications covered in Canada?: PolicyAdvisor data on employer plan GLP-1 coverage rates and prior-authorization criteria.
- New Brunswick Drug Plans: the public drug plan referenced for coverage details in this article.
- Lines 33099 and 33199, eligible medical expenses: Canada Revenue Agency rules for the Medical Expense Tax Credit.