Provincial pricing (May 2026)
| Province | Brand Ozempic | Generic (estimate) | Public coverage |
|---|---|---|---|
| Ontario | $298 CAD | $129 CAD (est) | ODB: diabetes only |
| British Columbia | $305 CAD | $135 CAD (est) | PharmaCare: diabetes only |
| Alberta | $290 CAD | $125 CAD (est) | Diabetes coverage; weight loss not covered |
| Quebec | $315 CAD | $140 CAD (est) | RAMQ: diabetes only |
| Manitoba | $300 CAD | $130 CAD (est) | Pharmacare: diabetes only |
| Saskatchewan | $295 CAD | $128 CAD (est) | Diabetes only |
| Nova Scotia | $310 CAD | $135 CAD (est) | Pharmacare: diabetes only |
| New Brunswick | $308 CAD | $133 CAD (est) | NB Drug Plan: diabetes only |
| Newfoundland | $312 CAD | $137 CAD (est) | NLPDP: diabetes only |
| PEI | $320 CAD | $140 CAD (est) | PEI Pharmacare: diabetes only |
Generic prices are estimates based on typical first-generic pricing patterns in Canada. Actual prices set by provincial formularies + pharmacy markups. Updated as pricing data becomes available.
Wegovy (weight-loss indication) in Canada
Wegovy is approved in Canada for chronic weight management. The CDA-AMC (Canadian Drug Agency) recommended Wegovy for public reimbursement specifically for adults with established cardiovascular disease in July 2025. Provincial implementation is rolling out through 2026-2027.
Generic Wegovy (2.4 mg high-dose semaglutide) faces longer patent protection than the Ozempic 1 mg dose. Earliest generic Wegovy: 2028-2029. Until then, Canadian patients seeking weight loss treatment pay full brand price ~$400 CAD/month.
For US patients reading this
Cross-border importation of prescription medications from Canada to the US is restricted by FDA regulations. Despite the price difference, US patients should obtain GLP-1s through US-licensed pharmacies:
- • Hims & Hers oral Wegovy: $149 USD/month — cheaper than Canadian brand Ozempic at current exchange rates
- • LillyDirect Foundayo: $349 USD/month at 90-day fill
- • Wegovy savings card: $499 USD/month for commercially insured
FAQ
- Is generic semaglutide approved in Canada?
- Yes. Health Canada approved two generic semaglutide products in April/May 2026 — Dr. Reddy's Laboratories and Apotex. Both are for type 2 diabetes; weight loss indication separate.
- How much cheaper is generic semaglutide?
- Expected $100-150 CAD/mo vs $250-300 CAD brand Ozempic. Final retail prices set by provincial formularies + pharmacy markup.
- Will Canadian generic semaglutide ship to the US?
- No — cross-border pharmacy import from Canada to US is FDA-restricted. US patients should use US-licensed pharmacies + LillyDirect / Hims / Ro for legitimate access.
- Does Canada cover Wegovy for weight loss publicly?
- Most provinces do not yet. CDA-AMC (Canada's drug evaluation body) recommended Wegovy for cardiovascular reimbursement in July 2025. Provincial implementation pending.
- When will generic Wegovy (high-dose) be available in Canada?
- Generic high-dose semaglutide (Wegovy 2.4 mg) faces longer patent protection. Earliest generic likely 2028-2029 once additional patents expire.
Editorial note: Canadian pricing data sourced from provincial formulary databases + pharmacy phone verification. US patients should consult US-licensed providers — links above are US affiliate partners.