How this works
Prices. We use three kinds of official price. For semaglutide pens and Rybelsus tablets, Ontario's public formulary, the clearest official list in Canada. For Wegovy, Zepbound and Mounjaro, the price the maker submitted to Canada's Drug Agency; Wegovy costs the same at every strength. For Trulicity, Victoza and Saxenda, which are on neither, the BC Ministry of Health's wholesale estimate, without pharmacy markup or fee. It is given as a yearly cost, which we turn into a pack price over 365 days, so we mark it "about". The Saxenda figure is from May 2024, the newest we found. Generic semaglutide costs less because, once three or more generics are listed, an injectable generic is priced at 35% of the brand's reference price.
Packs and months. Each dose costs its share of a pack: the pack price divided by the days the pack lasts at that dose. A weekly pen of 4 doses lasts 4 weeks. The semaglutide starter pen holds 2 mg, "4 doses of 0.25 mg and 2 doses of 0.5 mg, or 4 doses of 0.5 mg", so a 0.25 mg week costs an eighth of a pen and a 0.5 mg week a quarter. An 18 mg liraglutide pen lasts 10 days at 1.8 mg; Rybelsus is one tablet a day. We count a year as 52 weeks (364 days), so a month is about 4.3 weeks or 30.3 days: 6 months is 26 weeks and 12 months is 52. Each month's figure in the table is rounded to the dollar with the rounding carried forward, so the months add up exactly to the total. Pharmacies dispense whole packs, so the last one may cost more than shown.
Dose steps. "Label's dose steps" moves up the ladder in the Health Canada monograph. For Ozempic and generic semaglutide that is 4 weeks at 0.25 mg, then 0.5 mg, with steps to 1 mg (and 2 mg for Ozempic) after at least 4 weeks; for Rybelsus, 30 days at 3 mg, then 7 mg, then 14 mg after at least 30 days; for Trulicity, 0.75 mg, then 1.5 mg (the label sets no minimum time, so we count 4 weeks); for Victoza, 1 week each at 0.6 and 1.2 mg, then 1.8 mg; for Wegovy, 4 weeks each at 0.25, 0.5, 1 and 1.7 mg, then 2.4 mg; for Saxenda, 1 week each at 0.6, 1.2, 1.8 and 2.4 mg, then 3 mg; for Zepbound and Mounjaro, 2.5 mg for 4 weeks, then up 2.5 mg at a time after at least 4 weeks, to at most 15 mg. Prescribers often go slower, and some people stay lower.
My own plan. You set each step in whole weeks, starting from the label's steps; the last step runs to the end. A weekly medicine is 1 dose a week; a daily one is 7 doses a week. Weeks become months on the same rule, 52 weeks a year: 26 weeks is 6 months. Rybelsus's 30-day steps are kept as 30 days until you change them. Left as filled in, it gives the same total, and the same month by month, as the label's steps.
Coverage. We explain coverage rather than compute it. It depends on your province, your plan and why the medicine is prescribed, and the rules change often.
What this can't tell you
It can't tell you what a pharmacy will charge, what your plan will pay, or which medicine or dose is right for you. We found no official price for the Ozempic 2 mg pen in the formulary we checked, so we show it as not published instead of guessing. The Trulicity, Victoza and Saxenda figures are wholesale estimates, and the Saxenda one dates from May 2024. Sevmia, the generic version of Wegovy, was approved in June 2026 but wasn't on sale when we checked, and Canada has no generic liraglutide, so neither is in the calculator. Trulicity's 3 mg and 4.5 mg pens are approved but not sold in Canada.
Questions people ask
What is the official price of Ozempic and generic semaglutide in Canada?
Ontario's public drug formulary lists Ozempic at $227.94 per pen and generic semaglutide (Apotex, Dr. Reddy's) at $78.141 per pen, checked 12 October 2026. The 1 mg pen holds 4 weekly doses, about a month; the starter pen holds 4 doses of 0.25 mg and 2 of 0.5 mg. For Ozempic, the Ontario plan pays the generic price. Pharmacies set their own prices and fees, so what you pay at the counter can differ.
How much does Wegovy cost in Canada?
Canada's Drug Agency lists the maker's submitted price as $388.64 per pen of 4 doses, the same at every strength. A year of 52 weekly doses is 13 pens, $5,052, which is what the calculator shows for 12 months on one dose. The agency's own figure, $5,066 a year, counts a year as 365 days instead of 52 weeks. No public plan covers Wegovy for weight loss.
How much do Zepbound and Mounjaro cost in Canada?
Eli Lilly's price submitted to Canada's Drug Agency is $300 per pen of 4 weekly doses at 2.5 mg and 5 mg, $420 at 7.5 mg and 10 mg, and $540 at 12.5 mg and 15 mg, the same for Zepbound and Mounjaro. That is about $3,900 to $7,000 a year at one dose. Tirzepatide isn't on any public formulary we checked.
Does the calculator include insurance or provincial coverage?
No. Coverage depends on your province, your plan and why the medicine is prescribed, so we explain the rules instead of guessing a number. Public plans cover semaglutide for type 2 diabetes with criteria, and Ontario also lists Rybelsus; we found none that covers Wegovy, Zepbound or Saxenda for weight loss.
Is this what I'll actually pay?
Treat it as an approximate baseline, not a quote. It uses official prices (Ontario's public formulary, the makers' prices submitted to Canada's Drug Agency, and the BC Ministry of Health's wholesale estimates) and the label's dose steps. Your pharmacy's dispensing fee and markup, your prescriber's plan, dose changes and your provincial or private coverage can all move the real figure.
Why don't you show savings-card or pharmacy prices?
They aren't list prices: their terms change and some exclude Quebec or people with coverage. We only use official or published list prices, and we never name or rank a seller.
