GlidedosePrices checked November 2, 2026 against Canada's Drug Agency, Eli Lilly Canada, Lilly USA (LillyDirect) and provincial pharmacy cash prices. Canadian amounts in CAD, US amounts in USD.
Mounjaro cost in Canada vs the US
Short answer: in Canada, Lilly's submitted price for a Mounjaro KwikPen (4 weekly doses) is $300 CAD for 2.5 or 5 mg, $420 for 7.5 or 10 mg and $540 for 12.5 or 15 mg. In the US, the list price is $1,112.16 USD for 4 weeks at every strength, LillyDirect sells it self-pay from $499 a month at every strength, and Lilly's savings card brings it to $25 for many people whose commercial plan covers it. At Canadian pharmacies, cash prices in November 2026 ran from about $323 to $597 CAD per pen depending on strength and province. Pharmacy fees, insurance and the card you use decide what you really pay.
Jump to: Price by strength · US prices and savings card · Canada prices and coverage · Pharmacy prices by province · Cost per year · What differs between the countries · Calculator
Mounjaro price by strength: Canada vs US
One Canadian KwikPen and one US fill of 4 single-dose pens each cover 4 weekly doses, so the rows compare the same 4 weeks. The USD column converts the Canadian price at the Bank of Canada rate of 1.3960 CAD per USD (October 30, 2026).
| Strength | Canada, per KwikPen (CAD) | Canada, per dose (CAD) | Canada, 13 pens a year (CAD) | Canada pen in USD | US list price, 4 pens (USD) | US list, per dose (USD) |
|---|---|---|---|---|---|---|
| 2.5 mg | $300.00 | $75.00 | $3,900 | $214.90 | $1,112.16 | $278.04 |
| 5 mg | $300.00 | $75.00 | $3,900 | $214.90 | $1,112.16 | $278.04 |
| 7.5 mg | $420.00 | $105.00 | $5,460 | $300.86 | $1,112.16 | $278.04 |
| 10 mg | $420.00 | $105.00 | $5,460 | $300.86 | $1,112.16 | $278.04 |
| 12.5 mg | $540.00 | $135.00 | $7,020 | $386.82 | $1,112.16 | $278.04 |
| 15 mg | $540.00 | $135.00 | $7,020 | $386.82 | $1,112.16 | $278.04 |
Canada: price Eli Lilly Canada submitted to CDA-AMC in the 2026 Mounjaro (SR0886) and Zepbound (SR0920) reviews, before pharmacy markup and dispensing fee. US: Lilly's wholesale acquisition cost of $1,112.16 per fill of 4 single-dose pens for all six strengths (AnalySource, January 2026). Neither is a quote from a pharmacy.
US: list price vs what people pay
| Situation (US) | Price per 1-month fill | Fine print |
|---|---|---|
| List price (WAC) | $1,112.16 | Same for 2.5 to 15 mg; a month is 4 single-dose pens |
| LillyDirect self-pay (no insurance needed) | Starting at $499 | Listed for every single-dose pen strength, 2.5 to 15 mg. Prescription required, terms apply, additional taxes and fees may apply; FSA/HSA eligible depending on the plan |
| Commercial insurance that covers Mounjaro, with savings card | As little as $25 | For a 1-, 2- or 3-month fill. Card saves up to $150 per 1-month fill ($450 per 3-month fill) and up to $1,950 a calendar year |
| Commercial insurance that does not cover Mounjaro, with savings card | As low as $499 | Card saves up to $647 a month and up to $8,411 a calendar year |
| Medicare, Medicaid, TRICARE, VA or other government coverage | Plan cost-sharing | Not eligible for the savings card |
Both card tiers apply to the Mounjaro single-dose pen, allow up to 13 fills per calendar year and end December 31, 2026, per Lilly's card terms. The US label also lists a single-dose vial, a multi-dose vial and a 4-dose KwikPen (section 16.1), but the card terms quoted here name the single-dose pen. For self-pay prices of the other GLP-1s, see GLP-1 cost without insurance in the US and US savings programs.
Canada: submitted price, savings card and public coverage
- Price tiers. Lilly's submitted price is "$300.00 per 2.5 mg or 5 mg multidose prefilled pen, $420.00 per 7.5 mg or 10 mg multidose prefilled pen, $540.00 per 12 mg [12.5 mg] or 15 mg multidose prefilled pen" (CDA-AMC SR0886). The same review lists single-dose vials at $75, $105 and $135, which is the same price per dose.
- What pharmacies charge. Pharmacies set their own cash price and dispensing fee, so the till price is usually above the submitted price. Our GLP-1 cost in Canada guide tracks surveyed cash ranges.
- Savings card. Lilly Canada's my mounjaro card says people without private insurance may be able to start for as low as $300 a month, for the 2.5 mg or 5 mg KwikPen only (retail pharmacy average for 28 days, dispensing fee not included). With private insurance and the card, Lilly says you may be able to start for less than $1 a day on average. The card is only valid for the KwikPen.
- Public plans. CDA-AMC's final recommendation (reconsideration meeting July 22, 2026) is to reimburse Mounjaro for adults with type 2 diabetes with conditions: only for patients who already meet public-plan criteria for other GLP-1 drugs such as semaglutide, a price reduction for 10 mg and 15 mg, and a 5 mg drug-program cost no higher than semaglutide 1 mg. Listing is up to each province.
- Tax. Out-of-pocket prescription drug costs can count toward the CRA medical expense tax credit; the claim rules and a calculator are in the Canadian cost guide.
Mounjaro pharmacy prices in Canada by province
The submitted price is what Lilly charges the system, not what you pay at the counter. These are the lowest cash prices per KwikPen (4 weekly doses) listed for each province in November 2026, counting only prices where the dispensing fee is included or stated, with the pharmacy in brackets. Prices are before any private insurance or my mounjaro card.
| Strength | Submitted (CDA-AMC) | Ontario | Quebec | Alberta | British Columbia | Lowest vs submitted | Lowest in USD |
|---|---|---|---|---|---|---|---|
| 2.5 mg | $300.00 | $360.00 (MisterPharmacist) | $322.99 (Costco) | $338.99 (Walmart) | $359.99 (Shoppers) | +8% | $231.37 |
| 5 mg | $300.00 | $324.14 (Walmart) | $334.00 (Costco) | $328.68 (Walmart) | $336.00 (London Drugs) | +8% | $232.19 |
| 7.5 mg | $420.00 | $434.99 (Costco) | $445.99 (Costco) | $436.99 (Costco) | $437.99 (Costco) | +4% | $311.60 |
| 10 mg | $420.00 | $452.00 (Walmart) | $445.99 (Costco) | $436.99 (Costco) | $437.99 (Costco) | +4% | $313.03 |
| 12.5 mg | $540.00 | $597.49 (Rexall) | $567.99 (Costco) | $556.99 (Costco) | $558.99 (Costco) | +3% | $398.99 |
| 15 mg | $540.00 | $597.49 (Rexall) | $567.99 (Costco) | $556.99 (Costco) | $558.99 (Costco) | +3% | $398.99 |
CAD per KwikPen, dispensing fee included. Lower prices listed without a fee: Ontario Costco $288 for 2.5 mg, British Columbia Costco $272 for 5 mg and Rexall or Walmart $340 for 2.5 mg; add the store's fee (Costco listed $4.99 elsewhere). USD at 1.3960 CAD per USD (Bank of Canada, October 30, 2026). Compiled from GLP1Prices.ca provincial pages, prices updated November 2026; not quotes, and they change often.
Mounjaro at Costco in Canada
| Strength | Ontario | Quebec | Alberta | British Columbia |
|---|---|---|---|---|
| 2.5 mg | $288 + fee | $322.99 | not listed | not listed |
| 5 mg | $325.67 | $334.00 | not listed | $272 + fee |
| 7.5 mg | $434.99 | $445.99 | $436.99 | $437.99 |
| 10 mg | not listed | $445.99 | $436.99 | $437.99 |
| 12.5 mg | not listed | $567.99 | $556.99 | $558.99 |
| 15 mg | not listed | $567.99 | $556.99 | $558.99 |
Most listed Costco prices include a $4.99 dispensing fee. At 7.5 mg and up, Costco was the lowest listed price in Quebec, Alberta and British Columbia, and about 3 to 6% above the submitted price; Shoppers Drug Mart and Rexall were typically about $35 to $55 higher per pen at the same strengths. Ontario's lowest 5 mg and 10 mg prices were at Walmart. In Quebec, everyone must have prescription drug insurance (RAMQ or a private group plan), so the cash price matters most if Mounjaro is not covered; ask the pharmacist before filling.
- Higher strength, higher price. Pharmacy prices follow the three submitted tiers, so 2.5 and 5 mg cost about the same, as do 7.5 and 10 mg, and 12.5 and 15 mg.
- Against the US. The cheapest 12.5 or 15 mg pen in these four provinces, $556.99 CAD, is about $398.99 USD, compared with $499 USD LillyDirect self-pay and the $1,112.16 US list price.
- Other provinces. Prices in other provinces can differ; the GLP-1 cost in Canada guide covers coverage and tax rules nationally.
Mounjaro cost per year: 13 pens, not 12
A once-weekly injection is 52 doses a year. With 4 doses per pen or fill, that is 13 purchases. The table holds one price tier for a full year; it is arithmetic on published prices, not a dosing plan.
| Price basis | Per 4 weeks | 13 a year | In the other currency |
|---|---|---|---|
| Canada, 2.5 or 5 mg KwikPen | $300 CAD | $3,900 CAD | about $2,794 USD |
| Canada, 7.5 or 10 mg KwikPen | $420 CAD | $5,460 CAD | about $3,911 USD |
| Canada, 12.5 or 15 mg KwikPen | $540 CAD | $7,020 CAD | about $5,029 USD |
| US list price, any strength | $1,112.16 USD | $14,458.08 USD | about $20,183 CAD |
| US LillyDirect self-pay or savings card, plan does not cover | $499 USD | $6,487 USD | about $9,056 CAD |
| US savings card, plan covers (1-month fills) | $25 USD | $325 USD | about $454 CAD |
CDA-AMC's own annual estimate is $3,913 to $7,044 CAD because it counts 365 days rather than 52 weeks. Currency conversions use 1.3960 CAD per USD (Bank of Canada, October 30, 2026) and are rounded to the dollar. The $499 row uses the starting self-pay price for every fill; card rows assume the card applies to all 13 fills within its monthly and annual caps.
What else differs between Canada and the US
| Canada (product monograph, June 23, 2026) | US (prescribing information, August 2026) | |
|---|---|---|
| Approved uses | Blood sugar control in type 2 diabetes, adults and patients 10 to under 18 years | Blood sugar control in type 2 diabetes (adults and children 10 and older), and lowering the risk of major cardiovascular events in adults with type 2 diabetes at high risk |
| Weight management brand | Zepbound (separate product) | Zepbound (separate product) |
| Devices listed | 4-dose KwikPen; single-dose pen (4 per carton) and single-dose vial | Single-dose pen (4-pack), single-dose vial, multi-dose vial (4 doses), KwikPen (4 doses) |
| Doses per KwikPen | 4 doses of 0.6 mL; one pen a month | 4 weekly doses |
| Price structure | Three tiers by strength | Same list price at every strength |
Strengths are the same in both countries: 2.5, 5, 7.5, 10, 12.5 and 15 mg. Which strength you use, and when it changes, is your prescriber's decision. Our doses per pen guide covers how long each pen lasts.
Mounjaro cost calculator
Arithmetic only, on the numbers you enter. The default exchange rate is the Bank of Canada rate for October 30, 2026; replace it with today's rate.
Track what each fill really costs
Strength changes, pharmacy fees and savings-card caps all move your monthly number. Logging each fill, what you paid and what the card or plan covered shows your real cost per dose over the year, in CAD or USD.
Frequently asked questions
How much does Mounjaro cost in Canada?
The price Eli Lilly submitted to Canada's Drug Agency (CDA-AMC) is $300 per KwikPen for 2.5 mg or 5 mg, $420 for 7.5 mg or 10 mg, and $540 for 12.5 mg or 15 mg. Each Canadian KwikPen holds 4 weekly doses, so one pen is a 4-week supply. Pharmacies add their own markup and dispensing fee, so the till price is usually higher.
How much does Mounjaro cost in the US?
Lilly's US list price (wholesale acquisition cost) is $1,112.16 per fill of 4 single-dose pens, the same at every strength. With Lilly's savings card, commercially insured people whose plan covers Mounjaro may pay as little as $25 for up to a 3-month fill, and those whose commercial plan does not cover it may pay as low as $499 a month. Separately, LillyDirect lists the Mounjaro single-dose pen for self-pay at every strength from 2.5 mg to 15 mg, starting at $499 a month with a prescription. People with Medicare, Medicaid or other government coverage cannot use the savings card.
Is Mounjaro cheaper in Canada than in the US?
Compared at list prices, yes. A Canadian 2.5 mg or 5 mg KwikPen at the submitted $300 CAD is about $215 USD at the Bank of Canada rate of 1.3960 (October 30, 2026), versus a US list price of $1,112.16 for the same 4 weeks. Even the 15 mg pen at $540 CAD is about $387 USD. What you actually pay in either country depends on insurance, savings cards and pharmacy fees.
Why does the Canadian price change with strength but the US price does not?
In the US, Lilly lists every Mounjaro strength at the same $1,112.16 per 4-pen fill. In Canada, the price submitted to CDA-AMC has three tiers: $300 (2.5 and 5 mg), $420 (7.5 and 10 mg) and $540 (12.5 and 15 mg) per 4-dose KwikPen. So in Canada a higher strength costs more, while in the US it does not.
How much does Mounjaro cost per year?
A weekly injection uses 52 doses, which is 13 four-dose pens or fills. At the Canadian submitted prices that is $3,900, $5,460 or $7,020 CAD a year depending on the price tier (CDA-AMC, counting 365 days, gives $3,913 to $7,044). At the US list price, 13 fills are $14,458.08 USD. Most people use more than one strength over a year, so real totals are a mix.
Do provincial drug plans cover Mounjaro?
CDA-AMC recommended in 2026 that public plans reimburse Mounjaro for adults with type 2 diabetes, but only for patients who already meet the plans' criteria for other GLP-1 drugs such as semaglutide, and only if the price is reduced. Each province decides its own listing, so check your provincial formulary or ask your pharmacist.
Where is Mounjaro cheapest in Canada?
In the November 2026 cash prices we compiled for Ontario, Quebec, Alberta and British Columbia, the lowest totals with the dispensing fee included were about $323 to $360 CAD for a 2.5 mg KwikPen, $324 to $336 for 5 mg, $435 to $452 for 7.5 or 10 mg and $557 to $597 for 12.5 or 15 mg. Costco was the lowest for most strengths at 7.5 mg and up, and Walmart for 5 mg in Ontario and Alberta. Prices change often, so call the pharmacy before you fill.
How much is Mounjaro at Costco in Canada?
Listed Costco cash prices in November 2026, including the dispensing fee, were $436.99 to $445.99 CAD per 7.5 mg or 10 mg KwikPen and $556.99 to $567.99 for 12.5 mg or 15 mg across Quebec, Alberta and British Columbia, with Ontario at $434.99 for 7.5 mg. Lower strengths were $322.99 (Quebec, 2.5 mg) and $325.67 to $334 (5 mg, Ontario and Quebec).
Can I buy Mounjaro self-pay in the US?
Yes. Lilly's LillyDirect page lists the Mounjaro single-dose pen in all six strengths, 2.5 mg to 15 mg, at a self-pay price starting at $499 a month. A prescription is required, terms apply, additional taxes and fees may apply, and Lilly says purchases are FSA/HSA eligible depending on the plan. The list price is $1,112.16 per 4-week fill.
Is there a Mounjaro savings card in Canada?
Yes. Lilly Canada's my mounjaro Savings & Support Program says people without private insurance may be able to start Mounjaro for as low as $300 a month with the card, for the 2.5 mg or 5 mg KwikPen only, based on retail pharmacy averages for a 28-day supply and excluding dispensing fees.
Sources
- CDA-AMC, Tirzepatide (Mounjaro) reimbursement recommendation SR0886 (meetings March 25 and July 22, 2026): submitted prices, annual cost, conditions
- CDA-AMC, Tirzepatide (Zepbound) reimbursement recommendation SR0920 (meeting June 24, 2026): submitted KwikPen prices
- Mounjaro product monograph, sections 1, 4 and 6 (Eli Lilly Canada, authorized June 23, 2026)
- my mounjaro Savings & Support Program (Eli Lilly Canada)
- LillyDirect, Mounjaro single-dose pen self-pay price, starting at $499 a month for 2.5 to 15 mg (read November 2, 2026)
- GLP1Prices.ca, Mounjaro cash prices by pharmacy: Ontario, Quebec, Alberta and British Columbia (prices updated November 2026)
- Lilly USA, Mounjaro cost information: list price $1,112.16 per fill
- Lilly USA, Mounjaro savings card terms and conditions (expires December 31, 2026)
- Mounjaro US prescribing information, sections 1 and 16.1 (DailyMed, revised August 2026)
- Bank of Canada daily exchange rates (USD/CAD 1.3960, October 30, 2026)
Submitted and list prices are not pharmacy quotes and change often; savings-card terms can change at the manufacturer's discretion. This page is general information, not medical advice, and does not recommend any medication, strength or dose. Talk to your prescriber or pharmacist before starting, stopping or switching a medication.
Related guides
Cash prices for Ozempic, Wegovy, Mounjaro, Zepbound and generics, plus a cost calculator.GLP-1 cost without insurance in the US (2026)
List prices vs. manufacturer self-pay prices, plus a monthly cost calculator.How many doses are in a GLP-1 pen?
Doses per Ozempic, Wegovy, Mounjaro, Zepbound, Trulicity, Victoza and Saxenda pen, and when to discard it.