Prices checked November 1, 2026 against Novo Nordisk (NovoCare), Canada's Drug Agency and published Canadian price reports. Canadian amounts in CAD, US amounts in USD.

Ozempic cost in Canada vs the US

Short answer: brand Ozempic costs about $250 to $340 CAD cash for four weeks in Canada (about $179 to $244 USD), and generic semaglutide pens are about $83 to $103. In the US the list price is $1,027.51 a month, Novo Nordisk's self-pay price is $349 ($499 for 2 mg), and commercially insured people may pay as little as $25 with the savings offer.

Jump to: Side-by-side prices · US prices and fine print · Canada prices and coverage · Pens and doses · How the Canadian price has moved · Calculator

Ozempic price: Canada vs US, same 4 weeks

Each row is one four-week supply (4 weekly doses). Conversions use the Bank of Canada rate of 1.3960 CAD per USD on October 30, 2026. "A year" is 13 four-week supplies.

Price basis	4 weeks (CAD)	4 weeks (USD)	Year (CAD)	Year (USD)	Note
Canada: brand Ozempic, pharmacy cash (low end)	$250.00	$179.08	$3,250	$2,328	Surveyed cash price for 4 weeks, incl. dispensing fee (Oct 2026)
Canada: brand Ozempic, pharmacy cash (high end)	$340.00	$243.55	$4,420	$3,166	Surveyed cash price for 4 weeks, incl. dispensing fee (Oct 2026)
Canada: brand Ozempic, wholesale	$240.48	$172.26	$3,126	$2,239	Per 4-week supply, reported by The Globe and Mail (May 2026)
Canada: generic semaglutide, wholesale (Apotex)	$78.14	$55.97	$1,016	$728	Per 4-week supply at launch (May 2026)
Canada: generic semaglutide, pharmacy cash	$103.00	$73.78	$1,339	$959	Upper end of the $83 to $103 per-pen range (Oct 2026)
US: list price (WAC)	$1,434.40	$1,027.51	$18,647	$13,358	Per 1-pen box, before any discount
US: NovoCare self-pay, 0.25 to 1 mg	$487.20	$349.00	$6,334	$4,537	$199 for the first 2 fills of 0.25 or 0.5 mg for new patients, through Dec 31, 2026
US: NovoCare self-pay, 2 mg	$696.60	$499.00	$9,056	$6,487	Per 1-pen box
US: commercial insurance with savings offer	$34.90	$25.00	$454	$325	"As little as $25", savings capped at $100 a month; government plans excluded

Arithmetic on published prices, not a pharmacy quote. The Canadian cash range comes from the pharmacy surveys summarized in our GLP-1 cost in Canada guide; the Canadian wholesale figures are from The Globe and Mail; US prices are from NovoCare and the list-price table cited below. Real annual totals usually mix strengths, because dosing starts low and changes over time on your prescriber's plan.

US: list price vs what people pay

Situation (US)	Price per month	Fine print (Novo Nordisk terms)
List price	$1,027.51	Price before insurance or discounts
New to the savings offer or NovoCare home delivery	$199	0.25 mg and 0.5 mg only, for 2 monthly fills, through December 31, 2026
Self-pay, 0.25, 0.5 or 1 mg	$349	A month is 1 box of 1 Ozempic pen
Self-pay, 2 mg	$499	A month is 1 box of 1 Ozempic pen
Commercial insurance, with the savings offer	As little as $25	Maximum savings $100 a month; government beneficiaries excluded
Medicare, Medicaid or other government plan	Plan cost-sharing, or the self-pay price	Novo says people in government programs can pay the self-pay price; the offer runs outside insurance and does not count toward deductibles

NovoCare also notes that people with both commercial and government coverage count as having government insurance, while FEHB, Affordable Care Act exchange and state-employee plans are not treated as government programs for this offer. More detail on each program is in US savings programs and GLP-1 cost without insurance.

Canada: cash price, generics and public coverage

Cash price. About $250 to $340 for a four-week supply of brand Ozempic in October 2026, including the dispensing fee. Costco and Walmart pharmacies are usually at the low end. Pharmacies set their own markup and fee, so always ask for a quote.
Generic semaglutide. Apotex launched Apo-Semaglutide in May 2026 at a wholesale price of $78.14 per four weeks, against $240.48 for brand Ozempic. Pharmacy cash prices were about $83 to $103 per pen in October 2026. Whether a generic suits you is a question for your prescriber and pharmacist; the brands and DINs are in our generic semaglutide guide.
Savings card. Novo Nordisk Canada offers a savings card for brand Ozempic that lowers the cash price; terms vary, so check the card's current conditions.
Public plans. CADTH's 2019 recommendation (SR0594) was to reimburse Ozempic for adults with type 2 diabetes with inadequate glycemic control, in combination with metformin alone when diet, exercise and the maximum tolerated metformin dose are not enough, not as an add-on to metformin plus another diabetes drug, and at a drug-plan cost no higher than the least costly drug already reimbursed in that situation. Provinces decide their own listings.
Tax. Out-of-pocket prescription costs can count toward the CRA medical expense tax credit; see the claim rules and calculator.

Pens and doses: why "per pen" can mislead

US NovoCare prices are per box of one pen, defined as one month. Canada sells both 4-dose and 8-dose Ozempic pens, so a Canadian pen can last 4 or 8 weeks. Compare by price per weekly dose.

Ozempic pen (Canadian monograph, section 6)	Doses per pen	Lasts
2 mg pen (0.25 / 0.5 mg doses)	4 or 6	4 to 6 weeks
4 mg pen (0.5 mg doses)	8	8 weeks
4 mg pen (1 mg doses)	4	4 weeks
8 mg pen (1 mg doses)	8	8 weeks
8 mg pen (2 mg doses)	4	4 weeks

Every Canadian Ozempic pen must be discarded 8 weeks after first use. Not every pack size is stocked at every pharmacy. Full pen details for all GLP-1s are in doses per pen. Which pen and dose you use is your prescriber's decision.

How the Canadian price has moved

Date	Price	Source
2019	$195.06 per pre-filled pen; $2,544 a year	Novo Nordisk's submitted price in the CADTH review (SR0594)
May 2026	$240.48 per four weeks (brand wholesale); $78.14 for Apo-Semaglutide	The Globe and Mail
October 2026	$250 to $340 cash per four weeks; generic $83 to $103 per pen	Canadian pharmacy price surveys

These figures come from different points in the supply chain (submitted, wholesale, retail), so they are not a like-for-like trend line, but they show the range Canadians have seen.

Ozempic cost calculator (CAD or USD)

Price you pay per pen or fill Currency of that price Weekly doses in that pen or fill Insurance or savings card pays (per pen or fill) CAD per USD

Arithmetic only, on the numbers you enter, assuming 52 weekly doses a year. 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

Starter offers end, strengths change and some Canadian pens last 8 weeks instead of 4. Logging each fill, what you paid and what was covered shows your true cost per dose across the year.

Frequently asked questions

How much does Ozempic cost in Canada?

Canadian pharmacies were charging roughly $250 to $340 CAD cash for a four-week supply of brand Ozempic in October 2026, including the dispensing fee. The Globe and Mail reported a brand wholesale price of $240.48 per four weeks. Generic semaglutide pens that reference Ozempic were about $83 to $103 per pen at the pharmacy.

How much does Ozempic cost in the US?

The US list price is $1,027.51 per box of one pen. Novo Nordisk's NovoCare self-pay price is $349 a month for 0.25 mg, 0.5 mg or 1 mg and $499 a month for 2 mg, with $199 for the first two monthly fills of 0.25 or 0.5 mg for new patients through December 31, 2026. With commercial insurance, the savings offer says you may pay as little as $25, with savings capped at $100 a month.

Is Ozempic cheaper in Canada than in the US?

At cash prices, yes. A $250 to $340 CAD Canadian fill is about $179 to $244 USD at the Bank of Canada rate of 1.3960 (October 30, 2026), versus $349 to $499 USD for US self-pay and $1,027.51 at the US list price. Someone with US commercial coverage that includes Ozempic may pay less with the $25 savings offer.

Is there generic Ozempic in Canada but not in the US?

Yes. Health Canada's Drug Product Database lists generic semaglutide pens from Dr. Reddy's and Apotex as marketed and pens from Aspen and Sandoz as approved. In the US, FDA had given only a tentative approval to an Apotex semaglutide injection as of October 2026, which does not allow it to be sold.

How much does Ozempic cost per year?

A weekly injection uses 52 doses a year, which is 13 four-week supplies, not 12. That is about $3,250 to $4,420 CAD a year at Canadian cash prices, $4,537 USD a year at the US $349 self-pay price, $6,487 at $499 and $13,357.63 at the US list price, before insurance.

Do provincial drug plans cover Ozempic?

CADTH (now Canada's Drug Agency) recommended in 2019 that public plans reimburse Ozempic for adults with type 2 diabetes when added to metformin alone, not as an add-on to metformin plus another diabetes drug, and only at a price no higher than the least costly drug plans already reimburse in that spot. Each province sets its own listing and criteria, so check your provincial formulary.

Why does a Canadian Ozempic pen sometimes last 8 weeks?

The Canadian monograph lists 8-dose pens (4 mg in 3 mL for 0.5 mg doses and 8 mg in 3 mL for 1 mg doses) as well as 4-dose pens. An 8-dose pen covers 8 weekly doses and costs more per pen, so compare prices per dose rather than per pen.

Sources

Prices and program terms change often and eligibility rules apply; confirm with your pharmacy or Novo Nordisk. 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.

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Price per pen by strength in CAD and USD, savings cards, and cost per year.Generic semaglutide in Canada
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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.