GlidedosePrices checked November 2, 2026 against Novo Nordisk (NovoCare and its list-price page) and published Canadian pharmacy price tables. Canadian amounts in CAD, US amounts in USD.
Rybelsus cost in Canada vs the US
Short answer: Rybelsus costs about $230 to $280 CAD cash for 30 tablets at Canadian pharmacies (about $165 to $201 USD). In the US the list price is $1,027.51 for 30 tablets, Novo Nordisk is replacing Rybelsus with the Ozempic pill at $149 to $299 a month self-pay, and commercially insured people may pay as little as $25 with the savings offer.
Jump to: Side-by-side prices · Canada by pharmacy and province · US prices and the Ozempic pill · Strengths and formulations · Calculator
Rybelsus price: Canada vs US, same 30 tablets
Each row is one bottle or pack of 30 daily tablets. Conversions use the Bank of Canada rate of 1.3960 CAD per USD on October 30, 2026. "A year" is 365 tablets, about 12.2 bottles.
| Price basis | 30 tablets (CAD) | 30 tablets (USD) | Per tablet (CAD) | Year (CAD) | Year (USD) | Note |
|---|---|---|---|---|---|---|
| Canada: Costco Pharmacy, Ontario | $230.00 | $164.76 | $7.67 | $2,798 | $2,005 | Drug price for 30 tablets; dispensing fee not listed |
| Canada: Walmart Pharmacy, Ontario (3 mg) | $265.99 | $190.54 | $8.87 | $3,236 | $2,318 | $256 + $9.99 dispensing fee |
| Canada: Rexall, Ontario | $274.49 | $196.63 | $9.15 | $3,340 | $2,392 | $262 + $12.49 dispensing fee, same at each strength |
| Canada: Shoppers Drug Mart, Ontario | $279.99 | $200.57 | $9.33 | $3,407 | $2,440 | $268 + $11.99 dispensing fee, same at each strength |
| US: list price (WAC) | $1,434.40 | $1,027.51 | $47.81 | $17,452 | $12,501 | Per bottle of 30 tablets, every strength, before any discount |
| US: Ozempic pill self-pay, 1.5 mg (NovoCare) | $208.00 | $149.00 | $6.93 | $2,531 | $1,813 | Replacement for Rybelsus 3 mg; 1 month = 1 bottle of 30 |
| US: Ozempic pill self-pay, 4 mg (NovoCare) | $277.80 | $199.00 | $9.26 | $3,380 | $2,421 | Replacement for Rybelsus 7 mg |
| US: Ozempic pill self-pay, 9 mg (NovoCare) | $417.40 | $299.00 | $13.91 | $5,078 | $3,638 | Replacement for Rybelsus 14 mg |
| US: commercial insurance with savings offer | $34.90 | $25.00 | $1.16 | $425 | $304 | "As little as $25", savings capped at $100 per 1-month fill; not for cash payers |
Arithmetic on published prices, not a pharmacy quote. Canadian prices are from GLP1Prices' Ontario table; US prices are from Novo Nordisk. The US Ozempic pill rows are a different brand name for the replacement tablets, shown because NovoCare publishes no self-pay price for Rybelsus itself.
Canada: price by pharmacy and province
| Ontario pharmacy (30 tablets) | 3 mg | 7 mg | 14 mg | Dispensing fee |
|---|---|---|---|---|
| Costco Pharmacy | $230.00 | $230.00 | $230.00 | Not listed |
| Walmart Pharmacy | $256.00 | $260.00 | $260.00 | $9.99 listed on 3 mg |
| Rexall | $262.00 | $262.00 | $262.00 | $12.49 |
| Shoppers Drug Mart | $268.00 | $268.00 | $268.00 | $11.99 |
| Province | Cheapest listed (3 mg, 30 tablets) | With fee |
|---|---|---|
| Ontario | Costco, $230.00 | Fee not listed |
| Alberta | Costco, $247.00 | $251.99 |
| British Columbia | Costco, $248.00 | $252.99 |
| Quebec | Costco, $252.00 | $256.99 |
Drug prices before fees from GLP1Prices, updated October and November 2026. Pharmacies set their own markup and fee, so ask for a quote before you fill. You don't need a Costco membership to use its pharmacy for prescriptions in Canada.
- No savings card. The Canadian price trackers cited below list no Rybelsus savings card in Canada, and US cards can't be used at Canadian pharmacies.
- Coverage. Provincial drug plans and private insurers set their own listing and criteria for Rybelsus; check your formulary or plan. Province-by-province rules for GLP-1s are in GLP-1 cost in Canada.
- Tax. Out-of-pocket prescription costs can count toward the CRA medical expense tax credit; see the claim rules and calculator.
US: list price, the Ozempic pill and the savings offer
| Situation (US) | Price per month | Fine print (Novo Nordisk terms) |
|---|---|---|
| Rybelsus list price | $1,027.51 | Wholesale acquisition cost for 30 tablets of 3, 7 or 14 mg |
| Ozempic pill self-pay, 1.5 mg | $149 | NovoCare; 1 month is 1 bottle of 30 tablets |
| Ozempic pill self-pay, 4 mg | $199 | NovoCare |
| Ozempic pill self-pay, 9 mg | $299 | NovoCare |
| Commercial insurance, with the savings offer | As little as $25 | Maximum savings $100 per 1-month fill; full cash payers and government plans excluded. An existing Rybelsus offer carries over to eligible Ozempic tablets. |
| Medicare Part D | Plan cost-sharing | The Medicare GLP-1 Bridge does not cover Ozempic or Rybelsus tablets |
NovoCare's Rybelsus page now says Rybelsus is being replaced by the Ozempic pill and that the Ozempic pill will have the same coverage. A self-pay fill runs outside insurance, so it doesn't count toward a deductible or out-of-pocket maximum. Rx For Ohio reports a lower Rybelsus list price of $675 for the 7 and 14 mg strengths from January 1, 2027. More on each program is in US savings programs and GLP-1 cost without insurance.
Strengths and formulations: Canada vs US
| Canada (Rybelsus) | US (Rybelsus, being replaced) | US replacement (Ozempic pill) |
|---|---|---|
| 3 mg (initial) or 1.5 mg (optimized) | 3 mg | 1.5 mg |
| 7 mg (initial) or 4 mg (optimized) | 7 mg | 4 mg |
| 14 mg (initial) or 9 mg (optimized) | 14 mg | 9 mg |
Pairs as stated by Novo Nordisk; tablets on the same row are not interchangeable without a new prescription. Health Canada's Drug Product Database shows Canada's 1.5, 4 and 9 mg Rybelsus tablets marketed since March 13, 2026; the pharmacy listings above were still for 3, 7 and 14 mg. The formulation differences and how to take the tablets are in how to take oral semaglutide. Which strength you take is your prescriber's decision.
Rybelsus cost calculator (CAD or USD)
Arithmetic only, on the numbers you enter, assuming one tablet a day for 365 days. 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
Daily tablets add up quietly: a year is about 12 bottles, not 12 months of the same price, and US prices are shifting to the Ozempic pill. Logging each fill and what you paid shows your true cost per tablet.
Frequently asked questions
How much does Rybelsus cost in Canada?
Without coverage, Ontario pharmacies listed Rybelsus at about $230 to $280 CAD for 30 tablets in October and November 2026: $230 at Costco (before any dispensing fee), $265.99 at Walmart, $274.49 at Rexall and $279.99 at Shoppers Drug Mart, fees included. Costco's cheapest listed price was $247 plus a $4.99 fee in Alberta, $248 plus $4.99 in British Columbia and $252 plus $4.99 in Quebec.
How much does Rybelsus cost in the US?
Novo Nordisk's list price (wholesale acquisition cost) is $1,027.51 for a bottle of 30 tablets at every strength. Novo is replacing Rybelsus with the Ozempic pill, which NovoCare sells self-pay at $149 (1.5 mg), $199 (4 mg) and $299 (9 mg) a month. With commercial coverage, the savings offer says you may pay as little as $25, with savings capped at $100 per 1-month fill.
Is Rybelsus cheaper in Canada than in the US?
Against the US list price, yes by a wide margin: $230 to $280 CAD is about $165 to $201 USD at the Bank of Canada rate of 1.3960 (October 30, 2026), versus $1,027.51. Against US self-pay for the replacement Ozempic pill, the gap is smaller: the 1.5 mg bottle at $149 USD is cheaper than any Canadian price listed here, while the 9 mg bottle at $299 USD costs more than all of them.
Why is Rybelsus being replaced by the Ozempic pill in the US?
NovoCare's Rybelsus page says Rybelsus is being replaced by the Ozempic pill and that the Ozempic pill will have the same coverage as Rybelsus. Novo Nordisk pairs the strengths as Ozempic 1.5 mg with Rybelsus 3 mg, 4 mg with 7 mg, and 9 mg with 14 mg. Switching needs a new prescription, and an existing Rybelsus savings offer can be used for eligible Ozempic tablets.
Is there a Rybelsus savings card in Canada?
The Canadian price trackers cited here list no Rybelsus savings card in Canada, and US savings cards don't work at Canadian pharmacies. Coverage comes from provincial drug plans or private insurance, and each plan sets its own criteria.
How much does Rybelsus cost per year?
Rybelsus is a daily tablet, so a year is 365 tablets, about 12.2 bottles of 30. That is roughly $2,798 CAD a year at $230 a bottle and $3,407 at $279.99, versus $12,501 USD at the US list price, before insurance.
Do the new Canadian 1.5, 4 and 9 mg tablets cost the same?
The Canadian pharmacy listings checked on November 2, 2026 were for the 3, 7 and 14 mg tablets, and Rexall and Shoppers priced those three strengths the same. Health Canada's Drug Product Database shows the 1.5, 4 and 9 mg tablets marketed since March 13, 2026, but no separate price for them was listed, so ask your pharmacy for a quote.
Sources
- GLP1Prices, Rybelsus price in Ontario by pharmacy and strength (October 2026)
- GLP1Prices, cheapest Rybelsus by province (November 2026)
- GLP1Costs.ca, GLP-1 prices in Canada by pharmacy
- Novo Nordisk, Rybelsus list price (WAC)
- NovoCare, Ozempic pill self-pay and savings offer terms (Novo Nordisk)
- Rybelsus savings offer (Novo Nordisk)
- Drugs.com, Ozempic and Rybelsus tablet strengths and self-pay prices
- Rx For Ohio, GLP-1 list prices and savings cards (checked October 18, 2026)
- Health Canada Drug Product Database (semaglutide tablets)
- Bank of Canada daily exchange rates (USD/CAD 1.3960, October 30, 2026)
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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Cash prices for Ozempic, Wegovy, Mounjaro, Zepbound and generics, plus a cost calculator.GLP-1 savings programs in the US
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