GlidedosePrices checked November 3, 2026 against Novo Nordisk, CMS NADAC data, Health Canada and published Canadian pharmacy price tables. Canadian amounts in CAD, US amounts in USD.
Saxenda cost in Canada vs the US
Short answer: a carton of five Saxenda pens costs about $401 to $537 CAD cash at Canadian pharmacies (about $287 to $385 USD). In the US the list price is $1,349.02 for the same five pens. Generic liraglutide is sold in the US but not yet listed in Canada.
Jump to: Side-by-side prices · Canada by pharmacy and province · US list price, generics and savings · Generic liraglutide status · Calculator
Saxenda price: Canada vs US, same five pens
Each row is one carton of five 3 mL prefilled pens of liraglutide 6 mg/mL, 15 mL in total. Conversions use the Bank of Canada rate of 1.3960 CAD per USD on October 30, 2026.
| Price basis | 5 pens (CAD) | 5 pens (USD) | Per mL (CAD) | Note |
|---|---|---|---|---|
| Canada: Costco Pharmacy, Ontario | $401.00 | $287.25 | $26.73 | Drug price for 5 pens; dispensing fee not listed |
| Canada: Costco Pharmacy, Alberta | $481.99 | $345.27 | $32.13 | $477 + $4.99 dispensing fee |
| Canada: Walmart Pharmacy, Ontario | $508.99 | $364.61 | $33.93 | Dispensing fee not listed |
| Canada: Rexall, Ontario | $527.49 | $377.86 | $35.17 | Dispensing fee not listed |
| Canada: Shoppers Drug Mart, Ontario | $536.99 | $384.66 | $35.80 | $525 + $11.99 dispensing fee |
| US: Saxenda list price (WAC) | $1,883.23 | $1,349.02 | $125.55 | Novo Nordisk wholesale acquisition cost, 5 pens |
| US: Saxenda average pharmacy cost (NADAC) | $1,822.55 | $1,305.55 | $121.50 | What US pharmacies pay on average, Oct 21, 2026; not a retail price |
| US: generic liraglutide 5-pack (NADAC) | $989.76 | $709.00 | $65.98 | Average pharmacy acquisition cost, Oct 21, 2026; not a retail price |
Arithmetic on published prices, not a pharmacy quote. NADAC (National Average Drug Acquisition Cost) is what US retail pharmacies pay on average, so your cash price will usually be higher.
Canada: price by pharmacy and province
| Ontario pharmacy (5 pens) | Drug price | Dispensing fee | Total |
|---|---|---|---|
| Costco Pharmacy | $401.00 | Not listed | From $401.00 |
| Walmart Pharmacy | $508.99 | Not listed | From $508.99 |
| Shoppers Drug Mart | $525.00 | $11.99 | $536.99 |
| Rexall | $527.49 | Not listed | From $527.49 |
| Province | Cheapest listed (5 pens) | With fee |
|---|---|---|
| Ontario | Costco, $401.00 | Fee not listed |
| Alberta | Costco, $477.00 | $481.99 |
| British Columbia | Costco, $479.00 | $483.99 |
| Quebec | Costco, $487.00 | $491.99 |
Prices from GLP1Prices, updated 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.
- Coverage. Saxenda is approved in Canada for chronic weight management. Whether it's covered depends on your provincial drug plan or private insurer, so check your formulary or plan. Province-by-province GLP-1 coverage is in GLP-1 cost in Canada.
- No Canadian savings card is listed by the price trackers cited below, and US cards can't be used at Canadian pharmacies.
- Tax. Out-of-pocket prescription costs can count toward the CRA medical expense tax credit; see the claim rules and calculator.
US: list price, generic liraglutide and savings
| Situation (US) | Price | Fine print |
|---|---|---|
| Saxenda list price | $1,349.02 per 5 pens | Novo Nordisk wholesale acquisition cost, before any discount |
| Saxenda average pharmacy cost | $87.04 per mL, about $1,305.55 per 5 pens | CMS NADAC, effective October 21, 2026 |
| Generic liraglutide 5-pack | $47.27 per mL, about $708.99 per 5 pens | CMS NADAC, October 21, 2026 (Teva, Cipla and Biocon labelers listed) |
| Generic liraglutide 3-pack and 2-pack | $29.19 and $28.58 per mL | About $262.69 per 3 pens and $171.50 per 2 pens; CMS NADAC, October 21, 2026 |
| Saxenda with commercial insurance | As little as $25, or up to $200 off | NovoCare: per prescription, up to 12 months, eligibility restrictions apply; confirm the offer is open before relying on it |
| Teva generic with commercial insurance | As little as $20 | Commercially insured only; cash payers and government plans excluded; expires December 31, 2026 |
NADAC doesn't separate generic liraglutide labeled for weight management from generic liraglutide labeled for type 2 diabetes, since both are 18 mg/3 mL pens; the 2- and 3-packs match how diabetes liraglutide is usually packed. Your pharmacist can tell you which generic matches your prescription. More on US programs is in US savings programs and GLP-1 cost without insurance.
Generic liraglutide: US vs Canada
| United States | Canada | |
|---|---|---|
| Brand | Saxenda (Novo Nordisk) | Saxenda, DIN 02437899 (Novo Nordisk Canada), marketed since May 27, 2015 |
| Generic | Teva since August 27, 2025; Cipla and Biocon approved February 24, 2026 | None listed in the Drug Product Database on November 3, 2026 |
| Same molecule, other brand | Victoza (type 2 diabetes) | Victoza, DIN 02351064 (type 2 diabetes) |
| Pen | 3 mL prefilled pen, liraglutide 6 mg/mL, five pens per Saxenda carton | |
Health Canada's listing describes each Saxenda pen as able to deliver several dose settings; which one you use is your prescriber's decision. For how many doses a pen holds at each setting, see GLP-1 pen doses.
Saxenda cost calculator (CAD or USD)
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. Enter the number of fills from your own pharmacy history.
Track what each fill really costs
A carton's cost per month depends on how long it lasts for you, and switching between brand and generic changes the price. Logging each fill and what you paid shows your real spend.
Frequently asked questions
How much does Saxenda cost in Canada?
Without coverage, Ontario pharmacies listed a carton of five Saxenda pens at $401 (Costco, before any dispensing fee) to $536.99 CAD (Shoppers Drug Mart, fee included) in November 2026: Walmart $508.99 and Rexall $527.49. Costco's cheapest listed price was $477 plus a $4.99 fee in Alberta, $479 plus $4.99 in British Columbia and $487 plus $4.99 in Quebec.
How much does Saxenda cost in the US?
Novo Nordisk's list price (wholesale acquisition cost) is $1,349.02 for a carton of five 3 mL pens. CMS data for October 21, 2026 put the average price US pharmacies pay for Saxenda at about $1,305.55 a carton. What you pay depends on your insurance, the pharmacy and any savings offer.
Is Saxenda cheaper in Canada than in the US?
Yes, against the US list price. $401 to $536.99 CAD is about $287 to $385 USD at the Bank of Canada rate of 1.3960 (October 30, 2026), versus $1,349.02 USD for the same five pens. Even the US average acquisition cost for generic liraglutide, about $708.99 a five-pen pack, is above every Canadian Saxenda price listed here.
Is there a generic Saxenda in the US?
Yes. Teva launched the first generic of Saxenda in the US on August 27, 2025, and FDA approved further generic liraglutide from Cipla and Biocon on February 24, 2026. CMS lists generic liraglutide 18 mg/3 mL in 2-, 3- and 5-pen packs. Teva told FDA in May 2026 that it is discontinuing its own 5-pen carton, so stock can vary by labeler and pharmacy.
Is there a generic Saxenda in Canada?
Not yet in Health Canada's Drug Product Database. On November 3, 2026, the only liraglutide 6 mg/mL products listed were Saxenda (DIN 02437899) and Victoza (DIN 02351064), both from Novo Nordisk. GLP1Prices notes that generic liraglutide availability in Canada depends on patent status.
Is there a Saxenda savings card?
In the US, NovoCare's Saxenda list-price page says eligible commercially insured patients may pay as little as $25 or save up to $200 per prescription for up to 12 months, with restrictions; at least one price tracker reports the offer closed to new enrollees in 2023, so confirm eligibility first. Teva's generic liraglutide program offers as little as $20 for commercially insured patients only, excludes cash payers and government plans, and expires December 31, 2026. US cards can't be used at Canadian pharmacies.
Why compare Saxenda by carton and per mL?
Saxenda is sold as a carton of five 3 mL prefilled pens, 15 mL in total, and every pen holds the same 6 mg/mL of liraglutide whatever dose is dialled. Price per carton and per mL compares like with like across countries. How long a carton lasts depends on the dose your prescriber sets, which this page does not suggest.
Sources
- GLP1Prices, Saxenda price in Ontario by pharmacy (November 2026)
- GLP1Prices, cheapest Saxenda by province (November 2026)
- Novo Nordisk, Saxenda list price (WAC)
- NovoCare, Saxenda list price and savings offer
- CMS, NADAC 2026 (Saxenda and liraglutide, effective October 21, 2026)
- Teva, generic liraglutide savings program terms
- PriceTrackerGLP1, generic liraglutide approvals and launches
- Health Canada Drug Product Database (liraglutide)
- FDA Drugs@FDA (Saxenda and liraglutide approvals)
- 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, Novo Nordisk or Teva. 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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