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

Wegovy cost in Canada vs the US

Short answer: a four-week Wegovy pen costs about $297 to $550 CAD cash in Canada depending on strength and pharmacy, with the 2.4 mg pen around $431 at Costco (about $309 USD). In the US the list price is $1,349.02 a month, Novo Nordisk's self-pay price is $349 ($399 for 7.2 mg, $199 for the first two starting fills), and commercially insured people may pay as little as $25.

Jump to: Side-by-side prices · US prices and fine print · Canada prices by pharmacy · Public coverage in Canada · Pens and doses · Price history · Calculator

Wegovy 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: 0.25 mg pen, lowest Ontario cash	$297.00	$212.75	$3,861	$2,766	Costco, drug price before dispensing fee (GLP1Prices, Oct 2026)
Canada: 2.4 mg pen, Costco Ontario cash	$431.12	$308.83	$5,605	$4,015	Dispensing fee included, confirmed by phone (GLP1Prices, Oct 2026)
Canada: 2.4 mg pen, Shoppers Drug Mart Ontario	$485.00	$347.42	$6,305	$4,516	Before dispensing fee (GLP1Prices, Oct 2026)
Canada: sponsor submitted price	$388.64	$278.40	$5,052	$3,619	Per 4-dose pen, any strength, in the 2025 CDA-AMC review
US: list price (WAC)	$1,883.23	$1,349.02	$24,482	$17,537	Per box of 4 pens, before any discount
US: NovoCare intro, 0.25 or 0.5 mg	$277.80	$199.00	$3,611	$2,587	New patients, 2 monthly fills, through Dec 31, 2026
US: NovoCare self-pay, 0.25 to 2.4 mg	$487.20	$349.00	$6,334	$4,537	One month is 1 box of 4 pens
US: NovoCare self-pay, Wegovy HD 7.2 mg	$557.00	$399.00	$7,241	$5,187	One month is 1 box of 4 pens
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. Canadian cash prices are from GLP1Prices' Ontario listings (October 2026); the submitted price is from CDA-AMC; US prices are from NovoCare and the list-price table cited below. Real annual totals mix strengths, because dosing starts low and changes on your prescriber's plan.

US: list price vs what people pay

Situation (US)	Price per month	Fine print (Novo Nordisk terms)
List price	$1,349.02	Price before insurance or discounts
New to the Wegovy Savings Offer and 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, 1, 1.7 or 2.4 mg	$349	One month is 1 box of 4 Wegovy pens
Self-pay, Wegovy HD 7.2 mg	$399	One month is 1 box of 4 pens
Commercial insurance, with the savings offer	As little as $25	Maximum savings $100 a month; government beneficiaries excluded
Medicare Part D, weight management	$50 copay	CMS Medicare GLP-1 Bridge, July 1, 2026 to December 31, 2027, after prior authorization; eligibility limits apply
Wegovy pill (daily tablet)	$149 / $199 / $299	1.5 mg / 4 mg / 9 and 25 mg; one month is 1 bottle of 30 tablets

The pill and pen strengths are not interchangeable; which form fits is a prescriber decision. Full program rules are in US savings programs and GLP-1 cost without insurance.

Canada: cash price by pharmacy (Ontario, October 2026)

Pharmacy	0.25 mg pen	0.5 or 1 mg pen	1.7 mg pen	2.4 mg pen
Costco	$297.00*	—	—	$431.12 (fee incl.)
Walmart	$413.99*	$415.00 + $9.99 fee	$441.00 + $9.99 fee	$437.42 (fee incl.)
Rexall	$432.00 + $12.99 fee	$428.00 + $12.49 fee	$454.00 + $12.49 fee	$474.00*
Shoppers Drug Mart	—	$490.00*	$490.00*	$485.00*
Pharmasave	$550.00*	—	$550.00*	—

Each pen holds 4 weekly doses. * Drug price before the dispensing fee, which was not listed. A dash means no price was on file. Source: GLP1Prices Ontario listings (shopper reports, team research and phone checks, October 2026). Prices differ by province and store; always ask your pharmacy for a quote.

Phone checks. TeleTest phoned Ontario pharmacies on June 9, 2026 and got $431.12 at Costco, $480.00 at Rexall and $492.80 at Shoppers Drug Mart, dispensing fees included.
No generic Wegovy on shelves in the sources above. The generic semaglutide pens sold in Canada reference Ozempic, not Wegovy; see the generic semaglutide guide.
Tax. Out-of-pocket prescription costs can count toward the CRA medical expense tax credit; see the claim rules and calculator.

Public coverage in Canada: what CDA-AMC recommended

Review	Population	Recommendation
CADTH SR0725 (October 4, 2022)	Chronic weight management, BMI 30+ or 27+ with a weight-related condition	Do not reimburse
CDA-AMC SR0841 (2025, supersedes 2022)	Adults with BMI 27+ and established cardiovascular disease: prior heart attack, prior stroke or symptomatic peripheral arterial disease	Reimburse with conditions

The 2025 conditions: a first authorization of at most 1 year; renewal only with at least a 5% reduction in total body weight or BMI; annual reassessment after that; and a price reduction. CDA-AMC estimated the cost-effectiveness ratio at $185,646 per quality-adjusted life-year at the submitted price and said a 67% price cut would be needed to reach $50,000. It put the 3-year cost to public plans at about $600 million, possibly as high as $3.5 billion. Provinces make their own listing decisions, so check your provincial formulary and any private plan.

Pens and doses: compare per weekly dose

Wegovy pack	Doses	Where
FlexTouch multi-dose pen (for 0.25, 0.5, 1, 1.7 or 2.4 mg doses)	4 per pen	Canadian monograph, section 6
Single-use pens, 4 per carton (0.25 to 2.4 mg)	1 per pen	Canadian monograph and US label
Single-dose pens incl. Wegovy HD 7.2 mg, box of 4	1 per pen	US label; NovoCare's "one month"

A Canadian FlexTouch pen is discarded 8 weeks after first use. Full details 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
2022	$363.51 per carton of 4 single-dose pens, any strength	Submitted price, CADTH SR0725
2025	$388.64 per 4-dose pen, any strength; $5,066 a year	Submitted price, CDA-AMC SR0841
June 2026	$431.12 to $492.80 cash, fees included	TeleTest phone checks (Ontario)
October 2026	$297 to $550 cash by strength and pharmacy	GLP1Prices (Ontario)

Submitted prices are what the manufacturer filed with the agency, not pharmacy prices, so this is not a like-for-like trend line.

Wegovy cost calculator (CAD or USD)

Price you pay per pen or box Currency of that price Insurance or savings offer pays (per pen or box) CAD per USD

Arithmetic only, assuming 4 weekly doses per pen or box and 52 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 step up every few weeks and pharmacy prices differ by strength. Logging each pen, what you paid and what was covered shows your true cost per dose across the year.

Frequently asked questions

How much does Wegovy cost in Canada?

In Ontario in October 2026, GLP1Prices listed a 2.4 mg Wegovy pen (4 weekly doses) at $431.12 CAD at Costco with the dispensing fee included, and $474 to $485 before fees at Rexall and Shoppers Drug Mart. Starting-dose 0.25 mg pens ranged from $297 to $550 before fees. TeleTest phone-checked $431.12 to $492.80 including fees in June 2026.

How much does Wegovy cost in the US?

The US list price is $1,349.02 for a box of 4 pens. Through NovoCare, self-pay is $349 a month for 0.25 mg to 2.4 mg and $399 for Wegovy HD 7.2 mg, with $199 for the first two monthly fills of 0.25 or 0.5 mg for new patients through December 31, 2026. Commercially insured people may pay as little as $25, with savings capped at $100 a month.

Is Wegovy cheaper in Canada or the US?

It depends on how you pay. A $431.12 CAD Canadian 2.4 mg pen is about $308.83 USD at the Bank of Canada rate of 1.3960 (October 30, 2026), a little under the US $349 self-pay price and far below the $1,349.02 US list price. US starting fills at $199 and the $25 commercial savings offer can be cheaper than Canadian cash.

Do provincial drug plans cover Wegovy?

Canada's Drug Agency (CDA-AMC) recommended in 2025 that public plans reimburse Wegovy only for adults with a BMI of 27 or more and established cardiovascular disease (prior heart attack, prior stroke or symptomatic peripheral arterial disease), with a 1-year first authorization, renewal only after at least a 5% drop in weight or BMI, and a price reduction. Its 2022 review had recommended against reimbursement for weight management. Each province decides its own listing.

How much does Wegovy cost per year?

A weekly injection uses 52 doses, which is 13 four-week pens or boxes. That is $5,604.56 CAD a year at $431.12 a pen in Canada, $4,537 USD at the US $349 self-pay price, $5,187 at $399 for 7.2 mg and $17,537.26 at the US list price, before insurance. CDA-AMC used $5,066 a year at the submitted price.

Why is a Canadian Wegovy pen priced like a US box of 4 pens?

Both cover 4 weekly doses. The Canadian monograph lists a multi-dose FlexTouch pen with 4 doses as well as single-use pens sold 4 to a carton; US NovoCare defines a month as 1 box of 4 single-dose pens. Compare by price per weekly dose.

Is Wegovy HD 7.2 mg sold in Canada?

The Canadian Wegovy monograph we checked (December 10, 2025) lists doses of 0.25, 0.5, 1, 1.7 and 2.4 mg. The 7.2 mg Wegovy HD pen and its $399 NovoCare price are US-only on the sources cited here.

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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