Canada · Ontario
Generic Ozempic cost in Ontario
For Ontarians, generic semaglutide arrived on pharmacy shelves in 2026 at a fraction of the brand price. Here's the cost picture and how the Ontario Drug Benefit fits.
What it costs in Ontario
The generic pen has been running roughly $88–104 a month, against brand Ozempic's self-pay price of about $200–300 — a drop of around 60%. Costco tends to sit at the low end; other chains a little higher. As always, confirm the current price with your own pharmacy.
How ODB coverage works
The Ontario Drug Benefit covers Ozempic — and generic semaglutide — as a Limited Use benefit for type 2 diabetes (LU code 474), where blood-sugar targets weren't met on metformin. If you're covered by ODB, you generally pay only the program co-payment rather than the full price. ODB covers seniors 65+, OHIP+ recipients under 25, people on Ontario Works or ODSP, long-term-care residents, and those registered with the Trillium Drug Program.
The weight-loss caveat
ODB's coverage is for diabetes. Semaglutide prescribed for weight management is not covered publicly in Ontario, so that's typically out of pocket or via private insurance.
A calm next step
If drug costs are high relative to your income, the Trillium Drug Program is worth asking your pharmacist about. They can also tell you whether the generic substitution applies to your prescription.
Sources & last reviewed 2026: Ontario Ministry of Health formulary (formulary.health.gov.on.ca); Health Canada; CBC News. Prices and coverage are point-in-time and change; this is general information, not medical advice, and Light Years earns nothing from any product named here.
Light Years draws this for you, quietly. Open the app or browse the other guides.