Mounjaro Cost in Canada: Price Guide 2026

Having specialized on chronic metabolic conditions, my patients increasingly ask about the cost to access Mounjaro (tirzepatide) in Canada. This innovative injectable has shown exceptional results for glycemic management and obesity, but the financial side in the Canadian healthcare system demands some research. This guide breaks it all down.

How Much Does Mounjaro Cost in Canada?

Currently, the out-of-pocket price of Mounjaro in Canada ranges from CAD $280–$380 per pen at full retail. A single injection pen delivers a 28-day treatment period depending on the assigned strength.

A number of considerations determine what you’ll pay:

1. Prescribed dose: Mounjaro is available in various concentrations (2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg). Upper-tier dosages are generally priced at a premium per pen.

2. Dispensary: Major pharmacy chains like Shoppers Drug Mart and Rexall maintain different markup and dispensing fee structures. Costco Pharmacy consistently offers the lowest dispensing fees at CAD $4–$7.

3. Supply status: Mounjaro availability in Canada continues to be subject to intermittent shortages, which can affect what pharmacies charge across provinces.

Provincial Drug Plan Coverage for Mounjaro

The coverage landscape for Mounjaro in Canada varies significantly across jurisdictions:

Ontario

OHIP drug coverage may cover Mounjaro for type 2 diabetes under restricted benefit status. Patients must demonstrate failure to reach HbA1c targets with at least two other diabetes drugs including metformin. Upon authorization, patient contributions range from CAD $2–$6.

British Columbia

The provincial pharmacare program has begun reviewing Mounjaro for listing consideration. Currently, benefits may be accessed through Special Authority for individuals meeting clinical criteria who have failed to respond to alternative injectable therapies without sufficient results.

Alberta, Quebec, and Other Provinces

Coverage varies province by province. The majority of jurisdictions limit tirzepatide reimbursement to glycemic control purposes. Weight loss use is universally excluded from government coverage in Canada.

Where to Buy Mounjaro in Canada

Those authorized for tirzepatide can fill prescriptions for the medication at:

• Shoppers Drug Mart: Most locations with pharmacy charges of CAD $11–$14. Loyalty rewards accumulate on pharmacy purchases.

• Rexall: Similar rates to Shoppers with loyalty program savings.

• Costco Pharmacy: Lowest dispensing fees at CAD $4–$7. Open to non-members for prescription fills in most provinces.

• London Drugs: Carried at their pharmacy network with competitive pricing.

• Online pharmacies: Regulated internet pharmacies deliver tirzepatide via cold-chain courier to ensure product integrity.

How to Save Money on Mounjaro in Canada

Bringing down your expenses for Mounjaro takes a multi-pronged approach:

1. Apply for public plan coverage: Diabetic patients should ask their prescriber to request access via the Special Authority process in your province.

2. Maximize private insurance: An increasing number of Canadian group benefits reimburse Mounjaro. Typical co-payments under private plans range from CAD $20–$60 per prescription.

3. Eli Lilly patient programs: Eli Lilly runs patient support programs in Canada that may provide cost relief for qualifying individuals.

4. Choose Costco for dispensing: Annual savings of CAD $50–$100+ relative to higher-fee chains are achievable through Costco’s competitive charges.

5. Compare prices across pharmacies: A few phone calls often surface meaningful cost variations throughout the same city.

Mounjaro Cost: Canada vs Other Countries

Below is a comparison of how the Canadian market price stacks up against other countries:

Canada’s Mounjaro cost occupies the moderate range globally — far cheaper than what Americans pay but more expensive than Australia and Germany.

Frequently Asked Questions

Is Mounjaro covered by OHIP?

Tirzepatide can be obtained under Ontario’s special authorization pathway for diabetes patients. Weight management indications is not covered under any provincial plan in Canada.

How much is Mounjaro at Costco Canada?

At Costco Pharmacy Mounjaro at roughly CAD $280–$370 per pen with a dispensing fee of CAD $4–$7 — among the lowest per-prescription expenses in the Canadian market.

Can I get Mounjaro for weight loss in Canada?

It is possible, but it requires a private prescription. Weight management use is excluded under provincial formularies. You will need to pay from personal funds or through private insurance.

Disclaimer from Dr. Amanda Liu, MD: This article is offered as general informational purposes and should not be treated as professional healthcare guidance. Drug prices are subject to change. Always speak with your doctor or pharmacist for individualized guidance.