Mounjaro Price in Canada: Cost, Coverage and How It Compares

Quick answer: how much does Mounjaro cost in Canada?

Without insurance, Mounjaro (tirzepatide) typically costs roughly $250–$600 per month in Canada depending on the dose and pharmacy, plus any dispensing fee. It needs a prescription. Public plans generally cover it only for type 2 diabetes when criteria are met; private plans vary. Prices are estimates — always confirm with your pharmacy.

Mounjaro vs Ozempic vs Zepbound

• Mounjaro (tirzepatide): GIP + GLP-1 medicine, approved in Canada for type 2 diabetes; often prescribed off-label for weight.
• Ozempic (semaglutide): GLP-1 medicine for type 2 diabetes; Wegovy is the weight-management version.
• Zepbound: the tirzepatide brand for weight management — see our Zepbound guide for Canadian availability.
• All three are weekly injections; side effects are mostly stomach-related (nausea, constipation, diarrhea).

Approved uses in Canada

Health Canada first approved Mounjaro for adults with type 2 diabetes, alongside diet and exercise. Approval for chronic weight management was added later. Check the current product monograph or ask your pharmacist for the approved uses that apply to you.

Cost of Mounjaro in Ontario and other provinces

Public plans in most provinces, including the Ontario Drug Benefit, generally do not list Mounjaro as a general benefit, so most people pay through private insurance or out of pocket. Some plans may cover it for type 2 diabetes under special criteria. Check your province's formulary with our [provincial coverage tool](/provincial-coverage), and see the [Ontario Drug Benefit guide](/ontario-drug-benefit-guide) or [Trillium Drug Program guide](/guides/trillium-drug-program) if you live in Ontario.

How much does Mounjaro cost in Canada?

Without insurance, Mounjaro usually costs several hundred dollars a month in Canada. Every dose strength comes as a pack of four weekly pens, and higher doses usually cost more. Pharmacy prices change and differ by province, so call two or three pharmacies and ask for the full price, including the dispensing fee.

• Ask for the price of a four-pen box at your exact dose.
• Ask what the dispensing fee is, since it is added on top of the drug cost.
• If you have private insurance, ask your plan whether it needs prior authorization.
• Check whether Lilly runs a patient support or savings program for your situation.

Coverage

• Some provincial plans list Mounjaro for type 2 diabetes, often with criteria (for example, other treatments tried first).
• Coverage for weight management alone is uncommon on public plans; private plans vary.
• Compare pharmacy prices before filling.

Mounjaro vs Ozempic

In head-to-head studies in people with type 2 diabetes, tirzepatide produced larger average drops in A1C and body weight than semaglutide 1 mg. Side effects are similar — mostly nausea, diarrhea and reduced appetite. The right choice depends on your health, coverage and your prescriber's advice.

Frequently asked questions