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Ozempic starts at $253/mo, while Rybelsus starts at $354/mo in Canada. Ozempic contains semaglutide, while Rybelsus contains semaglutide (oral). Last updated: 2026-02-26.

Head-to-Head Comparison

Ozempic Rybelsus
Price Range $253–$308/mo $354–$365/mo
Cheapest Pharmacy Costco ($252.98/mo) N/A
Generic Name semaglutide semaglutide (oral)
Route Weekly injection Daily oral tablet
Category Weight Loss Weight Loss
ODB Coverage Limited Use Limited Use
Coverage Notes Limited Use (Type 2 Diabetes only in ON) Limited Use (Type 2 Diabetes only in ON)

Frequently Asked Questions

Which is cheaper, Ozempic or Rybelsus?
Ozempic is generally cheaper, starting at $253.00/mo compared to $354.00/mo for Rybelsus. The lowest price is at Costco ($252.98/mo).
What is the difference between Ozempic and Rybelsus?
Ozempic (semaglutide) and Rybelsus (semaglutide (oral)) are different medications in the weight loss category. Ozempic is a weekly injection, while Rybelsus is a daily oral tablet.
Is Ozempic or Rybelsus covered by provincial drug plans?
Ozempic: Limited Use on the Ontario Drug Benefit formulary. Rybelsus: Limited Use on the Ontario Drug Benefit formulary.

Last updated: 2026-02-26

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