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Ozempic starts at $258.00 per month, while Zepbound starts at $435.00 per month in Canada. Ozempic contains semaglutide, while Zepbound contains tirzepatide. Last updated: 2026-02-26.

Head-to-Head Comparison

Ozempic Zepbound
Price Range $258–$291 per month $435–$502 per month
Cheapest Pharmacy Costco ($257.47 per month) N/A
Generic Name semaglutide tirzepatide
Route Weekly injection Weekly injection
Category Weight Loss Weight Loss
ODB Coverage Limited Use Not Covered
Coverage Notes Limited Use (Type 2 Diabetes only in ON) Not covered

Frequently Asked Questions

Which is cheaper, Ozempic or Zepbound?
Ozempic is generally cheaper, starting at $258.00 per month compared to $435.00 per month for Zepbound. The lowest price is at Costco ($257.47 per month).
What is the difference between Ozempic and Zepbound?
Ozempic (semaglutide) and Zepbound (tirzepatide) are different medications in the weight loss category.
Is Ozempic or Zepbound covered by provincial drug plans?
Ozempic: Limited Use on the Ontario Drug Benefit formulary. Zepbound: Not Covered on the Ontario Drug Benefit formulary.

Last updated: 2026-02-26

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