Generic Ozempic Cost in Quebec — 2026

Generic Ozempic in Quebec costs $99 per pen at Costco Pharmacy (updated October 15, 2026). The product is Apo-Semaglutide, a generic manufactured by Apotex. The Costco price was first reported by a subscriber at Costco Laval. Costco locations across Quebec including Laval, Saint-Bruno-de-Montarville, Montreal (Anjou and Pointe-Claire), and Quebec City (Sainte-Foy) are stocking both the 2 mg and 4 mg injection pens at the same per-pen price. The lowest price on file in each province is $88 at Costco Pharmacy in British Columbia and Ontario, $91 at Costco Pharmacy in Alberta, $99 at Costco Pharmacy in Quebec and $103.16 at Sherwood Co-op Pharmacy in Saskatchewan; Quebec's gap is rooted in its regulated pharmacy pricing model, where manufacturer-pharmacy commercial arrangements and dispensing fee structures differ from other provinces. Other Quebec pharmacy chains including Jean Coutu, Familiprix, Pharmaprix, Brunet, and Uniprix also carry Apo-Semaglutide at comparable or slightly higher prices.

Quebec has a unique drug coverage structure: the RAMQ public drug plan is mandatory for any Quebec resident not covered by a private or employer-sponsored drug plan. Unlike most provinces where public coverage is optional or income-gated, Quebecers must enroll in RAMQ if they lack workplace coverage. Whether Apo-Semaglutide is currently listed on the RAMQ formulary is subject to change as new generics are reviewed by INESSS (Institut national d'excellence en santé et en services sociaux, formerly the Conseil du médicament). For the most current listing status, visit ramq.gouv.qc.ca or ask your pharmacist. Private plan reimbursement depends on your specific plan — confirm directly with your plan administrator.

Coverage questions aside, you still need a prescription before any Quebec pharmacy will fill this — our guide to getting generic semaglutide prescribed online in Canada explains the routes available and what a pharmacist can substitute at the counter.