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Pharmacy benefit managers report that brand-name semaglutide medications currently cost approximately $200 to $400 per month in Canada, with the variation attributed to: Prescribed dosage strength Regional pharmacy markup policies Provincial drug pricing regulations Wholesale distribution agreements Generic Competition Timeline Impact The current pricing landscape comes as Health Canada continues reviewing nine generic semaglutide applications following the January 2026 patent expiration

[DOI] [PMC free article] [PubMed] [Google Scholar] 38.Zhou Z.D., Yi L.X., Wang D.Q., Lim T.M., Tan E.K

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Additionally, a study published in The Lancet in February 2026 found that taking Foundayo, Eli Lillys GLP-1 pill that was approved by the FDA in April, resulted in greater weight loss and blood sugar level reductions compared to Rybelsus, another oral GLP-1 manufactured by Novo Nordisk