Ozempic and Wegovy are not the same medication, even though they contain the same active ingredient. In Canada:
- Ozempic is primarily prescribed for type 2 diabetes and may be covered by some public or private plans when used for that purpose.
- Wegovy is approved for chronic weight management and is not covered by OHIP, with limited private insurance coverage.
Understanding the differences matters before you make a financial or treatment decision.
What Is the Difference Between Ozempic and Wegovy?
Both Ozempic and Wegovy contain semaglutide, but they are approved for different medical indications and used differently in practice.
Key differences include:
- approved use
- dosing schedule
- insurance treatment
- prescribing patterns in Canada
Although they are related, they are not interchangeable without a doctor’s guidance.
Approved Uses in Canada
Ozempic
Ozempic is approved in Canada for:
- treatment of type 2 diabetes
- blood sugar control
- reduction of cardiovascular risk in certain patients
Weight loss may occur as a side effect, but Ozempic is not officially approved for weight loss in Canada.
Wegovy
Wegovy is approved for:
- chronic weight management
- adults with obesity or overweight with weight-related health conditions
This distinction plays a major role in insurance coverage and cost.
Cost Differences Between Ozempic and Wegovy
Ozempic Cost (Canada)
The cost of Ozempic depends on:
- dose strength
- pharmacy pricing
- whether it is being used for diabetes
When prescribed for diabetes, Ozempic may be partially covered by:
- OHIP-funded programs (in specific situations)
- private insurance plans
Out-of-pocket costs vary widely.
Wegovy Cost (Canada)
Wegovy is typically:
- higher in monthly cost
- paid fully out of pocket if not insured
- not covered by OHIP
Private insurance coverage, when available, is often partial.
Coverage Reality: OHIP and Private Insurance
OHIP Coverage
- Ozempic may be covered under OHIP drug programs when prescribed for diabetes
- Wegovy is not covered by OHIP
Coverage decisions are based on medical indication, not medication similarity.
Private Insurance
Private insurance coverage varies by plan:
- some plans cover Ozempic for diabetes
- some plans exclude weight loss medications entirely
- Wegovy coverage often requires special authorization or is excluded
Verification before filling a prescription is essential.
Why Doctors Prescribe Ozempic vs Wegovy
Doctors in Canada consider several factors when prescribing:
- medical diagnosis (diabetes vs weight management)
- clinical guidelines
- insurance coverage realities
- long-term treatment goals
In practice:
- Ozempic is more commonly prescribed due to coverage availability
- Wegovy is prescribed when weight management is the primary goal and cost is manageable
The decision is individualized and should always be physician-led.
Are They Interchangeable?
No. Even though both contain semaglutide:
- doses are different
- treatment goals differ
- switching requires medical supervision
Using one medication as a substitute for the other without guidance is not recommended.
Which One Is Right for You?
The right option depends on:
- your medical condition
- treatment goals
- insurance coverage
- budget considerations
Understanding the average monthly cost of weight loss medications in Canada and your insurance benefits helps you plan realistically.
How a Pharmacist Can Help
A pharmacist can:
- explain cost differences
- review insurance coverage
- clarify refill and dosing logistics
- help you avoid unexpected expenses
This information is especially important before starting long-term treatment.
- Ozempic and Wegovy serve different purposes
- Coverage depends on diagnosis, not ingredient
- Wegovy is not covered by OHIP
- Insurance verification should happen before starting either medication
Clear information upfront leads to better decisions and fewer surprises.
