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A document from Basal

What a weight-management prescription really costs in Ontario.

THE RECEIPT

SEPTEMBER 2026 · 8 PAGES · 4 MINUTES

The pen, at Costcop.2
Felix, itemizedp.3
Hims, Rocky, BirchRx, Maplep.4
OHIP and your planp.5
Basalp.6
Twelve months, side by sidep.7
Five questions for any clinicp.8
PRICE OF THIS DOCUMENT$0.00

No email required. Screenshot it. Send it to someone paying $298.
basalclinic.ca/receipt

BASAL
01 / 08

The medication

Generic semaglutide arrived in May. The price of the pen collapsed. Most prices didn't.

COSTCO PHARMACY

APO-SEMAGLUTIDE · PER 4 WEEKS · ONTARIO

0.25 mg weekly · 1 pen$88
0.5 mg weekly · 1 pen$88
1 mg weekly · 1 pen$88
2 mg weekly · 2 pens~$176

WHERE THE $88 GOES

Apotex, wholesale list$78.14
Pharmacy fee + margin~$10

TIRZEPATIDE · BRAND ONLY · PER 4 WEEKS

2.5–5 mg (Mounjaro / Zepbound)$300–325
7.5–10 mg~$420
12.5–15 mg$540–582

No Costco membership is needed for the pharmacy. Six more semaglutide generics are under Health Canada review. Expect this page to get cheaper.

BASAL
02 / 08

Reconstructed

Felix charges $149 a month. The pen is $88. We subtracted.

FELIX

PUBLISHED PRICE · STARTING DOSES · SEPT 2026

Semaglutide, Costco price$88
Everything else, not itemized$61
PER MONTH$149

AT 2 MG

Semaglutide, Costco price$176
Everything else, not itemized$122
PER MONTH$298

Felix doesn't publish the split. "Everything else" is our arithmetic: their price minus Costco's. It doubles when your dose does, because the medication is where the margin lives.

BASAL
03 / 08

The rest of the market

Four more receipts. Same pen.

FOUR CLINICS

HIMS · ROCKY · BIRCHRX · MAPLE

PUBLISHED PRICES · SEPT 2026

HIMS

Monthly, medication included$149
Initial consultation$99

ROCKY

Monthly, medication included$149
"Program fee", monthly$60
PER MONTH$209

BIRCHRX

Monthly, starting dose$149
Monthly, higher doses$199

MAPLE

Per consultation$69
Brand medication, monthly$270–320

A bundled price hides the care fee inside the medication. Ask for the split. If they won't give it, that is the answer.

BASAL
04 / 08

Who pays what

Your plan pays at the pharmacy counter. Nobody needs to stand in the middle.

OHIP & YOUR PLAN

ONTARIO · 2026

OHIP

Weight-management medicationnot covered
Private NP assessmentnot covered
Bloodwork on an NP requisitioncovered

YOUR PRIVATE PLAN

Medicationdepends

Phone the number on your card. Ask one question: "Is semaglutide covered for weight management, and do you need a prior-authorization form?"

Prior-authorization form, Basal$89
Claim submitted bythe pharmacy

Coverage varies widely by plan and by product. Ask before you pay anyone, including us.

BASAL
05 / 08

Ours · founding price, first 100 patients

$29 a month. No signup fee. Billed after the work is done.

BASAL

NURSE PRACTITIONER REVIEW · ONTARIO

NP review + prescription$20.00
Secure messaging & charting$0.50
Card processing$1.15
Keeping Basal alive$7.35
Markup on your medication$0.00
Money from any pharmacy$0.00
PER MONTH$29.00

WITH THE PEN, AT COSTCO

0.25 – 1 mg$117
2 mg~$205

Prescription faxed to the pharmacy you choose. Dose reviews as your dose comes up, message anytime. Never charged before your nurse practitioner approves you. Care from Ontario nurse practitioners.

BASAL
06 / 08

Twelve months

The gap gets bigger as the dose goes up.

ONE YEAR · ONE PATIENT

SEMAGLUTIDE AT COSTCO PRICE · ONTARIO

AT 1 MG WEEKLY

Basal · 12 × $29 + 12 pens$1,404
Felix · 12 × $149$1,788
Rocky · 12 × $209$2,508

AT 2 MG WEEKLY

Basal · 12 × $29 + 24 pens$2,460
Felix · 12 × $298$3,576
FELIX MINUS BASAL, AT 2 MG$1,116

Our fee is the same at every dose. Bundled prices double when the dose does.

BASAL
07 / 08

Before you pay anyone

Ask for the receipt.

FIVE QUESTIONS

FOR ANY CLINIC · INCLUDING US

01What does the pen cost at Costco, and what do you charge on top?
02Can I fill it at a pharmacy I choose?
03Does your price go up when my dose does?
04Am I charged if you decide not to prescribe?
05Does a pharmacy pay you anything?
OUR ANSWERS
01 · the pen, plus us$88 + $29
02 · your pharmacyyes
03 · price rises with doseno
04 · charged if not prescribedno
05 · money from a pharmacy$0.00

Join the first 100 at basalclinic.ca
Ontario only, for now.

Published prices as of September 2026; they change, check before you buy. "Everything else" figures are our arithmetic (published price minus Costco's pen price). Medication names appear with price and quantity only. Basal is a fee-only clinic: it does not sell medication and receives nothing from any pharmacy. This document is general pricing information, not medical advice.

BASAL
08 / 08

Related

Keep reading

Every Ontario pricePharmacy by pharmacy, and what each clinic charges on top. The verification logEvery price check, with the date it was run. Common questionsOHIP coverage, prescribing without a family doctor, bloodwork. For cliniciansWhat Basal pays a nurse practitioner, published in full.