How Much Is Mounjaro in Canada Without Insurance - And What Can Be Covered?

Mounjaro, a medication often prescribed for type 2 diabetes and increasingly discussed for its weight-loss benefits, can be a financial burden for Canadians paying out of pocket. With rising awareness around weight management medications, it’s important for individuals — and employers — to understand what’s covered under group benefits plans and how commercial insurance can help manage overall healthcare costs.

The Out-of-Pocket Cost for Mounjaro

Mounjaro (tirzepatide) comes in multiple strengths, typically administered via a weekly injection. In Canada, a one-month supply ranges from $400 to $530 without insurance, depending on the dosage and dispensing pharmacy. That cost adds up quickly — making insurance coverage a critical consideration.

Is Mounjaro Covered by Insurance?

Coverage varies. Many private insurance plans do cover Mounjaro for type 2 diabetes if it's prescribed and the proper drug code is used. However, weight-loss prescriptions are typically not covered unless the plan is structured to support broader wellness or chronic disease management initiatives.

This is where plan customization and proactive group benefits design can make a difference.

At Summit, we work with Canadian businesses to design group benefits plans that balance cost control with meaningful employee support. We believe benefits should be both strategic and human.

Learn more about our Employee Benefits Division and how we help businesses structure plans that work for real people.

What Employers Need to Know

Whether you’re a startup looking to attract top talent or a growing business focused on retention, prescription drug coverage plays a major role in employee satisfaction — especially for medications tied to wellness, chronic care, or productivity.

Some of the key considerations for employers include:

• Formulary options: Does your plan allow for custom medications like Mounjaro?
• Wellness budgets: Are there carve-outs or add-ons that help support weight management or preventative care?
• Cost sharing strategies: How are you balancing employee needs with your bottom line?

If you're not sure what your current plan covers, or how to improve it, we’re happy to review it with you — no strings attached.

Let’s Talk Coverage

At Summit, we’re not just brokers — we’re your insurance and benefits partners. Whether it’s structuring commercial insurance for your company or building a modern benefits program that supports your team’s health goals, we’re here to help you navigate the complex world of coverage with clarity.

Explore our Commercial Insurance solutions
Or dive into our Group Benefits programs

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