A document from Basal

What a weight-management prescription really costs in Ontario.

THE RECEIPT

SEPTEMBER 2026 · 9 PAGES · 4 MINUTES

The pen, at Costcop.2

Felix, itemizedp.3

Hims, Rocky, BirchRx, Maplep.4

TeleTestp.5

OHIP and your planp.6

Basalp.7

Twelve months, side by sidep.8

Five questions for any clinicp.9

PRICE OF THIS DOCUMENT$0.00

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

BASAL

01 / 09

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 / 09

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 / 09

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 / 09

The honest one

TeleTest is $49. If you only need a prescription, go there. We mean it.

TELETEST

PAY PER VISIT · ANY PHARMACY

Consultation, 12-week Rx$49

Renewal, every 12 weeks$49

Monthly dose reviewnot offered

Messaging between visitsnot offered

Insurance authorization form$89

PER MONTH, AVERAGED~$16

Fee-only. Any pharmacy. No markup. TeleTest proved the model works in Canada. The difference with Basal is what happens between prescriptions.

BASAL

05 / 09

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

Prior-authorization form, TeleTest$89

Claim submitted bythe pharmacy

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

BASAL

06 / 09

Ours

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

BASAL

MONTHLY CARE PLAN · ONTARIO

NP review + prescription$15.00

Secure messaging & charting$0.50

Card processing$1.15

Keeping Basal alive$12.35

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. Monthly dose review, message anytime. Charged after each review, never before. Cancel anytime. Care from Ontario nurse practitioners. Opening this fall.

BASAL

07 / 09

Twelve months

The gap gets bigger as the dose goes up.

ONE YEAR · ONE PATIENT

SEMAGLUTIDE AT COSTCO PRICE · ONTARIO

AT 1 MG WEEKLY

TeleTest · 4 visits + 12 pens$1,252

Basal · 12 × $29 + 12 pens$1,404

Felix · 12 × $149$1,788

Rocky · 12 × $209$2,508

AT 2 MG WEEKLY

TeleTest · 4 visits + 24 pens$2,308

Basal · 12 × $29 + 24 pens$2,460

Felix · 12 × $298$3,576

FELIX MINUS BASAL, AT 2 MG$1,116

Yes, TeleTest is cheaper. The $152 a year buys twelve monthly dose reviews and someone to message. If you don't want that, don't buy it.

BASAL

08 / 09

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

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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

09 / 09