Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Semaglutide Ozempic 2.4 mg SQ Once Weekly $3540 NC for weight management

Must titrate to 2.4 mg dose

Obesity Obesity
Liraglutide Saxenda 3 mg SQ QD $1450 BC / NIHB - NC Obesity Obesity
Orlistat Xenical 120 mg TID $595 BC / NIHB - NC Obesity Obesity
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization