How Much Does Rybelsus Cost Without Insurance — And Is Buying From Canada Worth It?

How Much Does Rybelsus Cost Without Insurance — And Is Buying From Canada Worth It?

Rybelsus (semaglutide) is the first oral GLP-1 receptor agonist approved to manage Type 2 diabetes—and increasingly, it’s being used off-label for weight loss. While it offers convenience compared to injectable medications like Ozempic or Mounjaro, one major concern remains: the cost.

If you’re one of the many Americans without insurance coverage for Rybelsus, you’re likely facing a steep monthly bill. In this article, we’ll break down the out-of-pocket costs for Rybelsus in the U.S., explore how much you can save by buying from Canada, and help you decide whether it’s worth the switch.

U.S. Pricing: What Rybelsus Costs Without Insurance

Rybelsus is available in 3 mg, 7 mg, and 14 mg strengths. The 3 mg dose is typically used for the first 30 days and does not have long-term glucose-lowering effects. Most patients continue on 7 mg or escalate to 14 mg daily.

Here’s what you can expect to pay in the U.S. without insurance:

  • 7 mg or 14 mg tablets (30-day supply): $850 to $950 USD
  • 90-day supply: Up to $2,800 USD

Unfortunately, there’s currently no generic available, which keeps costs high. Even with a savings card from Novo Nordisk, eligibility restrictions apply and uninsured patients often aren’t covered.

Why Rybelsus May Not Be Covered by Insurance

Even patients with insurance may run into issues:

  • Step therapy requirements: You may be required to try and fail other diabetes medications first.
  • Non-formulary status: Rybelsus may not be included in your plan’s preferred drug list.
  • High copays or deductibles: Some patients still pay several hundred dollars monthly even with coverage.
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rybelsus $297.95 for 30 tablets

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Buying Rybelsus from Canada: A Cost-Effective Option

One increasingly popular solution for uninsured or underinsured patients is to purchase Rybelsus from Canada using a licensed online prescription referral service.

Canadian Pricing

Here’s what Rybelsus typically costs when purchased from Canada:

  • 3 mg, 7 mg, or 14 mg tablets (30 tablets): Approximately $297.95 USD
  • 90 tablets (3-month supply): About $870 USD

That’s a 30–50% savings compared to U.S. prices—even more when you consider bulk supply discounts.

saving money by buying medication from canada

Is It Legal to Buy Rybelsus from Canada?

Yes, it is legal for Americans to import a 90-day supply of prescription medication for personal use, provided you:

  • Have a valid U.S. prescription
  • Are using the medication for personal use (not resale)

  • Purchase from a reputable Canadian pharmacy or prescription referral service

Rybelsus sold in Canada is the same manufacturer brand (Novo Nordisk), so patients can feel confident about the quality.

Why Buying From Canada May Be Worth It

If you’re uninsured, underinsured, or paying full price at a U.S. pharmacy, buying Rybelsus from Canada can offer:

  • Substantial cost savings
  • Access to brand-name medication
  • Home delivery with a valid prescription
  • No need for manufacturer coupon eligibility

For patients using Rybelsus long-term, the financial benefits can add up quickly.

How to Order Rybelsus from a Canadian Pharmacy

Here’s how the process works:

1. Get a valid U.S. prescription for Rybelsus (3 mg, 7 mg or 14 mg).

2. Visit a Canadian prescription referral service, such as Over the Border Meds.

3. Submit your prescription and complete the order.

4. Medications are shipped to your door, typically within 5–10 days.

You’ll often have the option to order a 30, 60, or 90-day supply, depending on your needs and prescription.

Final Thoughts

Rybelsus offers a convenient oral option for managing Type 2 diabetes and supporting weight loss. However, without insurance, the cost can be a significant barrier for many Americans. Fortunately, buying Rybelsus from Canada—with a valid prescription—can offer substantial savings.

If you’re looking for a way to afford your medication without compromising on quality, a Canadian pharmacy referral service may be worth considering.

Frequently Asked Questions

1. Is there a generic version of Rybelsus available?

No, Rybelsus (oral semaglutide) does not currently have a generic version available in the U.S. or Canada. This contributes to its higher cost, especially for uninsured patients. All available versions are manufactured by Novo Nordisk.

2. How much does Rybelsus cost in Canada?

The cost of Rybelsus from Canada is $297.95 USD for a 30-day supply, and around $870 for a 90-day supply. Prices may vary slightly depending on the pharmacy, but it is significantly cheaper than U.S. retail prices.

3. Can I legally buy Rybelsus from Canada?

Yes. U.S. residents can legally import up to a 90-day supply of a prescription medication like Rybelsus for personal use, as long as they have a valid U.S. prescription and order through a reputable Canadian pharmacy or referral service.

4. Do I need a prescription to buy Rybelsus from Canada?

Yes, a valid prescription from a U.S. healthcare provider is required to purchase Rybelsus from Canada. Canadian pharmacies and referral services will not dispense the medication without one.

5. How long does it take to receive Rybelsus from Canada?

Shipping times vary, but most patients receive their Rybelsus order within 7 to 14 business days. It’s recommended to order in advance to avoid gaps in treatment.