Xenical (Orlistat) Cost and Availability in Canada

Xenical (orlistat 120 mg) is a prescription weight management medication that works by blocking the absorption of approximately one-third of dietary fat in the intestine. It is approved by Health Canada for use alongside a reduced-calorie diet. The cost of Xenical in Canada varies. Without insurance, a 30-day supply typically ranges from $60 to $120. Generic orlistat is available in some markets and may cost less than the brand-name version. Coverage through provincial drug plans is generally limited. Most provincial formularies do not include Xenical as a standard benefit. Private insurance coverage varies - some plans may cover it with a letter of medical necessity from your physician. Common side effects include oily or fatty stools, flatulence, and increased bowel movements, particularly when dietary fat intake is high. These side effects can be minimized by following a low-fat diet while taking the medication. Orlistat is available over-the-counter at a lower dose (60 mg, sold as Alli) in Canada without a prescription. The prescription-strength 120 mg version (Xenical) requires a physician\'s assessment. A telehealth consultation can determine whether Xenical is appropriate for you. *This article is for informational purposes only.*

This article is for informational purposes only and does not constitute medical advice. Content reviewed by licensed Canadian physicians. Last updated February 2026.