Head-to-Head Comparisons

Both sell brand-name GLP-1 care, so this comparison is not about the molecule — it is about the wrapper. Felix Health is the larger, better-known Canadian clinic and charges nothing for the initial consultation, but it does not serve Quebec. Direct Meds advertises from $99 a month, quotes 1–2 business day shipping, and serves the country. The choice turns on where you live and how much ongoing care you want around the prescription.

Ozempic (semaglutide) is a brand-name prescription medication, so the choice in Canada is really about which telehealth program gets you there and what you pay around the medication itself. Felix Health carries Ozempic as part of its brand-name GLP-1 lineup, with a $0 initial consultation and ongoing practitioner follow-up bundled in. Direct Meds advertises brand-name GLP-1 injections from $99 a month with the telehealth visit and prescription included, and confirms the specific product at intake.

Wegovy is the higher-dose semaglutide brand Health Canada approved specifically for chronic weight management, and it sits in the same fork every brand-name GLP-1 comparison here does: the larger, better-known clinic against the lower advertised entry price. Felix Health names Wegovy in its approved brand-name lineup, with a $0 initial consultation and ongoing follow-up. Direct Meds advertises brand-name GLP-1 injections from $99 a month with the visit and prescription included.

Mounjaro is tirzepatide, a different GLP-1/GIP molecule from semaglutide, and it is the one drug that genuinely splits the field. Felix Health names Mounjaro specifically in its approved brand-name lineup, with a $0 initial consultation. Direct Meds advertises brand-name GLP-1 injections generally, but does not name tirzepatide in its published catalogue, so confirm directly before assuming it can fill a Mounjaro prescription.

Zepbound is a United States-only brand name for tirzepatide, marketed there specifically for chronic weight management. Health Canada has not authorised a product under the Zepbound brand, and no Canadian telehealth provider can legally sell it to you. In Canada, tirzepatide is sold under a single brand, Mounjaro, and Felix Health names Mounjaro specifically in its approved lineup. This page exists to give you the accurate Canadian answer rather than importing a US brand name that does not apply here.

The generic-versus-brand fork is the single biggest cost decision in Canadian GLP-1 care. BirchRx is built specifically around generic semaglutide: a free assessment, then $149 for month one and from $199 a month all-in, with no separate membership or platform fee. Felix Health runs the brand-name side of the market — Ozempic, Wegovy and Mounjaro — with a $0 initial consultation and medication priced separately. Confirmed BirchRx coverage is Ontario, British Columbia and Alberta; Felix reaches nine provinces, Quebec excluded.

A lot of Canadian GLP-1 marketing buries a separate membership or platform fee under the medication price. BirchRx and Direct Meds are the two programs on this site that genuinely do not: BirchRx bundles the physician assessment, prescription, medication and follow-up into one price from $199 a month after a $149 first month; Direct Meds includes the telehealth visit and prescription in its advertised from-$99 monthly figure. What separates them is the medication itself and how far that price actually holds.