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ED Treatment · Head to head

Felix Health vs MyRocky: Which ED Clinic Wins in Canada?

Both prescribe the same two molecules. Sildenafil and tadalafil have been generic in Canada for years, so this matchup is not decided by the medicine — it is decided by what you pay to find out whether you qualify, where each provider is allowed to treat you, and who fills the prescription. Felix is the larger platform, with more than 1.5 million patients and a fully online assessment that needs no referral. MyRocky advertises a free same-day prescription, dispenses from its own licensed pharmacy, and serves all ten provinces including Quebec.

Updated · Editorial team · This page contains affiliate links; our verdict is not for sale.

The verdict

Winner: Felix Health

Felix takes it overall, on scale, track record and a program built around ongoing practitioner follow-up — and its 3-month plan, which charges one fill fee instead of one per fill, is the cheaper structure for anyone treating ED continuously. MyRocky wins two rows outright, and they are decisive for a large minority of readers. It serves Quebec, where Felix cannot treat you at all, so for a Quebec resident this comparison ends before any other criterion is read. And it advertises a free same-day prescription, which means an ineligible patient pays nothing — against a fill fee, that is a real difference in the cost of finding out. Pick Felix if you live in the nine provinces it serves and expect to treat ED on an ongoing basis. Pick MyRocky if you live in Quebec, if you want to establish eligibility at no cost, or if you would rather your prescription was dispensed in-house than transferred to a third-party pharmacy.

Side by side

Felix Health compared with MyRocky across 11 criteria
CriterionFelix HealthMyRocky
Medication offeredSildenafil and tadalafil, prescribed to the planSildenafil, tadalafil, dissolvable tadalafil, combination pack
Cost of finding out if you qualifyFill fee applies against the planFree same-day prescription
Starting priceScales with dose and frequency; one fill fee on a 3-month planSildenafil from $84/month, tadalafil from $107/month
Provinces servedNine provinces — not Quebec, not the territoriesAll 10 provinces, Quebec included
Pharmacy modelDispensed through partner pharmaciesIn-house pharmacy, no third-party transfer
Platform scaleMore than 1.5 million patientsMore than 350,000 patients
Ongoing follow-upOngoing practitioner care and follow-ups onlineFree unlimited medical support
DeliveryFree discreet delivery, always includedFree 2-day discreet delivery
Referral requiredNoNo
Compounded ED formulasNo — not permitted in CanadaNo — not permitted in Canada
Insurance billingDirect-pay, no direct billingDirect-pay, no direct billing

A ✓ marks the stronger option on that row only. Rows where neither is meaningfully ahead are left unmarked rather than forced into a winner.

Where each one is strong, and where it is not

Felix Health

Strengths

  • The largest Canadian telehealth platform, with more than 1.5 million patients behind the assessment
  • Fully online with no referral needed, and ongoing practitioner follow-up built into the program
  • A 3-month plan charges one fill fee rather than one per fill, which is the cheaper structure for continuous use
  • Free discreet delivery is standard rather than an upsell

Trade-offs

  • Cannot treat you in Quebec, which ends the comparison for Quebec residents
  • A fill fee applies against the plan, so establishing eligibility is not free

Best for: Canadians in the nine provinces Felix serves who expect to treat ED on an ongoing basis and want the largest platform

MyRocky

Strengths

  • Serves all ten provinces including Quebec, and is frequently the only route there
  • Free same-day prescription — an ineligible patient is not out of pocket
  • Carries both molecules plus a dissolvable tadalafil and a combination pack, so switching is a plan change
  • In-house licensed pharmacy dispenses directly, with 2-day discreet delivery advertised

Trade-offs

  • A smaller platform than Felix on patients served and track record
  • Headline prices are the cheapest tier — cost rises with pill count and shorter plans

Best for: Every Quebec resident, and anyone who would rather not pay to establish whether they qualify

If you live in Quebec, this comparison is already settled

Telehealth is regulated provincially in Canada, not federally, and Quebec runs its own regime through the Collège des médecins du Québec. Felix Health does not currently serve Quebec.

MyRocky does. For a Quebec resident that settles this before fill fees, pharmacy model or platform scale enters into it — one of the two options cannot legally treat you. Neither platform serves Yukon, the Northwest Territories or Nunavut, which is standard across national Canadian telehealth rather than specific to either company.

What it costs to find out whether you qualify

This is the row that separates the two on price, and it is not the row most comparisons look at. Felix charges a fill fee against the plan; MyRocky advertises a free same-day prescription on its ED intake. If a clinician declines you — for nitrate use, or an unmanaged cardiovascular history — the difference between those two structures is the difference between paying something and paying nothing.

For anyone who does qualify and treats continuously, the structures reverse. Felix’s 3-month plan charges one fill fee rather than one per fill, which is materially cheaper across a year than paying per fill would be. MyRocky’s advantage narrows to its published monthly pricing, where the cheapest tiers assume the lowest pill count on the longest plan.

Run your own dose and frequency through both before choosing. Sildenafil and tadalafil are generic in Canada, so what you spend tracks how often you treat far more than it tracks which clinic writes the prescription.

Who actually fills the prescription

Felix writes the prescription and it is dispensed through partner pharmacies. MyRocky owns its pharmacy and dispenses in-house, advertising 2-day discreet delivery.

On a comparison table that difference reads as a footnote. In practice it is the row that decides whether a refill arrives on schedule, because the third-party transfer step — the most common origin of Canadian telehealth delays — is not in the chain at all. For a medication taken occasionally that matters less than it does for a weekly injection, which is why it does not overturn the overall verdict here.

The choice that matters more than the platform

Sildenafil acts within roughly an hour and lasts four to six, which suits planned use. Tadalafil lasts up to 36 hours and can be taken at a low daily dose, which suits anyone who would rather not time a dose at all. Both are Health Canada-approved, both are generic, and both are prescribed off the same assessment.

Getting that choice right will change your experience more than choosing between these two clinics will. MyRocky carries both plus a dissolvable tadalafil and a combination pack, so switching molecule there is a plan change rather than a new intake elsewhere — a small but real edge if you expect to experiment.

One point holds regardless of which provider wins your comparison: erectile dysfunction is a recognised early marker of cardiovascular disease. An online questionnaire is a good route to treatment and not a substitute for a workup if the problem is new, sudden, or accompanied by other symptoms.

Questions people ask about this matchup

Felix or MyRocky for ED?
Felix overall, MyRocky in Quebec. Felix is the larger platform, wraps the prescription in ongoing practitioner follow-up, and its 3-month plan charges one fill fee instead of one per fill. MyRocky wins if you live in Quebec, where Felix cannot treat you at all, or if you would rather establish eligibility at no cost — its ED intake advertises a free same-day prescription.
Do they prescribe the same medication?
Essentially yes. Both prescribe sildenafil and tadalafil, the two first-line PDE5 inhibitors, both of which have been generic in Canada for years. MyRocky additionally lists a dissolvable tadalafil and a sildenafil + tadalafil combination pack subject to consultation. Neither offers a compounded multi-ingredient formula, because Health Canada does not permit one.
Why can Felix Health not treat me in Quebec?
Telehealth is regulated provincially rather than federally, and Quebec runs its own regime through the Collège des médecins du Québec. Felix does not currently serve it. MyRocky does, which settles this comparison outright for a Quebec resident. Neither serves Yukon, the Northwest Territories or Nunavut.
Which is cheaper for ED treatment?
It depends on how often you treat. MyRocky publishes monthly starting prices — sildenafil from $84, tadalafil from $107 — and charges nothing for the prescription itself. Felix charges a fill fee, but a 3-month plan collapses that to one fee rather than one per fill, which favours continuous use. Price your actual dose and frequency on both: sildenafil and tadalafil are generic, so cost tracks how much you use rather than which clinic writes the script.
Can either prescribe a "4-in-1" compounded ED formula?
No, and no Canadian provider can. Compounded multi-ingredient ED products are a US category. Any platform advertising one to a Canadian address is operating outside Canadian regulation, and that alone should end your consideration of it.
What will both screen for before prescribing?
Nitrate use above all — combining nitrates with a PDE5 inhibitor can cause a dangerous drop in blood pressure, and it is an absolute contraindication on either platform. Expect questions about cardiovascular history, alpha-blockers used for prostate symptoms, and medications affecting the liver enzymes that metabolise these drugs. A platform that does not ask is not one to use.
Can I switch between them?
Yes. Neither locks you into a contract and an ED prescription is not tied to one telehealth provider. Complete the new provider’s intake, state your current medication and dose, and their clinician decides independently. Most people switching are doing it because they moved to Quebec, or because they want the prescription and the dispensing handled by one organization.
Does either bill provincial health insurance?
Neither does. ED medication through both platforms is direct-pay, outside provincial drug plans. Some private plans reimburse a portion against an itemized receipt, but this is plan-specific and worth confirming with your insurer rather than assuming.

Keep comparing

References and further reading

  1. NCBI Bookshelf, Sildenafil (StatPearls) (NCBI Bookshelf). Mechanism, contraindications and safety for erectile dysfunction.
  2. CPSO, Virtual Care policy (College of Physicians and Surgeons of Ontario). What Canadian physicians must do before prescribing virtually.

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