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.
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The verdict
Winner: Felix HealthFelix 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
| Criterion | Felix Health | MyRocky |
|---|---|---|
| Medication offered | Sildenafil and tadalafil, prescribed to the plan | Sildenafil, tadalafil, dissolvable tadalafil, combination pack✓ |
| Cost of finding out if you qualify | Fill fee applies against the plan | Free same-day prescription✓ |
| Starting price | Scales with dose and frequency; one fill fee on a 3-month plan | Sildenafil from $84/month, tadalafil from $107/month |
| Provinces served | Nine provinces — not Quebec, not the territories | All 10 provinces, Quebec included✓ |
| Pharmacy model | Dispensed through partner pharmacies | In-house pharmacy, no third-party transfer✓ |
| Platform scale | More than 1.5 million patients✓ | More than 350,000 patients |
| Ongoing follow-up | Ongoing practitioner care and follow-ups online | Free unlimited medical support |
| Delivery | Free discreet delivery, always included | Free 2-day discreet delivery |
| Referral required | No | No |
| Compounded ED formulas | No — not permitted in Canada | No — not permitted in Canada |
| Insurance billing | Direct-pay, no direct billing | Direct-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?
Do they prescribe the same medication?
Why can Felix Health not treat me in Quebec?
Which is cheaper for ED treatment?
Can either prescribe a "4-in-1" compounded ED formula?
What will both screen for before prescribing?
Can I switch between them?
Does either bill provincial health insurance?
Keep comparing
References and further reading
- NCBI Bookshelf, Sildenafil (StatPearls) (NCBI Bookshelf). Mechanism, contraindications and safety for erectile dysfunction.
- CPSO, Virtual Care policy (College of Physicians and Surgeons of Ontario). What Canadian physicians must do before prescribing virtually.
Not a pharmacy
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