Online providers all offer a way to get a GLP-1 prescription without a clinic visit, but the care behind it differs. We sort each one into one of four care models and document it on the same ten fields.
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3 of 10 provinces
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Provinces not published
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| BirchRx | Cloudcure | Felix | Hims & Hers Canada | Jack Health / Jill Health | Maple | MyRocky | Pocketpills | Tia Health | |
|---|---|---|---|---|---|---|---|---|---|
| Care model | Prescription service | Metabolic program | Multi-service platform | Multi-service platform | Multi-service platform | Multi-service platform | Multi-service platform | Pharmacy program | Multi-service platform |
| First step | Online assessment (about 10 minutes), no video call | 3-minute online quiz, then lab work, then a consultation with a clinician (1:1 video) | Online health assessment, completed in your own time; a phone or video call only if the practitioner asks | Online questionnaire in your own time; practitioner messages if needed | Short online medical questionnaire; no appointment needed | Online eligibility check, then secure-message chat with a practitioner | Online questionnaire and profile, then an initial consultation with a licensed provider (call scheduled by message) | Online health assessment (about 5 minutes) after creating an account | Book a phone or video consultation; provider reviews history and goals |
| Who prescribes | Licensed Canadian physician, licensed in your province and independent of BirchRx | Medical doctors and nurse practitioners registered in a Canadian province | Licensed Canadian healthcare practitioner, licensed in your province | Physicians and nurse practitioners, licensed in your province | Physician or nurse practitioner licensed in your province | Canadian-licensed doctors and nurse practitioners | Licensed Canadian prescriber (the site names doctors, nurse practitioners and pharmacists on its team; which role prescribes is not stated) | Licensed Canadian doctors; a doctor reviews your answers within 48 hours | Licensed Canadian providers; role not specified for weight loss |
| Lab work | Not part of the published process | Metabolic bloodwork at a medical laboratory, via a requisition, before the treatment plan | Not required up front; practitioner may ask for further diagnostic testing | Not published as a step; intake is a questionnaire | Baseline blood panel (over 23 biomarkers) before prescribing; included in initial fee | Not a published step; requisitions at practitioner's discretion | Blood test referenced in the weight-loss FAQ; whether it is required before a prescription is not stated | Not required: site says no blood work needed | Provider coordinates a blood test; FAQ says labs may be requested |
| Follow-up | Regular physician check-ins to monitor progress and adjust dose; refills handled automatically while you remain a good candidate | Medical follow-ups by video, plus regular coaching meetings over a 12-month program | Follow-up visits as needed for check-ins, renewals or adjustments, scheduled when your practitioner recommends | Online follow-up consultation when your prescription runs out of refills | Regular check-ins by your care team; no schedule published | As your practitioner recommends; renewals through the same assessment | Access to a clinician and pharmacy team; no follow-up schedule published | Unlimited doctor follow-ups; no schedule published | Regular follow-ups with your provider; no schedule published |
| Between visits | Care team available to support you; channel not specified | 1:1 coaching, curriculum and the Cloudcure app to track progress and message the care team | Secure messaging with your care team, plus in-app trackers | Unlimited messaging with your healthcare provider | 24/7 chat with care team; coaching available for a fee | Access to providers 24/7 for questions about progress or medication | Clinician and pharmacy messaging through the MyRocky portal | Anytime access to doctors and the Care team | Questions and plan changes through your provider; no coaching or dietitian listed |
| Getting your medication | Dispensed by a licensed Canadian pharmacy and shipped to you in plain packaging | Prescribed medication shipped free and discreetly across Canada | Delivered from the Felix Pharmacy network by Express Post, no shipping charge | Shipped free from a partner pharmacy, or sent to your own pharmacy | Free delivery from partner pharmacy, or your own pharmacy ($40 fee) | Delivered by partner pharmacy M-Line; injectables can transfer to your pharmacy | Filled by MyRocky Pharmacy (Mississauga, ON) and delivered to your door | Delivered free by Pocketpills pharmacy in 1-5 days | Pick up at your pharmacy, or free delivery |
| Other treatments | Men's health (erectile dysfunction, hair loss) | Hormone health and PCOS care programs; a lifestyle plan without medication | Many other conditions on the same account (for example erectile dysfunction, hair loss, acne, birth control, menopause) | Erectile dysfunction and acne on hims.ca; birth control and acne on forhers.ca | Sexual health, testosterone, hair loss, healthy aging, HIV prevention | Primary care, paediatrics, dermatology, mental health and other specialties | Sexual health, hair loss, mental health and more on the same platform | ADHD, ED, hair loss, birth control, acne, UTIs, diabetes care | General care, mental health, skin, men’s and women’s health, birth control, UTIs |
| Cost model | Bundled: monthly care plan includes medication, physician oversight and shipping | Monthly membership; medication billed separately | Per visit, with medication billed separately by the pharmacy | Per consultation, plus medication billed per refill | Monthly program fee ($59) after a $0 start; medication billed separately | Monthly membership; medication billed separately by the pharmacy | Initial consultation fee, then a monthly program fee plus the cost of medication | Visit and renewal fees; pharmacy bills medication separately | Per visit ($65 first, $40 follow-ups); medication priced separately |
| Provinces | ON, BC, AB | BC, AB, SK, MB, ON, QC, NS, NL | BC, AB, SK, MB, ON, NS, PE, NL | BC, AB, SK, MB, ON, QC, NB, NS, PE, NL | BC, AB, SK, ON, NL | BC, AB, SK, MB, ON, QC, NB, PE, NL | Not yet checked | BC, AB, SK, MB, ON, NB, NS, PE, NL | BC, AB, ON |
Scroll sideways to see every provider. "Not yet checked" means we haven't confirmed the fact on the provider's own pages.
An online GLP-1 provider is a service that connects you with a licensed Canadian prescriber over the internet, then arranges a pharmacy to fill and ship the prescription. A GLP-1 is a prescription medication in the class that includes semaglutide and tirzepatide. Whether you may take one is a decision for a prescriber, not for this page.
Most provider sites describe the same three steps: answer questions, get a prescription, receive a delivery. The difference is what happens around those steps. One service stops at the prescription. Another has its own pharmacy. Another runs the weight program as one of many treatments on a single account. Another builds the whole program around lab work, scheduled visits and coaching.
We group these into four care models: prescription service, pharmacy program, multi-service platform and metabolic program. Each has its own page section on care models, and every provider card below shows its primary model. We classify from what a provider does in its sign-up flow and terms, not from its marketing, and we date every check. The full method is on our methodology page.
Look for two numbers when you compare. The program cost is what you pay the service: an assessment or visit fee, a monthly membership, or a follow-up fee. The medication cost is what the pharmacy charges for the drug itself, plus any dispensing fee, which is the pharmacy’s charge for filling a prescription.
Some providers bundle both into one monthly price. Others separate them, so the program fee looks small while the medication is billed on top. Neither is wrong, but you cannot compare them until you put both on the same footing. For medication prices on their own, see our price pages. For what your plan may pay, see coverage.
These are worth asking before you pay anything, whichever service you choose.
If a provider has not published the answer, you can ask its support team. If you do, tell us what you learn through our corrections page and we will update the profile.
The cards and matrix show the same ten fields for every provider: care model, first step, who prescribes, lab work, follow-up, support between visits, how you get your medication, other treatments offered, cost model and provinces served. Providers that serve your province appear first, then the rest alphabetically. Whether a provider pays us never affects order or wording, and we never score or rank them. Paid relationships are labelled and explained in our disclosure.
Nothing here is medical advice. A prescriber or pharmacist can tell you what is appropriate for you.
Not to start. Every provider we document has its own prescribers. Some say plainly that they do not replace primary care, so ask who monitors you between renewals.
It depends on the provider. Some bundle medication into one monthly price, some charge a visit or membership fee and bill the pharmacy separately. The cost model row in the comparison shows which.
Coverage depends on your plan and the drug, not on the provider. Providers that bill insurers say they can bill a plan directly, but visit and program fees are usually not covered.
A licensed prescriber still reviews your answers and decides whether to prescribe. What differs is the format: a form, a message thread, or a video visit.