Two Options, One Answer
Canadian Treatments Compared For Weight Loss
All-in monthly cost in CAD at a real maintenance dose — not the entry price
Which provinces each option serves, with Quebec called out separately
A named winner on every matchup, with the reasoning shown
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The Matchups We Have Called
Two providers, one recommendation. If a matchup is genuinely too close to call we say so — but we never leave the reader to work it out.
Weight Loss
Felix Health vs Direct Meds
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.
Weight Loss
Felix Health vs Direct Meds
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.
Weight Loss
Felix Health vs Direct Meds
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.
Weight Loss
Felix Health vs Direct Meds
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.
Weight Loss
Felix Health vs Direct Meds
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.
Weight Loss
BirchRx vs Felix Health
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.
Weight Loss
BirchRx vs Direct Meds
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.
The Four Things We Compare On
Applied in this order, because the first can rule an option out before the other three matter at all.
Can it treat you at all
Telehealth is licensed provincially. A cheaper program that does not serve your province is not an option, it is a distraction.
All-in cost in CAD
Consultation, medication at a realistic maintenance dose, membership and shipping — added up over twelve months, not one.
Clinical and pharmacy model
Who prescribes, who dispenses, and how many handoffs sit between them. That gap is where refill delays come from.
What happens after month one
Follow-up, dose adjustments, refill reliability, and how hard the provider makes it to stop.
Why US Comparisons Do Not Transfer
Not a pharmacy
Compare Options in Your Province
Where you live routinely settles the comparison. Quebec is regulated separately through the Collège des médecins du Québec, and several national platforms do not serve it at all.
Frequently Asked Questions
What is CompareTreatments Canada?
How do you decide which treatment or provider wins?
Why compare the all-in cost instead of the advertised price?
Are compounded GLP-1s an option in Canada?
Does the comparison change depending on my province?
Do the providers you compare pay you?
Advertising Disclosure
CompareTreatments Canada may receive referral fees from selected partners. Verdicts and rankings are set on independent research before commercial terms are considered, and are never for sale.

